Uterine Fibroid in a Woman of 29

Abstract: Fibroid is the commonest benign solid tumour in females. The tumors are made of smooth muscle cells and fibrous connective tissue. They develop in the uterus. This is a case of a 29- year-old female who came to our clinic with the complaints of profuse menses that started two months prior.

History of present illness –

Patient was suffering from profuse bleeding during menses since 2 months. The profuse bleeding would last for 10-12 days. Menses were irregular since 2 months. She also complained of passage of clots with pain in the lower abdomen during the menses.

She also complained of weakness after her cycle gets finished. Two months ago she consulted a gynaecologist who advised her to get ultrasound. Ultrasound confirmed the diagnosis of fibroid. She started the allopathic treatment, but it did not bring relief.

Investigations – Pelvic USG scan on 16/Jan/2018

Uterus: Uterus is parous (99× 42×56mm) in size, anteverted and anteflexed shape and showing a subserosal fibroid of approx. 53×38×40mm in lower segment left side.

Past history-

Typhoid – at the age of 8 years. Took allopathic treatment for it.

Family history – No family history of any major illness in family.

Physical generals –

Appetite – adequate, takes meals two times a day, 3-4 chappatis at a time.

Thirst – adequate, 7-8 glasses per day

Aversion – milk

Desire – nothing specific

Urine – normal in frequency and quantity

Stool –D_1-2, N₀,

Perspiration – scanty

Thermal –chilly patient

Sleep –sound

Dreams – not remembered

Mentals-

Patient was very sensitive. She was answering very slowly. Her speech was slow. She wanted someone to be present with her, as she can’t sit alone.

See also

A Case Of Iritis

Rubrum 30/B.D. for 7 days

Follow ups

Date	Symptoms	Treatment
1/4/18	No change noticed	Phosphorus 30 /1 dose. B.D. for 7 days
8/4/18	No change noticed. But mentally feeling better.	Phosphorus 30 / 1 dose Rubrum 30/B.D. for 7 days
15/4/18	Mentally calm	Phosphorus 30/ 1 dose Rubrum 30/ B.D. for 7 days
22/4/18	L.M.P – 20/4/18, passage of clots has decreased; bleeding was not as profuse as last 2 months, pain in abdomen was decreased	Phosphorus 30/1dose Placebo for 7 days
29/4/18	Menses lasted for 7 days, passage of clots has decreased, bleeding was also reduced, energy level has improved	Phosphorus 30/1dose Placebo for 15 days
15/5/18	Mentally calm, energy level improved. Feels energetic	Phosphorus 30/1dose Placebo for 15 days
30/5/18	LMP- 22/5/18, lasted for 6 days, no more clots have passed, bleeding was normal, pain in abdomen was decreased. She feels energetic.	Phosphorus 30/1dose Placebo for 15 days
16/6/18	Improvement	Phosphorus 30/1dose Placebo for 15 days
30/6/18	LMP – 22/6/18, lasted for 5 days, bleeding was normal, no clots were passed, no pain was felt in abdomen	Phosphorus 30/1dose Placebo for 15 days
19/7/18	Improvement	Phosphorus 30/1dose Placebo for 20 days
6/8/18	LMP- 23/7/18, lasted for 5 days, bleeding was normal with no clots, no pain in abdomen was felt	Phosphorus 30/1dose Placebo for 20 days
26/8/18	LMP- 21/8/18, lasted for 5 days, Bleeding was normal, no pain in abdomen was felt	Phosphorus 30/1dose Placebo for 20 days
15/9/18	Improvement	Phosphorus 30/1dose Placebo for 20 days
3/10/18	LMP- 20/9/18, lasted for 5 days, no pain in abdomen was felt, bleeding was normal. Feels energetic	Phosphorus 30/1dose Placebo for 20 days
23/10/18	LMP-19/10/18, no pain in abdomen was felt, bleeding was normal		Phosphorus 30/1dose Placebo for 20 days
13/11/18	Improvement		Phosphorus 30/1dose Placebo for 20 days
3/12/18	LMP-17/11/18, lasted for 5 days, no pain in abdomen was felt, bleeding was normal		Phosphorus 30/1dose Placebo for 20 days

On 14/12/18, patient was advised to go for ultrasound again, as her physical complaints were relieved.

On 14/12/18 her USG of whole abdomen revealed –

Normal hepatobiliary system
Normal size kidneys
Normal size uterus with normal adnexa

Discussion: From the repertorization, Phosphorus and Sepia came up as prominent remedies. Considering her mental generals, her physical generals like profuse bleeding during menses, irregular menses, passage of clots, pain in lower abdomen during menses Phosphorus was selected as the simillimum.

Conclusion: In this case, homeopathic Phosphorus gave miraculous relief in the cases of uterine fibroid.