Clinical Cases

“Like a Shadow” A Case of Irregular Menses, Anemia and Depression

Tatiana Savciuc
Written by Tatiana Savciuc

Dr. Tatiana Savciuc presents a case of irregular menses and depression in a woman of 48.

Date of visit: August 2016.

48 year old woman, blond hair, brown eyes, pale skin. She looks tired; sadness could be read in her eyes. She is tall and fit yet in spite of that she gained 9 kilos in 8 months (1 years ago, when she was taking hormonal drugs). She is a physically active person, enjoys running, swimming and going to gym. In spite of making changes in her diet, she could not lose any of the weight she gained.

Occupation – she is house wife.

Main concern:
Irregular menses, Anemia, Depression

Irregular menses started 2 years ago. Her menses were always regular but in the winter of 2014 she missed them for 2 months. A pregnancy test was negative. Her family doctor said that it might be climax (her mother’s climax was at age 50. He said it was nothing to worry about and refused to refer her to a gynecologist. After 2 months her menses started. It was heavy, clotting, with bright blood and was prolonged. She was scared, but her family doctor said it was normal and not to worry. Her menses stopped in 2 weeks, without any medication.

After some months all this picture repeated again. Her general state was worse day by day as she was exhausted, had vertigo and weakness. She almost lost consciousness at times. Her family doctor did some blood tests and prescribed Feromax – a drug for anemia. For one year she was suffering from irregular menses. In 2015 she went back home (to another country) to visit her relatives, and also saw a gynecologist, who recommended Climonorm – a biphasic hormonal agent containing 2 mg of estradiol valerate (9 tablets) and 0.15 mg of levonorgestrel (12 tablets) and is intended for hormone replacement therapy. When she started to take it – all came back to “normal”. Her menses became regular, not heavy, for 5-7 days.

She was on medication for one year and gained 9 kilos. She insisted that her family doctor refer her to a gynecologist and in March 2016 she got a consult.  The Gynecologist said the hormonal drug was not good for her, and would cause more problems, so she stopped taking it.  Then her menses started being again, prolonged, with bright color, so heavy that she had to change pads every 2-3 hours. The menses stopped without medication in 2 weeks. She felt very exhausted, very weak, “I was like a shadow”. In June the menses was the same, heavy with bright bloody, for 4 days. In July just for 1 day it was just a little bit.

She complained also about migraines during the last 10 years – very painful, one sided, “is not the same side every time, the side changes”. The pain was like “a hummer is knocking”, worse from noise, from light. Sleep does not improve the migraine.  Usually she has to take Advil. The migraine happens only once in every few months. A neurologist said that she has narrow vessels in her neck, and the blood circulation to her head is affected. In last two years the migraines occurred  less often.

Medical history:
On 20 January 2015 she had colecystectomia (removed gallbladder because of a stone).

She easily gets cold and develops bronchitis, pneumonia. In 2014 she had the worst pneumonia in her life; she took antibiotics and it took a long time to recover. Last winter (2016) she did not get any colds.  In September she got a flu vaccine.

In childhood she had pyelonephritis, and proteins were found in her urine. She took some drugs and this symptom abated. During her pregnancies (2) this problem returned. After the delivery her urine tested normal again.

General status:
“All the time I want to cry, I feel sadness inside, in spite of having a beautiful family, two great child, and a wonderful husband. We have our own house here and my husband has a great job. I like the weather, the people and nature. My children are happy here.  I do not have any reason to feel so bad. I cannot understand why I feel so depressed. Every day when I wake up, I do not want to live. I feel like my life is finished. I try to focus on my family, but I I don’t have enough force to live like I lived before, I feel almost dead inside. I always cry.  Usually I do not cry in front of my family. I try to convince myself that my hormones are responsible for this situation, and in a short time all will be ok. But day by day is worse. I asked my family doctor for anti-depressive drugs, but he refused to prescribe it.”

She is a chilly person, feels better in warm weather (lack of vital heat). Usually she perspires under her arms after physical effort, but now she is perspiring profusely during sleep. She has to wake up and change her pajamas, even to change bed sheets. It started one year ago.  Everywhere she goes she has to have a bottle of water, just to have it, but she doesn’t drink more than another family member. She craves chocolates and ice cream. Even though fruits produce flatulence, she likes them. She is aggravated after red sweet pepper, onion and garlic, fat food, bacon, fried food. Her stool is not regular, every second day, sometimes one in three days and she has to control it with diet.

She is introverted, and keeps all her emotion inside but sometimes she “explodes”. Now she is very sensitive and it is very easy for her to cry. She does not like to be seen when she is crying. She would like to be a more confident person. Her sleep is good. Her energy level is 6 (from 1 to 10 ). Her energy is less in the morning and she does not wake feeling refreshed.

Fears – something bad will happen to family members.

Stress – Prolonged grief, and she did not recover her dad died. Her dad passed way in December 2013 and in February 2014 she moved to Canada. In that winter she her worst pneumonia.  Shortly after menses issues started. Her dad had emergency heart surgery with complications afterwards. He was paralyzed, and lost his memory. She was very attached to him. She suffered a lot after he died. She said that even now she is suffering.

Rubric for repertorization:

MIND – AILMENTS FROM – grief

MIND – SADNESS

FEMALE GENITALIA/SEX – MENSES – irregular

FEMALE GENITALIA/SEX – MENSES – bright red – clotted

PERSPIRATION – SLEEP – during

URINE – ALBUMINOUS – pregnancy

HEAD – PAIN – hammering

GENERALS – WEAKNESS

GENERALS – FOOD and DRINKS – garlic – aversion

ABDOMEN – FLATULENCE – fruit, from

Top three remedies are China, Phosphoricum Acid and Gelsemium.

