Infertility and Evidence Based Homeopathy

A young couple visited my clinic in India, having a complaint of no issue after a married life of six years. They had tried many treatment options to start a family, seeking help in the UK and elsewhere.

MALE-PART:

Mr. K P.

He was a well built, handsome, enthusiastic young man with a very apprehensive mood who did everything in haste – a “hurried and worried” nature and character. He narrated to me that his wife had a PCOD (Poly cystic ovarian disease) and for that she is taking Allopathic treatment; (Clomiphene Citrate, 50 mg) for a pretty long time. As a result of PCOD, her periods were irregular. She developed severe abdominal cramps with a bloated feeling and was progressively gaining weight. Also, she had developed unwanted facial hair.

He was much worried about all these complaints of his wife and as a result he also developed erectile dysfunction, which gradually resulted in severe oligo–spermia. He had a strong liking towards jewellery, diamonds, gold, white gold. He was fond of eating sweets and craves them more during times of tension.

Investigations:

14/03/2002

Semen Report:

TSC – 8.9 million/ cu mm

Volume – 3.0 ml

Fructose – +ve

Tab: ACRO-3X – 2TDS x 1 week

L-ARGININE PROVED BY DR. NIKUNJ TRIVEDI

Liq: AGNUS CASTUS –Q 10 Drops Morning – with water

13/05/2002

Semen Report

TSC – 49.6 million / ml

Actively motile – 55%

Sluggishly – 20%

Non – motile – 25%

FEMALE PART:

Mrs. M. P.

A young obese lady with puffiness of face and feet having complaints of –

• Irregular menses – no certainty when it will come

• Dysmenorrhoea – abdominal cramps

• Nausea like sensation prior to periods

• Missed periods of 4 to 6 months

• Heaviness in the head

• Breasts : very much painful

• Can’t bear the touch of inner clothes

• Dyspareunia (Painful Intercourse ) – so avoiding intercourse

• Sluggishness in all her activities

• Having warts around her neck region – very small and scattered

• Very calm, quiet, answering in monosyllables

• Wants to be alone, aversion to company

• Strongly ‘longing for an heir’ – jealous of a lady having a baby

After a quick evaluation, I suggested she get an ultrasound, i.e. sonography. As she didn’t remember her LMP, we went to a radiologist – Dr. Jayesh Bhatt. After doing a pelvic sonography=USG, it was found that –

• There were small multiple follicles in both the ovaries

• Endometrium was very thin – 4.0 mm

• Uterus was in normal shape, size and position

Blood tests were carried out to rule out hypothyroidism.

I had also advised ‘TORCH’ and ‘Female fertility Profile’.

While waiting for the Blood test reports to come,

I administered ‘Nux-Vomica – 200’ – two doses for five days to both the partners.

Uterus: Anteverted, size, 6.8 x 5.1 x 3.85 cm

Normal echo texture of endometrium,

No space occupying lesion ( SOL ) seen

Ovaries: Normal in size, shape and structure.

Investigation plan for TORCH* test

(T=TOXOPLASMOSIS, R= RUBELLA, C=CYTOMEGALO VIRUS, H=HERPES)

Date of Test	Test Result
08.03.2001	Rubella Ig-G (84.28)
08.03.2001	Cytomegalo Virus Ig-G (10.58)

After 5 days, I called the couple again for a detailed history taking to find a suitable remedy after evaluating the totality for their problems.

REPERTORISATION and RUBRIC SELECTION

MALE PART:

Rubrics for MR .K P.

FROM BOERICKE REPERTORY

• Nervous about complaints –ArgentumNitricum

• Mind – fearful, nervous – melancholic, despondent, low- spirited, gloomy, apprehensive – Argentum nitricum

• Hurried worried ; want of balance everywhere,

• impulsive – Argentum nitricum

• Craving – great desire for sweets which aggravates, but more powerful craving when tense. – Argentum nitricum

• Apprehension – does too many things at a time, thinks too many things at a time, apprehensive about others – Argentum nitricum

• Male sex: (mind impulsive: wants to do everything in hurry), impotence

• Erection fails when attempted—ArgentumNitricum

• Desire wanting—ArgentumNitricum

• Becomes apprehensive prior to penetration and hence fails – Argentum nitricum

• Mind: apprehensive of serious diseases—ArgentumNitricum

• Mind : time passes too slowly (on infertility part)—ArgentumNitricum

• Mind: Fears and anxiety—ArgentumNitricum

• Modalities:

• Aggravates from sweets but also he craves sweets.

(As he is gaining weight)

Argentum nitricum – 1 M

1dose morning and evening every week for 6 weeks.

FEMALE PART:

Rubrics selected for Mrs. M P.

From Boericke Repertory

Constitution: obese, puffy, oedematous

Mind:

Indifferent

Calm

Quite

Aversion to company, wants to be alone

Listless

Jealous

Head: Heaviness on the head

Female:

Dyspareunia due to burning

Menses suppressed with head symptoms

Dysmenorrhoea

PCOD

Ovaries: Hard, sense of tightness

Extremities:

Oedematous

Swelling on the face and feet

Breasts: can’t bear the touch of clothes

Abdomen: great tenderness over abdomen and uterine region

Medicine prescribed – Apis mel – 200

While considering the above rubrics, I prescribed Apis mel -200 for her.

Two doses per week for 6 weeks.

After 6 weeks, the couple updated me about the drastic improvement in their conditions.

Mrs. P. had regular periods, no dyspareunia and a remarkable reduction in the swelling.

Mr. K. P. had an improvement in his sexual performance. Now he was hopeful that he would definitely get positive results. After 6 months, I was informed about Mrs. M.P’s pregnancy. I was overwhelmed! One more success story! The patients are in the UK and now their baby was my patient for Asthma. She is totally symptom free for the last year.

Discussion:

MALE PART:

ARGENTUM NITRICUM=SILVER

From its use historically and currently, it is seen that silver has anti-Inflammatory properties and well as antiseptic, anti-bacterial, preservative, restorative, anti-fungal and healing properties.

Argentum Nitricum removed the inflammatory reaction of the testes and restored the disrupted vital force, which repaired the deranged pathology, thus restoring normal spermatogenesis. The problem of Oligo-spermia was corrected and normal sperm count restored.

FEMALE PART

HOW APIS WORKS

The sting of bees, wasps ,fire ants and some other insects contain:

1.Phospholipase A2

2.Hyaluronidase

3.Apamin

4.Melitin

5.Kinins

PATHO-PHYSIOLOGY OF BEE STING.

• After bee sting….

• Body quickly over reacts with Histamine secretion

• Bee sting triggers the release of Histamine from mast cells.

• Histamine is usually found in higher concentration in skin, lungs and gastric Mucosa.

• Histamine is a potent arterial dilator leading to hypotension.

• In the lungs, it causes bronchial constriction leading to spasm, dyspnoea, wheezing and respiratory collapse.

Phospholipase A2……

It’s a membrane protein, which hydrolyzes

                              ↓

Phospholipids…to form….

                              ↓

Fatty Acids and lysophospholipid products.

                              ↓

Phospholipase A2 proteins are responsible for the release of…

ARCHIDONIC Acid from cell membrane.

Subsequent conversion of this Fatty Acid to….

Leukotrienes and Prostaglandin is a part of the inflammatory response.

Leading to inflammatory cyst formation.

On the basis of the Law of Similars—Similia Similibus Curentur

APIS MELLIFICA works to remove the cysts from the ovaries.