ROLE OF HOMOEOPATHIC MEDICINE FOR DYSMENORRHEA
Dr. Anjana kumara , MD Scholar, Department of Organon of Medicine (Hom.) , Dr. M.P.K Homoeopathic Medical College, a constituent college of Homoeopathy University, Jaipur.
Dr. Pradeep kumar , MD Scholar, Department of Organon of Medicine (Hom.) , Dr. M.P.K Homoeopathic Medical College, a constituent college of Homoeopathy University, Jaipur.
Dr. Bhupendra Arya , MD Scholar, Department of Practice of Medicine (Hom.) , Dr. M.P.K Homoeopathic Medical College, a constituent college of Homoeopathy University, Jaipur.
Dr. Neha Mahawer , MD Scholar, Department of Materia Medica (Hom.) , Dr. M.P.K Homoeopathic Medical College, a constituent college of Homoeopathy University, Jaipur
Abstract: Dysmenorrhoea is painfull menstruation which incapacitate her day to day activities .This article provide information about Dysmenorrhoea along with homoeopathy medicine.
Keywords: Dysmenorrhoea, homoeopathy
Introduction – painful menstruation of sufficient magnitude so as to incapacitate day-to-day activities.
Dysmenorrhoea is commonly divided into two categories based on pathophysiology . Primary dysmenorrhoea is menstrual pain without organic disease, and secondary dysmenorrhoea is menstrual pain associated with an identifiable disease. Common causes of secondary dysmenorrhoea include endometriosis, fibroids (myomas), adenomyosis, endometrial polyps, pelvic inflammatory disease, and the use of an intrauterine contraceptive device.
Causes of pain: The mechanism of initiation of uterine pain in primary dysmenorrhea is difficult to
establish. But the following are too often related. Mostly confined to adolescents. Almost always confined to ovulatory cycles. The pain is usually cured following pregnancy and vaginal delivery. The pain is related to dysrhythmic uterine contractions and uterine hypoxia.
SECONDARY DYSMENORRHEA
(Congestive)
Secondary dysmenorrhea is normally considered to be menstruation — associated pain occurring in the
presence of pelvic pathology.
Causes of pain: The pain may be related to increasing tension in the pelvic tissues due to pre-menstrual pelvic
congestion or increased vascularity in the pelvic organs.
Common causes of secondary dysmenorrhea:
Cervical stenosis, chronic pelvic infection, pelvic endometriosis, pelvic adhesions, adenomyosis, uterine
fibroid, endometrial polyp, IUCD in utero and pelvic congestion. Obstruction due to mullerian malformations
are the other causes
Risk Factor
Heavy menstrual bleeding and longer menstrual bleeding duration are often associated with dysmenorrhea . Childbearing is a very influential factor for the decrease of dysmenorrhea . Increasing age is also associated with less severe dysmenorrhea although a longitudinal study found that the proportion of women with moderate to severe dysmenorrhea remained constant with increasing age .
The early onset of pain is associated with more severe pain , and a family history of dysmenorrhea is associated with a significantly higher prevalence of dysmenorrhea . Since anxiety and depression are often associated, dysmenorrhea may be part of a somatoform syndrome .
Clinical features: The pain is dull, situated in the back and in front without any radiation. It usually appears 3–5 days prior to the period and relieves with the start of bleeding. The onset and duration of pain depends on the pathology producing the pain. There is no systemic discomfort unlike primary dysmenorrhea. The patients may have got some discomfort even in between periods. There are symptoms of associated pelvic pathology. Abdominal and vaginal examinations usually reveal the offending lesion. At times, the lesion is revealed by laparoscopy, hysteroscopy or laparotomy
Homoeopathic medicine
BELLADONNA
Sensitive forcing downwards, as if all the viscera would protrude at genitals. Dryness and heat of vagina. Dragging around loins. Pain in sacrum. Menses increased; bright red, too early, too profuse. Hæmorrhage hot. Cutting pain from hip to hip. Menses and lochia very offensive and hot. Labor-pains come and go suddenly. Mastitis pain, throbbing, redness, streaks radiate from nipple. Breasts feel heavy; are hard and red. Tumors of breast, pain worse lying down. Badly smelling hæmorrhages, hot gushes of blood. Diminished lochia.
BORAX VENETA
Menses too soon, profuse, with griping, nausea and pain in stomach extending into small of back. Membranous dysmenorrhœa. Sterility. Favors easy conception. Sensation of distention in clitoris with sticking. Pruritus of vulva and eczema.
CHAMOMILLA
Uterine hæmorrhages. Profuse discharge of clotted, dark blood, with labor-like pains. Labor pains spasmodic; press upward (Gels). Patient intolerant of pain (Caul; Caust; Gels; Hyos; Puls). Nipples inflamed; tender to touch. Infant’s breasts tender. Yellow, acrid leucorrhœa
COCCUS CACTI
Menses too early, profuse, black and thick; dark clots, with dysuria. Intermittent menstruation; flow only in evening and at night. Large clots escape when passing water. Labia inflamed.
