Clinical Cases Homeopathy Papers

Fibroids and Ovarian Cysts

: Dr. J. Pannakkal discusses fibroids and ovarian cysts, and illustrates with ten cured cases, including lab reports.

Fibroids and ovarian cysts are very common nowadays.  It is so familiar that even the layman is aware of it. One may rightly think is it due to an increase in occurrence, but it is most probably not. Due to frequent checkups and easy availability of USG the presence these conditions is more easily diagnosed than previously. I am presenting here a very short explanation of uterine fibroids and ovarian cysts, followed by some cases cured by our medicines.

Fibroids

It is a benign tumor of the womb composed of the same smooth muscle fibers as the uterine wall (myometrium) but denser than myometrium. The shape is usually round or semi round. Based on their location there are subserosal, submucosal and intramural fibroids.

Fibroids in Uterus and Ovarian Cysts

We don’t know exactly why women develop these tumors. Genetic factors, growth factors, abnormalities in vascular systems, tissue response to injury, familial history, race etc. contribute to the development of fibroids. Women of African descent are more prone to fibroids than in women of other races. Women of African ancestry also develop fibroids at a very younger age. Fibroids have not been observed in girls who have not reached puberty. Pregnancy and oral contraceptives both decrease the likelihood of developing fibroids. During the first trimester of pregnancy, up to 30% of the fibroids will enlarge and shrink after the birth. Oestrogen tends to stimulate the growth of fibroids in many cases. Fibroids tend to shrink after menses.

Symptoms- In most cases there are no symptoms and it is accidently diagnosed during a routine scan. Uterine bleeding, Heavy periods with anemia. Due to pressure of fibroids on the urinary bladder, it can cause frequency or obstructed urination. Pressure on the rectum causing painful defecation. Submucous fibroid s deform the uterine cavity and can cause infertility.

Rare complication- I f the tumour is fast growing, there will be a possibility of leiomyosarcoma. It cannot be differentiated from a benign one by MRI or USG. This is very rare and  occurs only in 1% of uterine fibroids.

Ovarian cysts

These are collection of fluids surrounded by a thin wall, within an ovary. Any ovarian follicle larger than 2 cms is called an ovarian cyst. Most of the ovarian cysts are harmless. Ovarian cysts can occur in all ages and are more frequently seen during child bearing years. There are follicular cysts (when ovulation does not occur, the mature follicle grow up to 2 to 3 inches and ruptures in between periods with severe pain), Corpus luteum cysts, (after egg has released from the follicle it is known as corpus luteum , usually it breaks down and disappears. If it is filled with fluid or blood , it persists and is known as a corpus luteum cyst, and will not cause any pain),  Hemorrhagic cysts etc.  Other conditions affecting the ovary similar to the cysts are, Dermoid cysts, Chocolate cysts (in case of endometriosis, tiny patch of endometrial tissue bleeds and sloughs off from the endometrium and become transplanted, grows inside the ovaries.),  Polycystic ovary– here the ovary is enlarged with cysts present. It can be seen in normal women and in women with endocrine disorders, Ovarian serous cystadenoma, ovarian mucinous cystadenoma.

Symptoms

In some cases no symptoms at all.  Pain in lower abdomen or iliac region, back, vagina, thighs Fullness, heaviness, pressure or bloating in the abdomen.
Breast tenderness. Dysmenorrhea,  Irregular menses, abnormal uterine bleeding
urinary , bowel problems ,weight gain, nausea, vomiting, infertility
abnormal hair growth (PCOD).

My Patients with Uterine Fibroids and Ovarian Cysts

 

I am going to present some cured cases of uterine fibroids and ovarian cysts with homoeopathic remedies.

Case No. 1 – Fibroids and Ovarian Cysts

A case of a very large ovarian cyst(11.5cmx7.8cms)(Jaseela). The reason for the patient to approach me was due to the past complications she had suffered from previous surgery for the same complaint. She was in hospital for 7 months with various complications. When the cyst recurred with the above size I already mentioned, they approached the same surgeon, and he suggested trying homoeopathic medicines, remembering the previous complications. One of the complications was delay in healing of the wounds and stitches. The patient is somewhat reserved, 24 years, medium built, near dark complexion with dry skin, cracks at heels symmetrical, little hair growth on upper lip, delay in wound healing, warts on palm, oppression in chest with deep breathing often, dark or brown spots like freckles, menses regular, uneventful.

