Age: 28 years /F
Irregular periods since 1 year
Periods once in two months
Flow scanty for 1 day
Pain in abdomen which is mild <physical exertion
Past History: H/O asthma in childhood, treated with allopathic medicine.
Maternal Side: Mother: H/O Hystectomy & Asthma
Diet: Salt++, Sweets++
Aversion: Not Specific
Thirst: Hardly 2-3 glasses a day. Thirstless
Stool: Occ.Constipated. Unrefreshing
Perspiration: All over body especially in summer
Sleep: Un-refreshing. Moaning in sleep. Talking in sleep (as reported by her husband )
Dreams: Temples, daily routine
Constitution: Average build
Weight: 58 kg
Recently interval at 2 months
Scanty flow for 1 day
Previously regular interval of 30 days with 3 day moderate flow.
Mind: Pressure of job after marriage. Trying at many places but in vain. Weeping during interview. Marriage in metro city so difficult to cope. Anxious about financial issues after marriage.
O/E Per-abdominal examination: Tenderness present left side of abdomen.
MRI scan of pelvis: Dermoid cyst of left ovary
Working up the case, I selected the rubrics below:
Thuja Occidentalis: It acts on left ovarian cysts and has affinity for the female reproductive system.
Thuja Occidentalis 30 Single dose.
SL x 15 days
Follow up :
Menses appeared on 18/12/2014. 3 days flow. Flow was scanty.
Pain in abdomen during menses.
White discharge per va-gina present++. Occ. constipation.
SL x 15 days.
White discharge present. And inter menstrual bleeding present.
Bowel movement good.
Thuja 30 single dose
SL x 1 month
10/02/2015: Patient disappointed as no periods this time.
Repeated: Thuja 200 single dose. SL x 1month
12/3/2015: Menses appeared before 15 days. 3 days flow
Follow up continued with repetition of Thuja 30, 200, 1M as per susceptibility of patient. (sos)
After a year: Menses are regular and USG Pelvis shows normal ovaries.
Patient has conceived a baby boy. Both mother and baby healthy.