BOVISTA LYCOPERDON-
Diarrhœa before and during menses. Menses too early and profuse; worse at night. Voluptuous sensation. Leucorrhœa acrid, thick, tough, greenish, follows menses. Cannot bear tight clothing around waist (Lach). Traces of menses between menstruation. Soreness of pubes during menses. Metrorrhagia; Parovarian cysts.
COLOCYNTHIS
Boring pain in ovary. Must draw up double, with great restlessness. Round, small cystic tumors in ovaries or broad ligaments. Wants abdomen supported by pressure. Bearing-down cramps, causing her to bend double .
CAULOPHYLLUM THALICTROIDES
Extraordinary rigidity of os (Bell; Gels; Ver v). Spasmodic and severe pains, which fly in all directions; shivering, without progress; false pains. Revives labor pains and furthers progress of labor. After pains. Leucorrhœa, with moth-spots on forehead. Habitual abortion from uterine debility (Helon; Puls; Sab). Needle-like pains in cervix. Dysmenorrhœa, with pains flying to other parts of body. Lochia protracted; great atony. Menses and leucorrhœa profuse.
PULSATILLA PRATENSIS
menses. Too late, scanty, thick, dark, clotted, changeable, intermittent. Chilliness, nausea, downward pressure, painful, flow intermits. Leucorrhœa acrid, burning, creamy. Pain in back; tired feeling. Diarrhœa during or after menses.Suppressed menses from wet feet, nervous debility, or chlorosis. Weeps easily. Timid, irresolute. Fears in evening to be alone, dark, ghost.
SEPIA OFFICINALIS
pelvic organs relaxed. Bearing-down sensation as if everything would escape through vulva (Bell; Kreoso; Lac c; Lil t; Nat c; Pod); must cross limbs to prevent protrusion, or press against vulva. Leucorrhœa yellow, greenish; with much itching. Menses Too late and scanty, irregular; early and profuse; sharp clutching pains. Violent stitches upward in the vagina, from uterus to umbilicus. Prolapse of uterus and vagina. Morning sickness. Vagina painful, especially on coition.
NUX VOMICA
Menses too early, lasts too long; always irregular, blood black (Cycl; Lach; Puls) with faint spells. Prolapsus uteri. Dysmenorrhœa, with pain in sacrum, and constant urging to stool. Inefficient labor-pains; extend to rectum, with desire for stool and frequent urination (Lil). Desire too strong. Metrorrhagia, with sensation as if bowels wanted to move.
SABINA
Menses profuse, bright. Uterine pains extend into thighs. Threatened miscarriage. Sexual desire increased. Leucorrhœa after menses, corrosive, offensive. Discharge of blood between periods, with sexual excitement (Ambr). Retained placenta; intense after-pains. Menorrhagia in women who aborted readily. Inflammation of ovaries and uterus after abortion. Promotes expulsion of moles from uterus (Canth). Pain from sacrum to pubis, and from below upwards shooting up the vagina. Hæmorrhage; partly clotted; worse from least motion. Atony of uterus.
HAMAMELIS VIRGINIANA
Ovarian congestion and neuralgia; feel very sore. Vicarious menstruation. Uterine hæmorrhage, bearing-down pain in back. Menses dark, profuse, with soreness in abdomen. Metrorrhagia, occurring midway between menstrual periods. varian congestion and neuralgia; feel very sore. Vicarious menstruation. Uterine hæmorrhage, bearing-down pain in back.
References;
1.Shaw’s textbook of gynaecology.
2.Patel V, Tanksale V, Sahasrabhojanee M, et al. : The burden and determinants of dysmenorrhoea: a population-based survey of 2262 women in Goa, India. BJOG. 2006;113(4):453–63. 10.1111/j.1471-0528.2006.00874.x
3.Weissman AM, Hartz AJ, Hansen MD, et al. : The natural history of primary dysmenorrhoea: a longitudinal study. BJOG. 2004;111(4):345–52. 10.1111/j.1471-0528.2004.00090.
4.Lindh I, Ellström AA, Milsom I: The effect of combined oral contraceptives and age on dysmenorrhoea: an epidemiological study. Hum Reprod. 2012;27(3):676–82. 10.1093/humrep/der417
5.Unsal A, Ayranci U, Tozun M, et al. : Prevalence of dysmenorrhea and its effect on quality of life among a group of female university students. Ups J Med Sci. 2010;115(2):138–45. 10.3109/03009730903457218
6.Boericke W. Pocket Manual of Homoeopathic Materia Medica and Repertory. 9th Edition. New Delhi: B. Jain Publishers (P) Ltd; 2009.
7.Clarke, J.H. A Dictionary of Practical Materia Medica. New Delhi: B. Jain Publishers; 1999.
8.Nash EB. Leaders in Homoeopathic Therapeutics with Grouping and Classification. Low price edition. New Delhi: B.Jain Publishers (P); 2014.
