Adenomyosis and Metrorrhagia During Menopause

Menopause-change of life
Menopause is the last milestone in the journey of womanhood. The most common time for the cessation of the menses is between the 40th and 50th years of life, generally from 42nd to 45th year; but similar to the first appearance, its termination is influenced by the varied temperament, constitution, and habits of the ladies themselves, or by a variety of climates.

The below paragraph about symptoms, rubrics and homeopathic management is taken from my book ‘Healing Women with Homeopathy.’

Symptoms ¹
As the change progresses, there is commonly more or less functional disturbance, such as vertigo, headache, flushes of heat, nervousness, urinary difficulties, pain in the back extending to loins, down the thighs, a part of the abdomen, occasional swelling of the extremities, itching of the parts, etc.

Clinically observed important changes include retraction of nipples, mass gain over the lumbar and hip region, increased hair growth over the chin and upper lip.

The change of life is one of the most important phases in a woman’s existence, second only to the first appearance of the menses. This safely passed period-continued health and long life

are generally before her, but now her path surrounded with danger, and she must tread it with careful footsteps. It is during this period that the seeds of any future suffering may be sown in the system, and those old predispositions to disease, perhaps long forgotten spring up in luxuriant growth. The menses become irregular concerning both time and quantity, returning once in two or three weeks, or delaying three or four months. At times, the discharge is scarcely perceptible, while sometimes as profuse as to amount to a hemorrhage. Sometimes, the menstrual fluid may mix up with mucus.

The Two Ways of Menopause
1. Abrupt cessation of menstruation
The monthly discharge may be arrested by cold, fright, or general illness. Earlier in life, restoration to general health would attend by the reappearance of the menses; now, however, nature takes this opportunity to terminate the function.

2. The gradual termination is the most frequent and is attended with the least disturbance of health. It has two types as follows:

Menses disappear for a couple of months and then return with heavy bleeding.
Regular menses with a gradual reduction in menstrual discharge.

I suggested some hormonal blood tests and ultrasound of abdomen and pelvis as I needed a hint to enter in the case.

Her blood tests were normal.

U/S Abdomen and pelvis performed at July 17, 2021 showed adenomyosis and right simple ovarian cyst.

In this case, heavy bleeding during menopausal phase was due to hormonal intake in the past and adenomyosis. Study evaluates the symptoms commonly attributed to adenomyosis in women undergoing the menopausal transition.²

Uterine adenomyosis is a condition in which the endometrial uterine cells grow into the muscular wall of the uterus, causing uterine enlargement and painful, heavy bleeding, usually begin in perimenopausal phase. Hormonal therapies can help to reduce the disease but the only cure for adenomyosis is surgical removal of the uterus (hysterectomy).

Analysis and evaluation-

I had a woman suffering from heavy bleeding during menopause due to adenomyosis, who already took hormonal treatment with no result and did not want surgery.

There was scarcity of symptoms to begin the treatment.

Considered rubrics-

Prescription-
Medorrhinum 10 M one aqua dose given in July 2021.

Criteria for selection of remedy- In this case, I decided to go according to the hierarchy of symptoms. Here, endocrine was the first layer which got damaged due to oral contraceptive pills. (Everything is regulated by hormones. This is why the liberal use of steroids and contraceptives is so damaging to long-term health.)

Why I chose Medorrhinum :
1) For initiating the treatment in conditions where you get only one or two clear cut symptoms (like in one-sided diseases) where remedy selection is difficult; we use a nosode to open up the case.
2)Medorrhinum rectifies the obscure metabolic defects in the mother, when her children come in for infantile death one after another as mentioned by Dr. Ghosh.
3) I wanted to address the present dominating miasm, syco-syphilis.
(Though Medorrhinum is king of anti sycotic remedies, it covers all miasms.)

Why 10 M potency?
When the problem is deep, disturbing the energetic level, higher potencies are required to push the toxin out from the vitality.

Follow up after one month-
Bleeding stopped
Hair falling same
Prescription- Placebo
Advise- high protein die.

Follow up after three months-
Menses- Bright red, heavy and prolonged.