
Abstract
As a homoeopathic physician comes across gynecological and obstetrical problems daily so in this we will describe a group of remedies which help in treatment for the cases of Uterine Fibroids.
Keywords
Homoeopathic remedies, Tumors, Uterine Fibroids etc.
Introduction
Leiomyoma’s, fibroids, or simply myomas
A fibroid is a tumor that is not malignant and is primarily composed of fibrous tissue, similar to muscle. In or near the uterus, fibroids proliferate (womb). These are the most prevalent form of development in the pelvic region of women (the pelvis is the bony structure located at the base of the spine).
Hippocrates was aware of the tumors and referred to them as seleromata. In the early years of the last century, they were identified as fibrous tumors of the uterus. Although Rokitansky referred to the tumors as fibroids, Virchow was the one who showed that they were actually leio-myomata. While the terms fibriform and although the word leio-myoma is more appropriate, myomas are commonly used.
Facts
The National Institutes of Health (NIH) in the United States estimates that 20–25% of women who are of reproductive age have fibroids. Up to 70% of white women and up to 80% of black women develop fibroids by the age of 50. Although some women may get uterine fibroids at a younger age, women in their 40s and early 50s are the most likely to have them. Underlying fibroids in at least 25% of women can be problematic. Many women who have fibroids never experience any issues and are unaware that they have one.
However, compared to non-pregnant individuals, pregnant individuals still have a lower risk of developing fibroids. A 2020 study found that just 0.1% to 3.9% of pregnant women have fibroids, compared to 20% to 40% of all women. Find out more about the relationship between pregnancy and fibroids.
Factors
There are certain things that can make a woman more likely to get fibroids.
Age: As women age, fibroids grow increasingly common, particularly in the 30s and 40s through menopause. Typically, fibroids diminish after menopause.
Hormones: Progesterone and estrogen are made by the ovaries. These hormones promote the formation of fibroids and induce the uterine lining to renew with each menstrual cycle.
Family History: An increased risk factor includes having a family member with fibroids. A woman’s risk of developing fibroids is approximately three times greater than average if her mother had them.
Obesity: Obese women are more likely to get fibroids. The risk is two to three times higher than average for women who are really heavy.
Eating habits: Consuming large amounts of fats,red meat, such as beef, is associated with an increased risk of fibroids. Consuming an abundance of leafy green vegetables appears to shield women against fibroids.
Types of Fibroids
Fibroids come in a variety of forms Depending on where they are on the uterus or inside it, the types vary.
Intramural Fibroid: The most prevalent kind of fibroids are intramural ones, which develop inside the uterus’s muscle wall and have the potential to enlarge and stretch your uterus.
Subserosal fibroids: The serosa, or exterior of your uterus, is where subserosal fibroids develop. They could get big enough to give the impression that your uterus is larger on one side.
Submucosal fibroids: The middle muscular layer of your uterus, the myometrium, is where these tumors grow. Tumors of the submucosa are less prevalent than other kinds.
Symptoms
Depending on the size, number, and location of the tumor, the patient may present with one symptom or several.
Menorrhagia :There is no change in the menstrual cycle, but the bleeding lasts longer and the discharge is heavier. Increased uterine surface area, endometrial hyperplasia, and increased uterine vascularity are the causes of menorrhagia.
As a result, intramural and submucous myomas are more common cases. Subserous myomas, regardless of size, have a lower incidence of menorrhagia the further away they are from the uterine surface. Menstruation may not be impacted by and number.
Pain: Vaginal bleeding that is intramural and submucosal is a sign of spasmodic dysmenorrhoca. Caused by uterine contractility and involves myomas. If a submucon myomatous polyp extends into the uterus and becomes extruded as a polyp, pain may be extremely intense.
Because of the increased uterine vascularity associated with vascular leiomyoma, congestive dysmenorrhea is observed. On the other hand, dysmenorrhoca may be connected to related disorders such as endometriosis or pelvic inflammatory disease.
