Ovarian Cyst in a Married Woman of 47

A 47 year old married woman reported in outpatient department( OPD), with complaint of heavy and irregular menses since last 4 months . She came to consult on 9 August 2022 for the first time with history of bleeding since 30th July 2022. Her ultrasound dated (3 August 2022 ) findings were:

A loculated left ovarian cyst of approx. 54  x 38mm . Normal right ovary. Parous size uterus .No Myxoma

Her haemoglobin was  6.2 g/dl

LMP : 30/ July /22

 HISTORY OF PRESENT COMPLAINTS

Patient was apparently well before April 2022 . Since April 2022 she had irregular and heavy bleeding. Menses were reappearing every 7-10 days.

PAST HISTORY:

Two month ago she had viral fever and took allopathic treatment.

GYNECOLOGICAL & OBSTETRICS HISTORY:

Menarche- at age 14

LMP:30/July/2022

Duration (since April 22)  : 10 -12 days ( earlier it was 5 days)

Cycle ( since April 22): 7-10 days ( earlier it was 24-25 days)

Flow – Heavy (she had to use 7-8 pads on first two days of menses

Color: red

Partly fluid and partly clotted

Any associated complaints:

Pain in left lower side of abdomen on first 2 days of menses.

OBSTETRICAL HISTORY:

G₂P₂L₂

Full term normal delivery in both pregnancies

PHYSICAL GENERALS:

1.Thermal reaction: chilly

2.Thirst: thirsty

3.Perspiration: profuse on face and head, non staining

4.Desire: not marked .

5.Stool: N.A.D

6. Urine: N.A.D

7.Sleep:Refreshing, 6-7 hrs /day

8. Sleep position : back

9.Dreams- Daily routine

 MENTAL GENERALS:

• She was doubtful of recovery that cyst can be cured without surgery by homoeopathy.
• Fear of dark
• Fear of high place
• Anxious about trifle

TOTALITY OF SYMPTOMS:

1.Anxious about trifles⁺¹

2.Fear of dark⁺²  

3 .Doubtful recovery , of⁺¹          

4.Fear of high places⁺¹

5.Perspiration profuse ⁺³

7.Cyst in left ovary

8. Menses protracted

REPERTORIAL METHOD:

Repertorization was done from synthesis repertory²

REPERTORIAL  ANALYSIS:

 

	Remedies and their relative values
1. 2. 3. 4	Arsenic album -14/7 Calcarea carb -13/7 Lycopodium-14/6 Phosphorus-9/6

PRESCRIPTION:

Rx  Calcarea carb 200/3 doses

Rubrum met 30/TDS  for 7 days was given on 09/07/22

Calcarea carbonica is the remedy in this case as it covers the mental & physical generals and particulars also. Calcarea are anxious about the future which leads to anxiety about health. There is fear of infectious diseases, of tuberculosis, of heart disease, of cancer etc. Naturally there is a strong fear of death. They  perspire easily and profusely after even slight exertion .Adults perspire even in a cold environment.³

 

FOLLOW UP:

DATE	CHANGE IN SYMPTOMATOLOGY	PRESCRIPTION
17-08-22	Menses stopped on 11-08-22	Rx Rubrum 30/TDS * 15 days
08-09-22	LMP 27-08-22 ( lasted till 01-09-22)	Rx Rubrum 30/ TDS * 15 days
26-09-22	LMP 22-09-22 Duration – 5 days Flow – Heavy but less than last time Clots also decreased	Rx Rubrum 200/ TDS 15 days
15-10-22	Relief in general	Rx Rubrum 200/TDS * 15 days
07-11-22	Its was her first day of menses In October she had menses  on 22nd	Rx Calc carb 1M/2 doses Rubrum met 200/TDS* 30days
07-12-22	LMP -02-12-22 Duration – 5 days Flow – less than before Clots also decreased	Rx Rubrum met 200/ TDS * 20 days   Pt was advised to get usg done
09-01-23	LMP-28-12-22 Duration-5 days Flow – Normal Few clots only	Rx Rubrum met 200/ TDS * 7 days

CONCLUSION

Homoeopathic medicines selected on the basis of individualization were helpful in reducing size of ovarian cyst and in curing the ovarian cyst. Not only in ovarian cyst, homoeopathic medicines are helpful in many gynaecological problems like fibroid, PCOD , PID , Endometriosis etc

REFERENCES:

1.Shaw Howkins, Shaw Bourne.Shaw’s Textbook of Gynaecology.17^th Ed.Elsevier

2.Schroyens,Frederik.Synthesis Repertorium Homoeopathicum Syntheticum 5.2 Ed. New Delhi: B. Jain Publishers(P) Ltd; 1993

3.George Vithoulkas.Essence of Materia Medica.2^nd Edition.B.Jain Publishers(P)Ltd.