Case analysis:

Ailments after grief, sadness, depressed, apathetic, she cannot enjoy life, feel she is dead inside, without emotion – it suggested the Phosphoricum Acidum picture .

Collapse after Metrorrhagia (fluid loss) – common to China and Phosphoricum acidum too. But on the mental level China is more irritable and sensitive to touch. Flatulence after fruit is more characteristic for China (grade 3), but despite flatulence she likes fruits, so back to Phosphoricum acidum. Aggravation and dislike of garlic – is the Phosphoric component, craving chocolates and ice cream is a Phosphoric component too. Even hammering pains are in grade 1 for Phosphoric Acid. I thought of Natrium muriaticum with its hammering pain in grade 3. Natrium muriaticum is also one of the top remedies used for ailments after grief, silent grief. When her father died she expressed her emotion, she cried a lot then. Natrum mur has self-control and suppressed emotions, is uncomfortable with sympathy and avoids it.

Gelsemium and Phosphoricum acid have weakness in common, and nothing more for Gelsemium in this case. Sepia – is another good remedy for depression and irregular menses. Sepia’s depression state is different.  Sepia is overwhelmed by her family, disconnected and indifferent to the family – in our case she is worrying about them and taking care of them with a lot of compassion and love. Profuse perspiration during night – is a characteristic symptom for Phosphoricum Acid. According to Phatak – Phosphoricum Acid has irregular and heavy menses. Presence of proteins in urine during pregnancy is characteristic for Phosphoric Acid (grade 2). Also Phosphoricum acid is known as a great remedy for recovery after pneumonia. You can find pneumonia in her medical history, the worst one just before her menses complaints started.

In my opinion, her level of health was not enough for a good recovery after pneumonia, and after taking antibiotics the illness just changed location from lungs to genitals. After taking the hormonal drug, the misbalance was moved to a more profound level, to the mental level, expressed through depression.

Rx:  Acidum phosphoricum 200 CH  (Aug 14th)

F.U #1 after 1 month.

She feels better now, has more energy. In spite of that she is sleepless and every day she wakes up at 5.00 am. She has a lot of energy and her disposition is good. She opened a day care center. So, “Now I have a lot of work and a lot of responsibility, I feel useful and I am happy that I bring some money to the family.”
She did not have vertigo any more, did not have headaches and is so surprised by this. “How can just one remedy do this?”

Her menses did not come yet (last one was in July, she started taking remedy on 14 August). She has stools daily now. She was very excited that she could eat grapes and apples and did not have flatulence anymore. “It is more than one year I did not eat any apple and grapes, but now I could not to stop eating them.”

Now, she has hemorrhoids, and she uses Proctosan cream. She had hemorrhoids before, around 3 years ago and used this cream. Proctosan ingredients: Ratanhia MT, Aesculus hippocastanum TM, Collinsonia canadenses MT, Paoenia officinalis MT, Negundo MT.

Twenty years ago, when she breastfeed her son she had mastopatia on her right breast. After that she had fibroadenoma twice on her right breast. Now, she found a nodosity, just a little up from her brfeast, near the underarms. It seems to be small like a pea.

“I feel much better now and I would like to continue with homeopathy. And I am just surprised what the remedy did.”

Prescription – Acidum phosphoricum 1M one dose.

F.U #2, after 3 months from the initial prescription, and 2 months after FU#1.

“I thought all day what to say to you, and I realized that I do not have any complaints. I feel well. My business is doing well. In spite of haing a lot to do and a lot of responsibility – I can manage it all so easily.” (She opened a day center and has 7 kids each day.) “In the evening I feel tired, but the next day it looks like at night I recharged my battery. I wake up refreshed, before the clock sounds. It is so weird for me.”

“Why?”

“Because all my life I was a “late bird”, liked to wake up as late as I could. But now…I wake up before the alarm…at 6am…it is unbelievable. And I am refreshed and full of energy. Does the remedy works in such a way? I cannot understand how it can be. Another thing that it is so strange… the nodosity in my breast disappeared.”

***

The client started taking the remedy in August, Acidum phosphoricum 200ch 3 doses, with a lot of benefits: improving on the mental, emotional and physical levels. Reaction was more on the mental and emotional levels. On the physical level there remain some complaints related to her menses, with some improvement: specifically not so heavy and without pain. And also some symptoms came back – hemorrhoids and a nodosity in her breast. After taking  Acidum phosphoricum 1M the case was solved on all levels. Hemorrhoids and nodosity disappeared and her menses are now back to normal. She is full of energy and vital.

After 6 months she reported – no complaints.

About the author

Tatiana Savciuc

Tatiana Savciuc

Tatiana Savciuc MD (Europe), CCH, RCSHom, is an internationally trained classical homeopath with a European medical doctor degree. She started her practice in 2009 and enjoys working with both adults and children. As most of her patients are children, she is often called a “homeopathic pediatrician. In 2013 Tatiana completed a two year academic program from the International Academy of Classical Homeopathy in Alonissos, Greece. Tatiana is certified with the Council for Homeopathic Certification and is registered with the Canadian Society of Homeopaths and is a member of the Alberta Homeopathic Association. She is also a member of the Liga Medicorum Homeopathica Internationalis. Tatiana treats people with a wide range of acute and chronic health issues. She lives and practices in Calgary, Alberta Canada. Visit her at www.homeopathy.md

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