Polycystic ovary syndrome (PCOS) is the most common endocrinopathy that affects women. PCOS is also a leading cause of infertility. This disorder is characterized by excessive androgen production by the ovaries that interferes with the reproductive, endocrine and metabolic function.
Most women with PCOS grow a number of small cysts, small fluid-filled sacs that develop on the ovaries. The cysts are not harmful, but they can lead to an imbalance in hormone levels. Women who can conceive with PCOS have an increased risk of miscarriage, gestational diabetes, pregnancy- induced high blood pressure, pre-eclampsia, and premature delivery.
SYMPTOMS FREQUENCY (%)
Oligomenorrhea 50- 90
Acanthisis nigricans 05-33
Male pattern baldness/ alopecia 65-70
A 24 year old female visited my clinic on Feb 17, 2018. She was Hindu by religion, unmarried, educated as a B.A. She was a resident of Jaipur, with the chief complaint of irregular periods with severe pain in abdomen the last six months.. She complained of pimples in both cheeks with spots. She suffered from burning in urine the last 6 months. She was diagnosed with right ovarian cyst and was under allopathic treatment for more than 4 months for acne and irregular menses. She had severe abdominal pain during menses. There was a history of irregular menses. 3-4/40-45 days, more profuse and painful bleeding.
1 st usg found right ovarian cyst
Appetite – Normal
Desire – Spicy, Sweets
Bowel – Constipation occasionally
Urine – Burning
Perspiration –Profuse on face,
Sleep – Sound sleep
Mental general- Absent minded
Fearful to be bad news
Memory weak and forgetful
Past history – Typhoid- 4 years ago
Chicken pox -8 years ago
Family history – father –healthy/alive
Mother –suffered from arthritis since the last 2 years.
Physical Examination: B.P.- 124/82
Temperature- 98.60 f
R.R – 16/min
Pallor – present
Case analysis: The following rubrics were taken on the basis of the above
Fear to see bad news
Pain in abdomen during menses
Right ovarian cyst
Burning in urine
Eruption on face
Apis is the leading remedy and covered most of the rubrics in repertorisation.
Patient was hot. The remedy selected for the 1st prescription was Apis. Apis was selected after analysis based on the totality of symptoms.
Rx: Apis 30 single dose on 17/2/18, followed by PL 30 TDS X 7 days
According to homoeopathic principles, the minimum dose was prescribed and observed, until the medicinal action was noticed.
23/2/18 – symptoms – Menses appears 21/2/18.
Treatment – PL 30 TDS X 7 days
3/3/18 – symptoms – Decrease in frequency of eruption on face.
Treatment – Apis 200 1 dose stat, PL30 TDS X 15 days
19/3/18 – symptoms – Menses appear 18/3/18 . no abdominal pain.
Treatment – PL 30 TDS X 10days
31/3/18 – symptoms – Improvement in eruption on face
Treatment – PL 30 TDS X 15days
17/3/18 – symptoms – Menses appear at morning. Normal flow & no abdominal pain.
Treatment – Apis 200 1 dose stat ,PL 30 TDS X 15days
10/5/18 – symptoms – No symptoms.
I suggested USG of lower abdomen.
14/5/18 – USG- normal
2 nd normal report