A Case of PCOD with Primary Infertility

Mrs:  M.S.S

Age – 21 yrs

Sex – Female

Marital status – married since 3 yrs

Date – 25.01.2010

 

Primary infertility.

c/o  –   irregular menses, after every 2-3 months.

Scanty menses

Pain in back, lumbar region before and during menses

Pain in uterine region as if stiffness during menses

Menarche at the age of 14^th.

LMP – 13.10.2009

 

H/o – periodic history of loose motion 10 – 15 days after every menses.

 

Physical generals :

Appetite – Good

Desires – Sweet, Salty food, spicy food, chicken.

Aversion – Milk, Eggs, Meat.

Urine – Normal

Bowels – Normal

Sleep – good

 

Past history:

Dog bite

Jaundice

 

Thermals : Chilly

 

Mental:

Mild Temperament

Hatred feeling – person who had offended

Anger suppressed

Fear of darkness

Sadness alone when

 

 

Investigation:

 

USG – Pelvic ( 26.02.2009)

Bilateral gross PCO Changes.

Follicular Study –

Impending Rupture of ovarian follicle.

Bilateral gross pco changes.

 

Scanned copy of USG and follicular study reports given below:-

Diagnosis: PCOD with primary infertility

 

Miasmatic diagnosis – Sycotic dominant

 

Remedy selection – Rhust tox 200 3 doses – daily one dose.

(Stiffness was prominent symptoms during menses)

 

Follow up :

Date – 04.02.2010

Menses appeared on 01.02.2010.

Dysmenorrhea ++

Clotted blackish blood.

 

Remedy – Medorrhinum 1M 1 dose (drainage remedy as she had pcod)

Advice to keep sexual contact on 12^th to 17^th days.

Date – 15.02.2010

 

Loose motion 7 – 8 episodes

 

Remedy – S.L

 

Date – 27.03.2010

 

Menses appeared on 25.03.2010

No Dysmenorrhea during this cycle

Advised follicular study

 

Remedy – S.L

 

Date – 10.04.2010

 

Follicular study showed no dominant follicles

 

Remedy – Folliculinum 1M stat (for induction of follicles)

 

Date – 24.04.2010

 

Menses did not appear

FSH – 4.76 mIU/Ml

LH – 22.47 mIU/Ml

 

Remedy – Folliculinum 1M stat.

 

Date – 19.05.2010

 

Menses appeared on 26.04.2010

No history of loose motion after 10 – 15 days of menses since last 2 cycles

No Dysmenorrhea

 

Remedy – Folliculinum 1M stat.

Advised to keep from regular sexual contact.

 

Date – 03.07.2010

 

Menses appeared on 01.06.2010

H/O skin eruption – urticaria which remains for 3-4 hours after onset. It occurs in             morning and in evening 6pm.

 

Remedy – S.L

Date – 19.07.2010

Slight giddiness when she is hungry

Headache after smell of cooking food

No nausea vomiting

UPT – Positive

LMP – 01.06.2010

 

Remedy – Nux.vomica 200 3 dose daily one for 3 days

Advice to take nutritious diet

Tab – five phos 4 tab TDS

 

Date – 03.08.2010

 

Nausea

Vomiting

Pain in right side of pelvic part

 

Advice USG – obst.

IMP – A single live intrauterine fetus of 8 weeks and zero days at present scan.

EDD – 15.03.2011

 

Remedy –  Nux.vomica 200 stat.

Five phos TDS

 

Advice future management with gynecologist.

 

Scanned copy of USG:-

 

 

Comment:  She underwent one month pre-term LSCS delivery on 20.02.2011.

She gave birth to healthy female child.

Use of Folliculinum was very helpful as it stimulated follicular growth and

ovulation as patient was having unovulatory menses.

Intercurrent anti sycotic Medhorrhinum was used as a drainage remedy for

PCOD.

She was advised laparoscopic pcod drilling.

Practitioners, Homoeopathy helped her without any surgical intervention.

Infertility Can Be Treated Non-Invasively By Homeopathy

 

Infertility has become a massive industry and many practitioners have entered into it as a money-making-venture for self-enrichment rather than the good of the patient.

 

A report by the World Health Organization, WHO, which had carried out studies in the African countries, had quoted alarming numbers, indicating that as high as 40% of married couples in countries such as Sudan and Cameroon are facing infertility. Another study in India, done in 1971, indicated that between 6 to 12% of married couples are classified as infertile. Our neighboring country, Singapore has the same problems.