Pressure symptoms : The signs of pressure are primarily observed when big tumors are positioned in specific ways. A cervical myoma presses against the rectum and bladder, making it difficult to urinate and leading to constipation. Urine retention occurs first as frequency and subsequently as acutely due to a myoma located in the lower part of the Douglas pouch or in the posterior uterine wall.
The congestion and tumor expansion frequently cause the most acute urinary symptoms right before menstruation. Micturition frequency is typically caused by anterior wall uterine myoma.
Discharge: If the myomatous polyp becomes infected or develops an ulcer on its surface, it may produce a discharge that is tinged red.
Infertility: It may be due to several factors such as anovulation, associated pelvic inflammatory disease, distortion of uterine cavity preventing sperm alienation and cornual fibroid causing blockage of fallopian tube. Abortion has already been discussed.
Other symptoms: Tachycardia results from menorrhagia-induced anemia. Chest pain and dyspnea. One uncommon symptom of pseudomeig syndrome is ascites. Al f r caused by a subserous myoma with peduncles. The patient experiences collapse and shock as a result of an abrupt rupture of a capsular vessel and intraperitoneal hemorrhage.
Diagnosis and Tests:
Ultrasonography: This noninvasive imaging test uses sound waves to build an image of your inside organs.
Magnetic resonance imaging (MRI):This test provides comprehensive images of your interior organs using magnets and radio waves.
Computed tomography (CT) scan: A CT scan creates a detailed picture of your inside organs from multiple perspectives using X-ray images.
Hysteroscopy: During a hysteroscopy, your doctor will examine fibroids inside your uterus using a tool called a scope, which is a thin, flexible tube with a camera on the end. The scope is inserted into your uterus after passing through your cervix and vagina.
Laparoscopy: Your doctor will create a little incision in your lower abdomen for this examination. To take a close look at your Internal organs, a thin, flexible tube with a camera on the end will be inserted.
Homoeopathic Approach
Homeopathic treatment for fibroids takes a holistic approach to addressing the illness. Here are some regularly used homeopathic remedies for fibroids.
Thuja Occidentalis: This remedy is often indicated when there are multiple fibroids, especially if they are hard and painful. It may be suitable for individuals who feel chilly and emotionally sensitive.
Sepia: When the uterine fibroids come with indifference, irritability, and bearing down pains, Sepia is a good homeopathic treatment to choose. There is a sharp pain in the lower abdomen region. The patient feels as if there will be an outflow of everything through her vagina. To block the jutting out of the contents, the patient might feel the urge to sit cross-legged. The periods are too late and scanty. During coition, there may be a pain in the vagina as well.
Pulsatilla: Pulsatilla is beneficial in cases where the woman notices large and dark blood clots along with periods. It helps reduce the severe pain of menstruation and also reduces the pressure of large uterine fibroids.
Calcarea Carb: A few women with uterine fibroids may experience sweating, anxiety, and/or a sensation of coldness. For such women, Calcarea Carb is one of the best homeopathic medicine. A Calcarea Carb patient is usually obese and has a tendency to sweats a lot. The patient might have a pungent odor, and the menses may last for too long. There are can also be itching and burning sensations in the genitals, prior to menses.
Phosphorus: This Homeopathic remedy is used to treat menstrual discomforts caused by uterine fibroids. It helps alleviate symptoms such as early and long-lasting periods, stitching pain in the abdomen, and lower back pain.
Reference:
DC Dutta’s Textbook of GYNECOLOGY HIRALAL KONAR 8th edition.
Text Book of MATERIA MEDICA DR. S. K. DUBEY.
BOERICKE’S New Manual of Homoeopathic MATERIA MEDICA with REPERTORY.
Allen’s Keynotes H.C. ALLEN.
Shaw’s Textbook of Gynaecology 18th EDITION.
Gems of OBSTETRICS GYANECOLOGY with Homoeopathic Therapeutics Dr. J.D. Patil and Dr. A. Deshpande.
https://www.mayoclinic.org/diseases-conditions/uterine-fibroids/symptoms-causes/syc-20354288