I used repertory for reference in most cases. Considering above symptoms many drugs came in to my mind. Thuja, Thiocinamium- the delay of wound healing, Kali iod- though the patient is not suited to the mental characteristics of Kali iod, I decided to give Kali iod. The oppression of chest with deep breathing tempted me to Kali carb, but the absence of backache and regional (ov-tumor) vice iodum (Aur iod, Kali-iod, Calc iod, Merc iod) is more suited. I preferred Kali iod and gave her Kali iod 30 every other day , one dose at night. I instructed her to take USG every 2 months.  After 7 months of treatment the whole cyst had disappeared. You can see this by viewing USG report (below).


Fibroids in Uterus and Ovarian Cysts 

Fibroids in Uterus and Ovarian Cysts

 

Case no. 2 – Fibroids and Ovarian Cysts

The second case (Prameela) is of a right ovarian cyst causing distortion to the uterus, causing infertility. She consulted a leading gynecologist and after USG, advised surgery. As an option to avoid surgery, she came to me for homoeopathic treatment.  She was of Puls temperament. Frequent pain in rt iliac region. The nature of the pain was stitching or mere tenderness. First I prescribed Pulsatilla 1M, and as placebo –blank 3 grain tab 3 times a day.  During pain Apis (stitching) or Arnica (tenderness) according to the situation. Not much improvement in symptoms after 2 months.  I  switched over to Aur iod 30 thrice daily(medicated in no 10 globules, dispensed in powder form). Aur iod also has a changeable and weeping disposition, lazy in nature and is a hot patient. She was very conscientious about trifles. She continued it for 2 months. All the pains disappeared and she become pregnant. She stopped medication. Now she had 2 children about 17 and 15 years. The second scan report   presented here is 10 years after the first one. [Last year she brought her eldest daughter to me with pain in right iliac region during menses and also at intermenstural period. As per my advice USG was done and right ovarian cyst of 5×4 cms visualized. Her nature is same as that of her mother. I gave her Pulsatilla 1M every 15 days. During menstrual pain Apium grav Q was given symptomatically. After 3 months USG done with no evidence of Ovarian cyst. But the parents politely refused to give me a copy of scan report. As the girl is very young and not married, they like to keep it in secret. ]  Continued next page:


Fibroids in Uterus and Ovarian Cysts

Fibroids in Uterus and Ovarian Cysts

 

Case no. 3 – Fibroids and Ovarian Cysts

Case 3 Vineetha-    Consulted me for left ovarian cyst of 5.5cmx2.9cm. Her symptoms were mainly backache, painful menstruation, constipation, sensation as if something in throat, headache mainly on temples. Patient is very lean and short, dark complexion, black discoloration on tongue. Frequent pain in lower abdomen , pain in back extending to lower abdomen, angers easily. At a glance the remedies like Thuja, Sep, Iod, Sil, K. brom, Aur iod  etc. came in to my mind. The main remedy given was Sepia 1M in infrequent doses. Colocynth, Viburnum op Q were used during pain. Within 7 months the cyst completely disappeared.
Fibroids in Uterus and Ovarian Cysts

Fibroids in Uterus and Ovarian Cysts

 

Case No. 4 – Fibroids and Ovarian Cysts

Case 4- Shyni, rt. ovarian cyst of 4.2cm x3.6cmms.  Her profession is Lab Technician.  Chronic UTI was her complaint. Numerous courses of antibiotics were taken for UTI without effect. Lower abdominal pain, painful micturation with frequency and urging was her complaint. She took USG according to my instruction and a rt. ovarian cyst of 4.2cmsx 3.6 cms visualized. The patient was very lean, active. The urine very strong smelling.  I decided to give Thuja 1M, though a left ovarian remedy. The pain lower abdomen and frequency of urination were the main symptoms. Cubeba and solidago tried in vain.  Terbinth 30 thrice daily was prescribed. Her whole discomfort eased within a short time. The same medicine continued and USG taken after 3months. The cyst had completely disappeared.

Fibroids in Uterus and Ovarian Cysts

Fibroids in Uterus and Ovarian Cysts

 Case No. 5 – Fibroids and Ovarian Cysts

Case 5- Left ovarian cyst of 4.3 x 3.1cms

This patient had already underwent hysterectomy due to multiple fibroids. After this she had frequent pain in left iliac and below umbilical region. USG was done and a left ovary cyst found. (4.3×3.1cms). Outspoken in nature and easily irritated and emotional and anxious over simple matters. She liked open air and didn’t like covering. Aur iod 30 thrice daily. The pain disappeared and USG taken with no evidence of cyst.