Another study found that sperm levels in males of the 21st century have fallen by 40% compared to those before World War 2. If this trend continues, there is a possibility that 100 to 200 years from now, man will be facing a new crisis, depletion of human sperm.

Infertility Factors:

There are four main categories of factors that cause infertility:

Female Factors

Male Factors

Combined Male and Female Factors

Unknown Factors

Infertility is defined as the inability for a couple to become pregnant after a year of unprotected intercourse. The male partner, the female partner, or both may have a fertility problem.

 

In one-third of all cases of fertility, the male is directly responsible; in one-third both the parties are at responsible, and in the remaining third, failure is attributed entirely to the female. Women who are able to get pregnant, but then have repeated miscarriages, are also said to be Infertile.

 

Male Factors:

Amongst the many male factors, one of the following may cause infertility:
Impotence
Weak penis
No penetration
Premature ejaculation

No sperm in se-men (azoospermia)
Low sperm count
High abnormal sperm count
Low motility
High percentage of dead sperm
Chronic ailments such as diabetes, tuberculosis, AIDs, etc.
Effects from STD such as such as gonorrhoea, syphilis, etc.
Old age
Varicocele that results in oligospermia
Testicular failure due to bacterial or viral infections
Endocrinal problems such as adrenogenital
Cryptorchidism, non descension of the testes
Hydrocele due to parasitic infection
Serious childhood mumps
Trauma from operations on the testes
Genetical defects
Alcohol consumption, drug-taking, smoking, stress, etc.

 

Female Factors:
Amongst the many female factors, one of the following may cause infertility:
The primary reason for infertility in women is anovulation, or lack of ovulation (release of eggs from the ovary). The major cause of anovulation is a condition called polycystic ovary disease, or PCOS.

Irregular menstrual cycle
Amenorrhea (no menstruation)
Endometriosis
Vaginal Infection such as severe vaginitis
Growth in the uterus: fibroids, polyps, etc
Loss of libido
Chronic ailments
Over-emotional
No ovulation
Effects of Drugs
Long term effects of taking birth control pills or strong herbal mixtures (jamu)
Blocked fallopian tubes (tubal obstruction)
Problems in hypothalamic-pituitary-ovarian axis
Ovarian Cancer
Pelvic infections
Psychosomatic causes
Congenital defects
Effects from previous miscarriages
Effects from frequent D & C
Effects from operation at the uterus
Acidic cervical fluid
Cervical obstruction (rare)
Vaginismus (tight fourchette)
Chromosomal deficiencies in the foetus
Effects from STD such as gonorrhoea, syphilis, etc.

 

Combined Male and Female Factors:

Sometimes infertility is the result of factors coming from both the husband and wife. Among others:
Lack of knowledge about proper intercourse techniques
Negative attitude towards sexual intercourse
Insemination done at the wrong times, not within the fertile period
Incompatibility in the immune system, resulting in the agglutination of the semen
Poor health in both husband and wife
Psychogenic factors such as that husband cannot perform sexual intercourse with the wife, but is able to do so with other women (or vice versa, for the wife)

Unknown Factors:

In about 20% of married couples, who have been married for more than two years, and have not managed to conceive, tests show both the husband and wife as normal. For such cases, only Allah knows the reason why they have not been bestowed with children. They may, however, try the HTI P2000® treatment, Insya Allah, they may succeed in getting their much-awaited offspring.

 

Management:

Surgical:

Maximum aim must be to avoid surgical intervention.

Some people advise laparoscopy for PCOD, but it is not needed, as it is treatable with oral Homoeopathic medicine. Surgery may be advised when there is a blocked fallopian tubes, or grade four varicocele.

 

Medicinal:

Do not take any Hormonal and steroidal medication as it disturbs the psycho-neuro-endocrine system of the body.

Impotency, low sperm count, abnormal sperm, infective conditions in both partners, irregular menses, PCOD, recurrent miscarriages, etc can be treated by homoeopathic medicine.

 

In cases of PCOD, take medicine 7 days before the egg matures and ovulation occurs. Homeopathic medication must be taken in accordance with the instructions. This is because the medication helps to improve the quality and maturity of the egg or ovum.

In addition, it is important to maintain a balanced, nutritious diet to optimise the fertility level of both husband and wife on ovulation day.

 

Many patients with infertility have benefited from homoeopathic medicines and it is the least expensive method of treatment that doesn’t require surgical intervention. Homoeopathy is also helpful in oligohydramnios.  The amniotic fluid index increases within few days of treatment when taken carefully as directed by the homoeopathic physician.