Abstract
Hypothyroidism is a common endocrine disorder, especially in young females, presenting with symptoms such as obesity, menstrual irregularities, lethargy and drowsiness. This report presents a case of a 25-year-old female diagnosed with hypothyroidism who reported weight gain, irregular menses, drowsiness, and lethargy. Based on individualized homeopathic case analysis, Calcarea carbonica was prescribed as the constitutional remedy. Following treatment, the patient showed marked improvement in clinical symptoms, along with better regulation of menstrual cycles and general well-being. This case suggests that individualized homeopathic treatment may play a supportive role in the management of hypothyroidism.
Keywords– Hypothyroidism, obesity, case report, homeopathy, endocrine disorders.
Introduction– Hypothyroidism is a common endocrine disorder, affecting women far more than men. In females, hypothyroidism often presents with subtle complaints such as feeling cold, tiredness, lethargy, and decreased libido. Other common manifestations include weight changes, dry skin, menstrual irregularities, mood disturbances, and impaired fertility. Diagnosis is based on clinical features supported by thyroid function tests. Homeopathy follows an individualized, holistic approach, and constitutional remedies such as Calcarea carbonica are often indicated in women presenting with hypothyroid symptoms. This article reports a case of hypothyroidism in a 25-year-old female managed with homeopathic treatment.
Common homeopathic remedies for Hypothyroidism –
Calcarea carbonica:
Indicated in patients with weight gain, fatigue, cold intolerance, profuse sweating, and menstrual irregularities.
Thyroidinum:
Used in functional thyroid imbalance with altered metabolism, fatigue, and mental dullness.
Sepia:
Useful in women with hormonal imbalance, irregular menses, fatigue, and emotional indifference.
Natrum muriaticum:
Indicated in cases with dry skin, hair fall, depression, and emotional sensitivity.
Lycopodium:
Suitable for hypothyroidism with digestive issues, bloating, constipation, and hormonal imbalance.
Graphites:
Indicated in obese, chilly patients with dry skin, constipation, and delayed menses.
Silicea:
Useful in patients with weakness, hair fall, brittle nails, and cold sensitivity.
Case report
Present complaint
A 25-year-old female presented with complaints of progressive weight gain, irregular menstrual cycles, excessive drowsiness, and persistent lethargy for the past several months.
History of present complaint –
A 25-year-old female complained of lethargy, fatigue, and irregular menstrual cycles for the past one month. The symptoms had a gradual onset and were associated with excessive daytime drowsiness. She is a software engineer with a history of late-night work shifts and disturbed sleep.
Onset –gradual
Progress – gradual
Treatment adopted: No treatment adopted.
Physical generals
Stool – normal
Thirst : normal
Urine – normal
Perspiration – feet offensive
Sleep – sleep properly at night but feel sleepy in daytime.
On examination — Puffy face, flabby muscles, thyroid gland not palpable, obese.
Mentally – Lethargic, poor memory, drowsy
Family history –
Father – HTN
Mother – Hypothyroidism
Selection of potency with justification –
After analysing the totality, Calcarea carb 200C was selected as the most appropriate constitutional remedy, the decision was reinforced by materia medica references where calcarea carb aligns with patient has fair fatty constitution, frequent cold and coryza, sluggishness, and tired feeling all day.
2 doses of Calcarea carb 200 was prescribed followed by placebo twice daily for 10 days in accordance with homeopathic principle of minimum dose and individualized prescription.
RUBRICS:
Kent repertory
MIND, anxiety, health about
MIND, company desire for
FACE, swelling
STOMACH appetite, diminised
GENITALIA FEMALE, menses, irregular
GENITALIA FEMALE, menses, painful, dysmenorrhoea
SLEEP, sleepiness
GENERALS, hypothyroidism
GENERALITIES, obesity
Prescription –
Date – 23–06–25
Calcarea carb 200, 2 doses was prescribed followed by placebo for 10 days.
Date – 26–07–25
- Calcarea carb 200 * OD * 2 days
- Thyroidinum 6X *BD * 15 days
General management –
Diet: Moderate iodine, selenium, zinc; high-fiber foods; avoid excess raw cruciferous veggies.
• Exercise: 30–45 min daily to boost metabolism.
• Sleep & Stress: 7–8 hours sleep; practice relaxation techniques.
• Avoid: Smoking, alcohol, excess caffeine
As per totality, calcarea carb was most indicated medicine, thyroidinum 6x was given therapeutically in second visit to the patient by referring to boericke materia medica.
| Date | Symptoms | Follow up |
23-06-25 | Patient complaining of fatigue, tiredness, disturbed menses, along with weight gain since a month, I advised her for checking thyroid profile | Rx Calcarea Carb 200 doses was prescribedfollowed by placebo for 10 days |
26-07-25 | Menses were on time this month but tiredness was present, TSH levels were high 7.2 uIU/ml | Rx 1. Calcarea Carb 200 * OD *2days2. Thyroidinum 6X * BD * 15 days |
| 20-09-25 | She was better, fatigue and tiredness reduced also TSH levels drops to 4.2 | Placebo BD 10 days |
Conclusions – Absolutely, the study highlights the potential of homeopathic treatment in managing hypothyroidism, focusing on the individual’s overall well-being rather than just treating the symptoms.
Conflict of interest
Not available
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Co-Author –