 

Fibroids in Uterus and Ovarian Cysts

 

About the author

Jayakumar Pannakkal

Dr. Jayakumar Pannakkal BSc, BHMS, MD(Hom) treated thousands of patients over twenty five years in practice. Much of his family has been involved in medicine and his father, Dr. Mathai Pannakkal MA, DHS, practiced homeopathy for 45 years.

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25 Comments

  • Your postings on the PCOD etc was very educative. Selection of the indicating remedy with concerned rubric details and the analysis would have been more in detail. However your experience is quite rich on the subject. Can I have your contact details pl?

  • Dear Dr.
    Your 10 cases which are treated are really praise worthy. You have very clearly indicated about the materia medica consulation on each case.
    your articles are thought provoking and gives lot of guidance to all fellow physicians.
    thanks for all your efforts.
    yours sincerely
    S.Kalyanasundaram.

  • Dear Doctor Jayakumar,
    Your article is very interesting. Your cases and your handling them is very good. I agree with the medication and followup methodology.
    I would like to have your comments on the uterine Fibroid case I am dealing. I have a lady patient of 65 years of age. She started having pains at the lower part of her body, when she was 50 years of age. She consulted allopathic doctors, had many scans and MRI’s and she was diagonosed as having fibroids the size of small ball. She was advised that after the menses the fibroids should shrink and no surgery was required. But the fibroids instead of shrinking became hard and stony. Now she has nagging pains all the time.
    She consulted me and after taking her case, I consulted the repertory (Kent) and Clarks Met. Med. and has given her ” Aur Mur Nat” 30. With this though there is slight improvement, but seems the improvement has stopped. I am thinking of giving her “Sulphur. 30” as inter current constitutional remedy.
    Could you suggest, in your experience of such cases, whether the methodology could be improved.
    PSB

  • Dear Preetpal,

    The fibroids shrink after menapause usually, so no medication needed.
    But if it become enlarging rapidly or bleeding occur we have to suspect the worse
    In your case you have to monitor the progress by USG every 3rd month inorder to avoid futre complications. As there are no symptoms except the pain, it is difficult to reach a conclusion about medicines. YOu have to search for mentals ,physical generals or any peculiar symptoms in this case.
    Thank you for reading and commenting
    regards

  • Doctor, your article is more interesting and informative. Please publish such cases from your valuable experiences. it will be of use to fellow homoeopaths. thank you.

  • doctor,very interesting n peculiar type trearment of various cases using classical homoeopathy.expecting more.

  • My wife got diagnosed with chocolate cyst 1 year back in her left ovary size 45.4*38.7*40.2 MM. Now in current ultrasound report they found small cyst in right ovary as well. We consulted Hpathy Dr Kalyan Banerjee in Delhi & took his medicine for 6 months but there was no reduce in size of cyst. Now our Dr is suggesting us to get it removed through laparoscopy as chances of pregnancy will be very less with cyst & she said it can cause problem in future as well.
    If we consult another Hpath doctor they will take another 6 months for treatment.
    Please suggest us what should we do. My wife age is 28

  • I used to suggest USG every 2 or 3 months to verify the progress of the treatment.
    I cannot say anything about your case, due to lack od details
    Usually this type of cases ic curable, thats only I can say now

  • Hello Doctor,
    Even I have fibroids and want to consult you regarding the same.how do I contact you.? I’m based in New Delhi .
    .Regards,Shelly

  • I am happy as Dr. Leonard’s sensitive treatment of FIBROID touched me deeply. I have suffered from FIBROID for twenty+ years after i have gone through surgery in 2012 and I have just figured out a Dr. which help me live a safer and less painful life after my family Doctor asked me to go for a second surgery. Don’t ever lose hope. I am 41 and a mother of one now , Sure, it has been challenging, and there have been many ups and downs, but I went to Internet got Dr. Leonard and have a pretty normal life now. This is not the end of the world if you having fibroid. he can help you. Take his medication it taste natural. And most of all, I want to tell you that you need to learn to love yourself just the way you are- you are a special person that deserves love. Never never never give up!!!!
    Contact him on drleonard288@gmail.com.