Clinical Cases

Uterine Fibroid in a Woman of 29

Dr. Shruti Gaur shares a case of uterine fibroid in a woman of 29. Desire for company, sensitive and weakness after menses were among the symptoms leading to the simillimum.

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 –D1-2, 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.

Menstrual history

LMP – 15/3/19

Menses irregular. Earlier it was regular 30 day cycle.

Profuse bleeding during menses lasting for 10-12 days since 2 months. Previously, lasted for 5 days.

Passage of clots during menses

Leucorrhoea – 2-3 days after menses, lasts for 1-2 days, normal

Obstetric history-

Delivered a male child in 2016. She had full term normal delivery.

Physical examination –

Weight – 62 kg

Pulse – 78/min

Temperature – 97.60F

Blood pressure – 110/80mmHg

Physical make-up

Height – 5’5’’,

Complexion – fair

Systemic examination –

CVS – NAD

CNS – NAD

Skin –NAD

Respi.- NAD

G.I.T. – NAD

Analysis and evaluation of symptoms

Mental generals –

Sensitive

Answering very slowly

Speech slow

Wants someone to be present with her

Physical generals-

Aversion – milk

Particulars –

Profuse bleeding during menses

Lasting for 10-12 days

Menses were irregular

Passage of clots

Pain in lower abdomen during menses

Weakness after menses

Totality of symptoms –

1.Mind – Sensitive

2.Mind – Answering – slowly

3.Mind –Speech-slow

4.Mind – Company – desire for

5.Generals – Food and Drinks  – milk – aversion

6.Female Genitalia/sex- menses-irregular

7.Female Genitalia/Sex – menses-copious

8.Female Genitalia/ Sex – menses- protracted- ten days – ten to twelve days

9. Female Genitalia/Sex – menses-clotted

10.Abdomen – pain-hypogastrium- menses- during

11. Generals- Weakness- menses – after

Repertory selected – synthesis repertory from RADAR software

Process of repertorization – total addition process

Remedy selected – after repertorization, Phosphorus scored the highest rank, covering her mental and physical generals.

First Prescription – (24/3/18)

Phosphorus 30/ 1 dose

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 –

  1. Normal hepatobiliary system
  2. Normal size kidneys
  3. 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.

Bibliography:

1.Dutta D.C,, “ Textbook of Gynaecology”, New Central Book Agency (P) ltd.,2008

2.Murphy Robin., “Lotus Materia Medica”, B.Jain Publishers(P) Ltd.,2014

3. RADAR software version 10

About the author

Shruti Gaur

Shruti Gaur

Dr. Gaur Shruti, MD Scholar Part II, M.N. Homeopathic Medical College and Research Institute, Bikaner.

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