Thursday, December 10, 2020

A case of poly cystic ovarian syndrome -Homoeopathic treatment

 The journey to fertility -  A case of  poly cystic ovarian syndrome 

Prof  G R Mohan
M D (Hom)., P G Dip (Env Stud)
Former Principal, Devs Homeopathic Medical College,
Deva nagar, Ankireddypalli, Kesara mandal, R R Disrtict, A

Key words: Poly cystic ovarian syndrome, Homeopathic remedies

Poly cystic ovarian syndrome first described by American gynecologists Stein and Leventhal in 1935,  the Poly cystic ovarian syndrome  is a hormonal disorder affecting 10-15% of women, worldwide, irrespective of race or color. The World Health Organization estimates that it affects 116 million women worldwide as of 2010 (3.4% of the women). According  Dr Rajeev Punjabi India witnesses alarming rise in the incidence of  PCOS, India has witnessed about 30 per cent rise in polycystic ovary syndrome (PCOS) cases in the last couple of years. Lack of awareness and lifestyle changes are considered to be the major factor leading to this phenomenon., 1 2
At least 12 follicles  develop in the ovaries (polycystic means 'many cysts'). Cysts are fluid-filled sacs. Increased  testosterone  level,  raised levels  of insulin in the bloodstream is thought to be the main underlying reason to develop PCOS. A high level of  Luteinising hormone  is found in about 4 in 10 women with PCOS this test is suggestive but not diagnostic. 1,3
Symptoms: menstrual intervals longer than 35 days; less than eight menstrual cycles a yearin some cases, failure to menstruate for four months or longer; and that prolonged periods may be scant or heavier.
Elevated levels of male hormones androgens  lead to Acne Vulgaris ,oily skin, Hirsutism (69%) androgenic alopeciaaround the armpits, groin, neck, and breasts dark or thick skin markings and creases , Clitoris swelling, Central Obesity (apple shaped ) BodyMass Index over 27  Mood disturbance . 74% Infertility and Recurrent Miscarriage are noticed.
Management :
A systematically selected homeopathic remedy has the capacity to correct hormonal imbalance due to poly cystic ovarian syndrome  by stimulating the glands to secrete various hormones in the required manner, on the the basic pathology, miasmatic nature, individual study, a suitable homeopathic similimum  will bring  an excellent change in blood and sonographic reading. Homeopathic remedies would help in the regression of ovarian cysts.
Losing 5 percent to 10 percent of weight according to BodyMass Index, can help to restart ovulation, Exercise can help you lose weight. Diet : Low glycemic index foods, diet include whole grains, beans, fruit, vegetables and lean protein , Eating a few small meals rather than three big ones may help even out blood sugar levels

A case  of Poly cystic ovarian syndrome  : Patient by name MS S, aged 20 years, unmarried , student , who was dreaming to get married and conceive , came to me on 10-02-2013 who was medium built, with 64.9 Kg weight, hot patient, very irritable, known case of hypothyroidism since 4 years presented the following symptoms
Presenting complaints:
Menses delayed by 5 months, irregularity since 3 years
Irritability 2 years
Anxiety about health 1year
Haughty since 8 months
Hair over upper lip, neck. 2 years
Past history:
Since 2007 period is late, was diagnosed as hypothyroidism and kept on allopathic medication, taking medication for P C O S also.
Family history:  F/H hypothyroidism
Personal history
Appetite- Good
Diet- mixed.
Thirst- less.
Desire- Cold food , desire spicy food.
 Aversions/ intolerance- NS.
Bowels- Regular.
Urine- 5/6 times/day. No special. Characteristics.
Sweat- NP
Sleep- refreshing
Habits and addiction : no
Life space investigation.
 She  belongs to an upper middle class family of Hyderabad. Her  father is a business person   . She is a  first child of her parents. Had normal childhood, 3 years back her mother died due to health problem.
 General physical examination
The patient was short stature  64.9  Kg weight, B M I: 25,  no pallor, cyanosis, edema, clubbing or lymphadenopathy.
Systemic examination
 Examination of neck : slight swelling of thyroid gland on deglutition.
 GIT System: abdomen was soft, liver palpable, spleen not enlarged
 CNS System: Nothing abnormal detected
 CVS System: Nothing abnormal detected
 Respiratory System: Nothing abnormal detected

