Abstract:
Uterine prolapse is a common gynaecological condition, especially prevalent among postmenopausal women, characterized by the descent of the uterus into the vaginal canal due to weakened pelvic structures. Conventional treatment options range from pelvic exercises to surgical intervention; however, homeopathy offers a unique, holistic approach that addresses both physical and mental symptoms. This article explores the various degrees of uterine prolapse, its clinical manifestations, and the corresponding homeopathic remedies. Key remedies such as Murex, Sepia, Belladonna, Lillium tigrinum, and Helonias are examined with regard to their specific indications, emphasizing the mind-body connection integral to homeopathic philosophy. Homeopathy provides individualized care that can significantly improve quality of life for women suffering from uterine prolapse.
Keywords: Prolapse of uterus, Murex, Sepia, Belladona, Lillium tig, Helonias.
Introduction:
Uterine prolapse occurs when the uterus descends from its normal position in the pelvis into or outside of the vagina due to weakened pelvic muscles and supportive tissues. This condition, a form of herniation, can affect women of any age but is more common in postmenopausal women, especially those with multiple vaginal deliveries. Factors contributing to uterine prolapse include damage during childbirth, hormonal changes such as decreased estrogen, and the gradual weakening of the pelvic floor muscles. It is a significant health issue in both developing and developed countries. The overall prevalence of included studies was 30.9%. Meta-analysis of subgroups in studies that used a questionnaire to estimate the prevalence rate showed the prevalence was 25.0% and, in the studies, used the physical examination was 41.8%. Homeopathy plays a significant role in providing effective treatment and supporting the maintenance of the uterus’s structural integrity.
Classification of Uterine prolapse:
| Normal | External OS lies at the level of Ischial spines. No prolapse. |
| First Degree | Uterus descends down from its normal anatomical position but the external OS still remains above the introitus. |
| Second degree | External OS protrudes outside vaginal introitus but uterine body still remains inside vagina. |
| Third degree | Uterine cervix and body and fundus descend to lie outside the introitus |
| Procidentia | Involves prolapse of uterus with aversion of entire vagina. |
Clinical features:
- Feeling of something coming down per vagina.
- Backache, dragging pain in pelvis.
- Difficulty in passing urine.
- Painful micturition.
- Stress incontinence.
- Bowel incontinence
- Dyspareunia.
Homoeopathic insights into psychological and physiological symptoms:
| REMEDIES | MENTAL SYMPTOMS | UTERINE SYMPTOMS |
| MUREX | Adapted to sensitive, nervous, lively, affectionate women.
Great depression of spirits. Deep hypochondriacal state. Who are violently excited sexually, from least contact of parts, excessive desire for an embrace; from suppressed menses. |
Bearing down sensation or pain prolapse and displacement of uterus, associated with pain
Must sit down and CROSS THE LIMBS Feels as if it is cut by sharp instrument Worse – in bed Better – by sitting or by walking |
| SEPIA | Indifference and hardness, with aversion to family, sympathy, and company—yet fears being alone. Easily irritated, especially with family; may shriek at children and respond with anger to any demand. Alternating irritability and
indifference, tearful and depressed before menses, with feelings of guilt and isolation. Anxious over trifles, fears (ghosts, poverty), dwells on past events, and reacts strongly to contradiction. Loves dancing and thunderstorms; marked aversion to sex and despair of recovery. |
Prolapse of uterus and vagina
Pressure and bearing down sensation As if everything would protrude out from pelvis Must CROSS THE LIMBS TIGHTLY or sit close to prevent it from coming out with oppression of breathing |
| BELLADONA | Intense delirium with rage, biting, striking, tearing things, spitting, and pulling hair—often with livid face, dilated pupils, and hot body. Sees ghosts, hideous faces, animals (dogs, wolves), insects, and fire especially in the dark or with eyes closed; desires light.
Consolation worsens; violent reactions to minimal stimuli. Sudden fits of laughter or crying (especially in children), sardonic laughter, plays antics, hasty and jerky movements. Fear of imaginary creatures, fear of dogs, delusions of committing violent acts; memory may remain active despite insanity. |
Constant displacements
Sensation of pressure in pelvis As if everything is coming down through external genitals WORSE – morning, lying down BETTER – STANDING |
| LILLIUM
TIG |
Intense struggle between
religious/moral ideals and strong sexual desires, leading to frustration, guilt, and irritability. Profound depression, fearfulness, weeping worse from consolation, and sudden rage or hysteria— marked mood swings from kindness to cruelty. Erotic thoughts, nymphomania, lasciviousness alternating with guilt, dread of sin, salvation, or punishment; suppression of sexual energy causes wild mental states. Constant urge to act but inability to focus; hurried, aimless, and fruitless activity; snappish, haughty, hypersensitive to offense. Fears of insanity, evil, or being incurable; may desire poison for suicide, with violent tendencies and business or sexual-related mental decline. |
Bearing down sensation in abdomen and pelvis
As though all organs would escape Has TO PUT HER HANDS ON VAGINA to stop it, but this AGGRAVATES her |
| HELONIAS | Better When Occupied: Mental and emotional symptoms improve when busy or mentally engaged.
Constant need to move; cannot sit still, often pacing or fidgeting. Deep sadness with a desire for solitude; prefers to be left alone. Highly sensitive to contradiction; becomes fault-finding and snappish. Sudden shifts from a sense of well being to deep mental distress; prone to hysterical reactions. |
Prolapse and bearing down sensation of uterus, from atony, anemia due to loss of blood
Consciousness of womb Bearing down sensation BETTER by occupying the mind not thinking about her complaints Sensation of soreness and heaviness of pelvis FEELS IT MOVES WHEN SHE MOVES |
Conclusion:
Homeopathy presents a valuable therapeutic option for the management of uterine prolapse, especially in cases where surgical intervention is not preferred or feasible. Remedies such as Murex, Sepia, and Lillium tig are not only selected based on the physical state of uterine displacement but also the psychological and emotional constitution of the patient. By addressing the underlying vitality and emotional imbalances, homeopathy aims to restore structural integrity and alleviate distressing symptoms. Given its non-invasive nature and holistic approach, homeopathy can be considered a supportive and often primary modality in managing various stages of uterine prolapse
Reference:
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Author:
Dr Ranjana Raghunath,
MD Part I Scholar,
Department of Homoeopathic Materia Medica, Father Muller Homoeopathic Medical College.
Guide:
Dr Sherlyn E Paul MD (HOM),
Assistant Professor,
Department of Homoeopathic Materia Medica, Father Muller Homoeopathic Medical College.
