Introduction: This is a Patient with uterine polyp and complaints of irregular or heavy bleeding or both, i.e. dysfunctional uterine bleeding (DUB). Since menstruation is central to a woman’s existence, any departure from the normal situation is likely to produce some psychological disturbance (and visa versa).
The previously normal menstrual pattern should be ascertained and an attempt made to estimate the blood loss from the increase in the number of tampons used. In this respect some patients use words like ‘flooding’ and ‘coming up like a well’, giving an impression of hemorrhage not supported by appearances or by the hemoglobin level. There should be some careful probing to ascertain the degree of stress under which the patient may be living.
Analysis of the patient: Mrs. A.P. a 30 yr old married woman, was referred to me because of suffering from DUB due to uterine polyp. She is from Ahvaz, a metropolitan area in the southern province of Khuzestan, being more than 1000 kms from Tehran.
Her case was taken through phone. She only had a son and along with her husband had decided to have another child. Her physician had told her she’d better have her polyp removed, by surgery or hormone therapy.
Surgeons had recommended operating on her polyp, but she refused due to fear of invasive methods of treatment.
The main rubrics of her totality were as follows:
-MIND – SADNESS
MIND – FEAR – death, of
MIND – FEAR – robbers, of
MIND – MEMORY – weakness of memory
MIND – CONFIDENCE – want of self-confidence
MIND – ANXIETY – health; about – own health; her/his
MIND – ANXIETY – alone; when
MIND – CONSCIENTIOUS about trifles
MIND – FEAR – cancer; of
GENERALS – WEARINESS
GENERALS – ANEMIA
GENERALS – FOOD and DRINKS – cold drink, cold water – desire
GENERALS – OBESITY
GENERALS – WOUNDS – heal; tendency to – slowly
FEMALE GENITALIA/SEX – POLYPUS – Uterus
GENERALS – MORNING
SKIN – DISCOLORATION – yellow
PERSPIRATION – EXERTION – during slight
Her rubrics were repertorized by Radar 8.1; the 3 first remedies turned out to be as follows;
- Ars 2. Phosphorus 3.Sulph.
The first remedy was prescribed and sent to her via mail. She was told to take 15 drops of Arsenicum 30c as P1 and 30 drops of the same remedy for the 2nd time after 4 weeks. The next remedy was prescribed and taken by the patient two months after p1; a single dose; one teaspoonful or 40 drops of PHOS.30c.
– She was told to do the follow up sonography after 3 months of taking the first remedy.
– Interestingly the sonogram showed no sign of uterine polyp (see image below)
The chief complaint rubric, FEMALE GENITALIA/SEX – POLYPUS – Uterus remedies are:
Ars. Aur. BELL. Bufo. CALC. CALC-P. caust. Con. erod. hydr. led. Lyc. merc. mez. morg-p. nit-ac. petr. Ph-ac. PHOS. Plat. puls. rhus-t. Sang. sec. Sep. Sil. Staph. syc. TEUCR. THUJ.
Report of course of treatment: After prescribing the remedy, she experienced worsening of uterine bleeding at the beginning but a decrease of its flow afterwards. Some of her mental symptoms like getting anxious when alone improved. Then she felt happy and was no longer worried about her previous uterine bleeding.
MIND – CONFIDENCE – want of self-confidence; the patient’s self-confidence improved, as well.
Discussion: I prescribed 15 drops of the remedy, Ars 30c and recommended a special homeopathic diet. First she experienced an aggravation in her bleeding but then an inner calmness. I waited until her bleeding decreased and improved.
She was told to take 15 drops of Arsenicum30c as P1 and 30 drops of the same remedy for the 2nd time after 4 weeks.
The next remedy was prescribed and taken by the patient two months after p1; a single dose; one teaspoonful or 40 drops of Phos.30c.
The 1st remedy was the similimum and cured the chief complaint and the 2nd one as complementary to Arsenicum , cured some of the patient’s remaining mental symptoms.
Conclusion: The case report reveals multi-potential characteristics and abilities of the prescribed homeopathic remedies , Arsenicum 30c and Phosphorus 30c. without any side effects. Homeopathic remedies first improved her mental condition and then affected her physical layer, curing the uterine polyp, without relapse after about 18 months.
1- The Organon of Medicine 6th edition,2006, by Dr.Samuel Hahnemann
2- The Science of Homeopathy, by George Vithoulkas Translated by M.Asefi, 2003
3- Boericke’ s New Manual of Homeopathic Materia Medica, 9th edition, 2000 by William Boericke
4- Synoptic Materia Medica, , 2006 by Vermeulen F.
5- Gynecology illustrated, by Garrey/ Govan/ Hodge/ Callander