U S Scan on different times : P C O D ( 2009, 2010 & 2012 )
Antverted uterus, Endometrial thickness :
F S H 6. 7.9 ; L H :21.78 ; S Prolactine : 8.8
T S H : 3.78uiu/ml
Clinical diagnosis: P C O D
 Clinical classification :
 Dynamic chronic fully developed miasmatic disease.
 Miasmatic diagnosis
 Psoro -Sycotic and Syphilitic.
 Susceptibility: moderate
 Totality of symptoms :
 Anxiety about health
 Desire for open air
 Desire for cold  Food , desire spicy food 
 Menses late
*         Thirstless
*         Repertorisation chart (attached below4
*         Phosphorus  and Pulsatilla were the first two remedies emerged on Repertorisation. Reasons for selecting Pulsatilla was due to as it covered  all symptoms with  maximum score. Boericke says  "it is pre-eminently a female remedy , He says that the disposition and mental state are the chief guiding symptoms to the selection of Pulsatilla.
*         10/02/2013   before the total case was taken , on the day one Thuja30C, Five doses were given every 12 the hourly, along with Placebo 5 days .
*          patient came on 26-2-13 no trace of menses Pulasatilla 200c ,5doses were given  with Placebo for 20 days .
*          24-03-13 :  patient came with  no trace of menses Pulasatilla IM, 3doses  were given with Placebo 30 days . 
*         21-04-13 :  patient came  and said that menses appeared on 17-04-13, bleeding was more. Only Placebo 30days  was given. 
*         19-05-13 :  patient came  and said  menstrual bleeding continued  for 20 days, extreme weakness  China 200C, 5 doses ,  Placebo 15days,  Carcinosin 1M , one dose , Placebo 15days  was given.
*         16-06-13 :  patient came  and said weakness reduced, Menses was again delayed 12 days, it appeared on 29-05-13, LM P  was on 17-04-13,  Pulasatilla I0M, one dose  was  given with Placebo 30 days .  I have advised her to undergo U S Scan of the abdomen.
*         14-07-13 :  patient came  and said menses appeared  on 29-06-13, two days bleeding was present, weakness reduced, Placebo 30days . 

25-08-13 :  patient came  with the U S Scan report which was showing Normal study (attached below). Irritation and other symptoms were normal. Carcinosin 1M , one dose , Placebo 15days  was given.Ahoka Q, was given daily .

Discussion :
In the above case  all investigations were pointing towards  Poly cystic ovarian syndrome . since 2009 she is having the problem, took various treatments with out any benefit, as her age was marriage age, any girl wish to get married and concive, but her periods were very irregular, many times she was kept on contraceptive pills to regulate periods and used metformin without any benefit. with that she gained her weight. 2009 to 2013 she has put on 11 kg weight.developed sever anxity about her health and future.
In the conventional treatment Medical treatment Polycystic ovaries are treated with a laparoscopic procedure called "ovarian drilling" Or Reducing insulin resistance by improving insulin sensitivity through medications such as Metformin anti diabetic drug. If fertility is not the primary aim, then menstruation is  regulated with a contraceptive pill . 1
 Pulasatilla has given good result in regulating menstruation , it has changed her mood, helped Her to shed weight and lastly  Poly cystic ovarian Cysts  vanished with homeopathic remedies. In the above case Carcinosin Burnett was given; as  it coved  Sycotic, Tubercular, Syphilitic miasms, it’s a  Chronic, Intercurrent remedy . Thuja Occidentalis  covered   Psoric, Sycotic, Syphilitic miasms
It's surprising to note that Pulsatilla which is selected  on the basis of repertriation , given to the patient gave success, but following observations were noted.
In Murphy’s repertory  under the rubric  female-Tumors, genitals-ovaries, cysts : 44 remedies are there but Pulsatilla is missing
Synthesis 8.1 V repertory  under the rubric  female-Tumors, genitals-ovaries, cysts : 32 remedies are there but Pulsatilla is missing
Boericke O, repertory  under the rubric  female sexual system -ovaries, cysts dropsy  : 25 remedies are there but Pulsatilla is missing

References :

1) Ganie M A, Kalra S. Polycystic ovary syndrome - A metabolic malady, the mother of all lifestyle disorders in women -2011 [cited 2013 Sep 16]; 15:239-41. Available from:

 4) Hompath Wildfire

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