Abstract:
Amenorrhoea is defined as the absence of menstruation during the reproductive years of a woman’s life. Homoeopathy plays an important role in various menstrual irregularity disorders especially in cases of amenorrhoea. Physiological states of amenorrhoea are seen, most commonly during pregnancy and lactation. Homoeopathy cures the patient as a whole. Woman with stress, anxiety, hormonal imbalances and nutritional deficiency. Homoeopathy plays best role on both spheres of the body – Mental & Physical.
Keywords: Amenorrhoea; Homoeopathy; Uterine Therapeutics – Henry Minton
Introduction:
Definition: Amenorrhoea literally means absence of menstruation. It is a symptom and not a disease.
Clinical Types:
➢ Physiological
- Primary – Before puberty
- Secondary – During pregnancy, During lactation, Following menopause
➢ Pathological
- Concealed – Congenital Acquired
- Real – Primary, Secondary
Causes:
1. Primary Amenorrhoea
• Hypogonadotropic hypogonadism
• Hypergonadotropic hypogonadism
• Abnormal chromosomal pattern
• Dysfunction of thyroid & adrenal cortex
• Metabolic disorders
• Systemic illness
• Unresponsive endometrium
2. Secondary Amenorrhoea
• Hypothalamus – Stress
Anti-hypertensive drugs
Post pills
• Pituitary – Adenoma
Sheehan’s syndrome
• Ovary – PCOS, Pre mature ovarian failure
• Uterine – Synechiae, Tubercular endometritis
• Systemic – Malnutrition , Hypothyroid state, Diabetes
Clinical Features:
• Increasing obesity (Abdominal – 50 %)
• Menstrual abnormalities in the form of oligomenorrhoea, amenorrhoea or DUB and infertility
• Hirsutism
• Acne (70 %)
• Virilism (rare)
• Acanthosis nigricans
• HAIR AN Syndrome
- Hyper androgenism
- Insulin resistance
• Bilateral enlarged cystic ovaries
Minton’s views in cases of Amenorrhoea: The book “Uterine Therapeutics” by Henry Minton has an excellent significance in various kind of menstrual diseases and related sign & symptoms.
Introduction to the book:
• Uterine Therapeutics is a useful monograph on the problem of menstruation & other related functions.
• Publishing Year – 1883
• Author – Henry Minton
❖ Plan and Construction
• This book is divided into 2 parts
- Part I: The Remedies & Their Indications
- Part II: The Repertory
Some important Rubrics from Uterine Therapeutics:
Chapter – Amenorrhoea
Causes and Concomitants
– Abdomen, pains in, bearing down, as if menses would appear
– Chlorosis
– Convulsions
– Face, paleness of
– Girls, nervous
– Girls, anaemic
– Headache
– Hysteria
– Menses, delay of the first
– Menstruation, vicarious
– Vomiting
– Vertigo
Common Remedies for Amenorrhoea from Uterine Therapeutics:
| No. | Medicines | Indications |
| 1 | Ars Alb | Menses scanty/entirely suppressed. A thin whitish offensive discharge instead of menses. Corrosive leucorrhoea. |
| 2 | Belladonna | In plethoric girls, with congestion of the head. Prolapsus and induration of uterus. Abdominal tympanitis. Labour like pains in abdomen. Amenorrhoea from fright. |
| 3 | Bry Alb | Great vascular excitement. Bleeding from the nose in place of menses or spitting of blood. Pains in the small of the back & drawing pain in lower abdomen. |
| 4 | Clac Carb | Girls with leuco-phlegmatic temperament. Swelling and sensitiveness of the breasts at each menstrual period. Painful pressure in hypochondria even her clothing is unpleasant to bear. Bearing down pains as if menses would appear, but do not. Suppression of menses with anasarca from working in water. |
| 5 | Ferrum | Menstruation absent for months or appearing imperfectly at irregular periods, especially in chlorotic girls. Lassitude of legs. Great prostration and lethargic dullness. |
| 6 | Kali Carb | After suppression of menses, when at every menstrual nisus patient suffers from gastric disturbances. Labour like pain in abdomen as if menses would appear. Amenorrhoea with backache, compelling her to sit down. Leucorrhoea with redness and soreness about vulva and between thighs. Vagina tender and sore. |
| 7 | Nat Mur | At each menstrual period intolerable sadness and melancholy. Intercourse painful from dryness of vagina. In chlorosis, difficult appearance of the first menses; feel as if they were coming on but they do not come. |
| 8 | Platina | Suppressed menses in emigrants. Sudden suppression in women who are with regular spasmodic colic and uncontrollable weeping. Uterine cramps with pain in hypogastrium. Nymphomania. |
| 9 | Pulsatilla | Amenorrhoea caused by fright, by getting feet wet, by exposure to dampness or cold. Nervous, timid, tearful disposition, always anxious about her domestic affairs. Pain in the uterus. |
| 10 | Sepia | Acrid leucorrhoea. Sensation of distention of vagina and enlargement of vulva. Continuous pressure in the abdomen during each menstrual epoch then soreness of the perineum and swelling of the vulva. |
Conclusion:
Henry Minton’s Uterine Insight provides a clear and practical understanding of uterine disorders by correlating symptoms with basic rubrics and commonly indicated remedies. It helps in simplifying case analysis and helps to select accurate remedy. It serves as a useful guide for managing uterine conditions through a systematic homoeopathic approach.
Reference:
1. Henry Minton, Uterine Therapeutics, 1st ed. New York: A. L. Chatterton Publishing CO., 1884.
2. Shashi Kant Tiwari, Essentials of Repertorization, A Comprehensive Textbook of Case Taking & Repertorization, 6th ed. USA-Europe-India: B. Jain Publishers (P) Ltd., 2004.
3. Hiralal Konar, DC Dutta’s Textbook of Obstetrics, including Perinatology and Contraception, 9th ed. New Delhi-London-Panama: The Health Sciences Publishers, 2018.
