CASE: A female aged 28 years presented with the complaint of irregular periods Her duration of cycle was 45-60 days. Character of flow was dark red with large clots and occasionally with profuse flow for 15-16 days with 3-4 pads/day. It used to alternate with scanty menses where the flow used to last just for a day with 1 pad/ day.
Complaints of severe headache and vertigo and dysmenorrhea pain before and during menses. She was also having hair fall the last 4 years. Also increase in weight of around 6 kgs in past 1.5 months.
Weight – 55kg
Blood pressure- 120/76 mm/Hg
Pulse rate- 70 b/min regular with no abnormalities
Patient was on allopathic medicine for 3.5 years for irregular menses. It was discontinued for the past 6 months since she felt the medications didn’t improve her complaints.
PAST HISTORY: Nothing significant
FAMILY HISTORY: Mother – diabetic, migraines. Father – hypertensive
PHYSICAL GENERALS: Patient is vegetarian and her appetite was good, No significant cravings and aversions. Thermally chilly patient . Thirst (1.5 – 2 litres water per day). Bowel movements regular. Micturition normal. Perspiration normal.
MENTAL GENERAL: Patient is very talkative and independent in nature.
Symptoms considered for Repertorisation.
- Irregular menses
- Menses with dark cloths
- Vertigo during menses
- Hair fall
- Ovarian cysts
- All the complaints better by dancing
BASIS OF PRESCRIPTION: Following symptoms were repertories by using Synthesis Repertory.10
Prescription: Based on reportorial results and the marked individualising symptom of all complaints of the patient ameliorated by dancing, she was prescribed Sepia 30 and also LM 6,7,8,9,10 depending on her improvement of symptoms and susceptibility.
1st Prescription –
- Sepia 30 (1p) H.S w
- No 40 pills 4-0-4
Also was advised of a few life style modifications to be followed along with medications.
Follow up of the case is given in below table.
|Follow up date||Symptoms||Medicine, potency and doses|
Duration of flow-3days
Clots present, headache and vertigo present better in intensity of pain
All generals good
|Placebo 4-4-4 for 30 days|
|25/02/2022||No menses yet.
Hairfall increased, headache and vertigo also present.
|Sepia 200 for 1 month|
4 days flow with cloths, headache and vertigo present
|Sepia 200, 1 dose for a month|
Duration of flow- 7 days
Hairfall reduced, headache better, vertigo present
|Placebo for 30 days|
|05/05/2022||LMP- 21/03/2022||Sepia 1M, 1 month|
4 days flow, hairfall reduced, no complaints of vertigo & headache
|Placebo for month|
|25/07/2022|| menses regular
(LMP-27/06/2022). No new complaints.
|Placebo for 1 month|
Investigation reports of the patient before and after the treatment
PCOS was successfully treated with homoeopathic medicines by individualising the case.
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