Abstract
Polycystic ovarian disease is an endocrine disorder that affects 5-15% women of reproductive age group. It can be present with other pathological conditions. Here a case of 20-year-old woman suffering from PCOD is presented in which she get cured with general constitutional similimum and marked improvement is seen along with menstrual regularity and the improvement is supported with the USG report.
Keywords
Homoeopathy, Polycystic ovaries, Hyperandrogenism, Menses irregular, Hirsutism
Introduction
Polycystic ovarian disease is an endocrinal disorder also called as stein Leventhal syndrome. Polycystic ovaries are defined as multiple cyst (2 or more) varying in size from millimetre to centimetres usually found in the surface of the ovary.
Key criteria –
1.oligo ovulation or anovulation
2.Hyperandrogenism
3.Polycystic ovaries
PCOD is seen more among family members, 20-40% of first-degree female relatives affected than in the general population which suggest that genetic factors influence the development of syndrome.
A personal or family history of diabetes and hypertension should also be excluded.
Clinical Features
Reproductive symptoms:
Irregular menstrual cycles- infrequent, prolonged or amenorrhea.
Anovulation and multiple small cysts in the ovaries.
Hormonal symptoms:
Hyperandrogenism- high level of male hormone, such as testosterone that results in- hirsutism, acne, male pattern baldness.
Insulin resistance- difficulty using insulin, leading to high blood sugar levels.
Metabolic symptoms:
Weight gain, Central obesity, Dyslipidaemia
Other symptoms–
Mood changes (anxiety, depression, mood swings), fatigue, sleep apnea.
Case Report
A female aged 20 years presents with the complaint of facial hairs on the chin, irregular menses, menses are scanty and painful affecting her day-to-day activity, pain in the cervical region which get aggravated at the time of menses, pain in the lower limb with no significant modalities noticed by the patient.
History of Present Illness
The abnormalities in the menses started from menarche.
Menarche was delayed and came at the age of 16 years, leucorrhoea was also present with irregular menses and there were no modalities noticed by the patient.
Treatment History–
The patient had taken oral (hormonal pills) for 4 years and she must have to take the medicines for the commencement of menstrual flow.
Family History-
Mother is suffering from diabetes and knee pain for 10 years.
Father is a farmer and is completely fine.
She has 3 elder brothers and none of them is having a marked disease.
Past History-
Delayed menarche no other significant past history.
According to her mother, since childhood she looks like a male like to wear clothes like male and is always interested in the games played by males. Her mother is quite worried about her future (during pregnancy and married life).
Physical Generals-
Thermal – Hot (all complaints get aggravated in summer)
Thirst– Thirsty
Appetite– Normal
Stool– Constipation
Urine– Generally normal but when she took a lot off allopathic medicines there is burning in urination
Sleep- Deep sleep usually lies on the left side but the sleep is unrefreshing.
Dream– whole night is full of stories in the dream but she remembers nothing in the morning.
Perspiration– much perspiration on little exertion.
Vitals-
Blood pressure– 130/90 mmhg
Pulse– 85 beats/min
Respiratory Rate– 16-17 breaths/min
Temperature– Afebrile
General Examination–
General condition– alert and stable
Pallor-not present
Icterus-not present
Clubbing– not present
Cyanosis– not present
Oedema-not detected
Teeth/gums-healthy
Lymph nodes– not palpable
Systemic Condition–
Per abdomen– soft and non-tender
S1 S2– heard, no sound added
Chest– bilateral clear
CNS– Conscious and oriented
Mental Symptoms
The patient is in love with a guy who is from her own caste and she wants to marry her but her family is not ready for the marriage.
Since her puberty she feels that she is restricted by her own family and she always fights with her family for the restriction and also a lot for the marriage.
She did not have much emotional attachment with her family.
Provisional Diagnosis- Polycystic ovarian disease
Differential Diagnosis–
Hypothyroidism
Hyperprolactinemia
Adrenal hyperplasia
Repertorial Totality
Prescription- (29/07/2023)
Rx
Ignatia 30 BD for 3 days
Sac lac 200 TDS for 2 months
Oleum Jacoris for local application
Follow up on (30/09/2023)
-Got menses just after taking the medicine for 2 days
-relief in pain in the cervical region.
-pain relieved in lower limb
– no marked difference in facial hairs.
Rx
Sac lac 30 BD for 3 days
Oleum jacoris for local application.
Follow up on (25/11/2023)
-Menses become regular.
-No new complaint but the facial hairs are the same as before no marked relief is noticed.
Rx
Ignatia 200 OD for 3 days
Sac lac 30 TDS for 2 months
Oleum jacoris for local application
Follow up on (27/01/2024)
Everything returns back to normal with a regular menstrual period.
Explanation
Behind the PCOD there is procreation conflict. Feelings humiliated by a man (physical, sexual, or emotional abuse) verbal insult, disrespectful treatment by partner, spouse, male relative or friend, offensive behaviour of a colleague, or offensive behaviour by male authority are the possible conflict scenarios.
Discussion
Homoeopathy is a holistic system of medicine and here the treatment plan is based on individualization through the detailed case taking. This case of PCOD treated with similimum medicine is an attempt to show the efficacy of homoeopathic approach in the treatment of PCOD. The improvement of the symptoms is assessed by proper follow ups by the patient and the investigation reports.
Conclusion
This case report provides valid evidence of the successful treatment of PCOD with the constitutional homoeopathic medicine and it also signifies the importance of holistic approach of treatment of homoeopathy.
Declaration of Patient Consent
Patient consent was taken for the images to be reported for this article.
