Clinical Cases

Clinical Evidence of Adenomyosis

anandhi mar image

Dr. K.S. Anandhi presents a case of Adenomyosis in a woman of 50.

Adenomyosis is characterized by uterine enlargement caused by ectopic rests of endometrium located deep within the myometrium. It has 2 types.

  • Diffuse –ectopic rests scattered throughout the myometrium
  • Focal – ectopic rests form circumscribed nodular focal collection with a pseudo capsule

Pathogenesis:

  • Downward invagination of endometrial basalis layer deeply into myometrium due to myometrial weakness caused by decreased immunological activity at the endometrial – myometrial interface. –Frenczy & Levgur 2000
  • Oestrogen – progesterone play role in development & maintenance of the condition. As evidenced in adenomyosis – develops during reproductive age & regresses after menopause.

Case – Mrs. J, aged 50yrs

Presenting Complaints:

Menses profuse, clotted since 2 years but regular 4/30 day cycle. But for the past 6 months – bleeding dark with large clots, painful and protracted flow for 8 days.

Pain lower abdomen, cramping, before & during menses

Pain left breast, drawing, <before menses since 6 months, > after menses.

Family History

  • Father- Diabetes with Hypertension & died of uremia 15 years back.
  • Mother- Alive, diabetic, and hysterectomy done for fibroid uterus
  • Sisters – 2- healthy ; Brother – 1- Diabetic

Past History

  • Measles at age of 6 years.
  • 2 normal deliveries PS done.
  • No H/O of abortion or contraceptive use.

Physical General

  • Appetite – normal.
  • Thirst, Stool, Urine – Normal.
  • Sleep – refreshing.
  • Desires – salt++, fanta++, sour food
  • Aversion – milk++
  • Perspiration – profuse on least exertion

Mental General

  • She cannot tolerate contradiction. She gets angry when contradicted.
  • She suppresses her anger by keeping quiet and rarely lets out by shouting.
  • Broods over the problems and doesn’t share.Desire for company.
  • Suppressed sexual feelings. – husband is working in foreign country and visited her once in 3 years.

Evaluation of symptoms

Mental – Company desire for

Contradiction intolerant of

Suppressed sexual feeling

Brooding

Physical – Desire sour drinks, food, salt

– Aversion milk

– Menses protracted, dark, clotted, painful

– Perspiration profuse on least exertion

Particulars – Pain lt mammae, drawing,

<menses before

> after menses

– Uterus induration

1

1234

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MIND – BROODING

80

2

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MIND – COMPANY – desire for

190

3

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MIND – CONTRADICTION – intolerant of contradiction

129

4

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FEMALE GENITALIA/SEX – INDURATION – Uterus

41

5

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FEMALE GENITALIA/SEX – MENSES – clotted – dark clots

45

6

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FEMALE GENITALIA/SEX – MENSES – protracted

166

7

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FEMALE GENITALIA/SEX – SEXUAL DESIRE – suppressed

13

8

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CHEST – PAIN – Mammae – menses – before – agg.

68

9

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PERSPIRATION – EXERTION – agg. – slight exertion

151

10

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GENERALS – FOOD and DRINKS – milk – aversion

130

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GENERALS – FOOD and DRINKS – salt – desire

160

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GENERALS – FOOD and DRINKS – sour drinks – desire

45

13

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GENERALS – FOOD and DRINKS – sour food, acids – desire

185

 

con.

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sulph.

12/22

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Follow up

  • 28/06/08 – LMP – 16/06/08.

Rx. Conium 0/1 –BD for 1 month

  • 24/07/08 – LMP – 12/07/08. Bleeding reduced on 2nd day. No pain in breast before and during menses.

Rx. Conium 0/1- BD for 1 month

  • 09/09/08 – Menses on 8/8/08, 5/09/08. Flow reduced to 5 days. No pain in breast.

Rx. Conium 0/1 – OD for 1 month.

15/10/08 – Feeling better. Menses on 5/10/08. Normal flow for 5 days. No other c/o. USG reveals normal study. Rx. SL for 1 month.

(See ultrasound tests below)

Clinical Evidence of Adenomyosis 1

Clinical Evidence of Adenomyosis 2

 

About the author

K. Senthilmohan Anandhi

K. Senthilmohan Anandhi

Dr. K.S.Anandhi, M.D. Hom., has been practicing in Tamilnadu, India, since 2004. She received her BHMS in 1999 from Dr. MGR Medical University, Chennai and M.D. Hom in 2004 from NTR University of Health Sciences, Vijayawada, Andhra Pradesh. Dr. Anandhi published a paper in Homoeopathic Links on the Efficacy of Homoeopathy in Atopic Dermatitis, in 2004, and a paper in Homoeopathic Heritage, 2005. She has presented articles in state journals and also given seminars since 2005.

5 Comments

  • hello dr anandhi,

    is it possible to communicate with you privately?

    recent ultrasound indicates mild-moderate adenomyosis.

    i am very interested to ask you your opinion for a homeopathic treatment protocol- is this possible?

    i would be very grateful for any and all help you may offer.

    thank you

    ra

  • Hello, checking to see if anybody checks these messages? Looks like it’s been a few years… I have a dear friend with adenomyosis and I desperately want her to avoid surgery and try homeopathy first. I need more information for her. Please help.

  • Hello Dr Anandhi,

    We need to consult you for my spouse as she has been diagnosed with the following:

    1. Bulky Uterus with Heterogeneous Myometrium. Suggestive of mild Adenomyosis.
    2. Mildly thickened Endometrium
    3. Simple LEFT OVARIAN CYST.

    My contact number: 7010853231

    recent ultrasound indicates mild-moderate adenomyosis.

    i am very interested to ask you your opinion for a homeopathic treatment protocol- is this possible?

    i would be very grateful for any and all help you may offer.

    thank you

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