Uterine Fibroids Treated Homeopathically  

Abstract: A patient with Intramural Fibroid measuring 4cm*3cm, presenting with complaints of excessive bleeding during menses since last 8 years, dysmenorrheal, weakness since last two years, reported in the OPD. The patient was on allopathic treatment previously but apprehension to undergo surgery brought her for homoeopathic treatment.  Based on the presenting symptoms and signs Sepia 200 was prescribed, and one dose of Thuja 1M as an intercurrent remedy which proved to be effective in complete eradication of fibroids..

Introduction: Uterine Fibroids or Leomyomas are benign tumors arising from smooth muscle fibers of the uterine wall. There are 3 types of Fibroids 1) Intramural 2) Submucus 3) Subserious. 20 percent of women with Fibroids remain totally asymptomatic. Fibroids arise in the reproductive age group starting from 20 to 35 years of life.

Case report:

A 43-year female presented with excessive bleeding during menses since last 8 years. She had profuse bleeding with pain in lower abdomen during menses. Passing of clots during menses. Pain in lower abdomen on and off since last 2 years. Profuse bleeding with pain in lower abdomen during menses since 8 years.

Duration: Once in 20 days, continuous bleeding 6 days. Bleeding dark in color, brown, excessive. Needs to change 5-6 pads a day. c/o dysmenorrhea since 2-3 years, spasmodic pain in lower abdomen on first day of period. Better by pressure and warmth.

Passing of dark colored big clots during menses, spasmodic pain before passing the clot. Her complaints started after her resumption of menses and for almost 1.5 years, she took hormonal therapy to start her menses. Weakness and tires easily. Slight physical exertion makes her tired and feels a lack of energy. She had lactational amenorrhea for one and half years.

Family History: Father suffered from throat cancer and expired in 1986 when she was 7 years old. Mother is alive and diabetic since 20 years. Her mother has a strong family H/O of diabetes. No history of infertility in her family or husband’s family.

PAST HISTORY: H/o primary infertility for 12 years. Unexplained infertility and had taken allopathic treatment. Underwent HSG and Laparoscopy four times, conceived after IVF.  Child is now 9 years old. Took allopathy all these years for menorrhagia but there was no change. She was on hormonal therapy for 6 months. Suffered from acute appendicitis and was operated on for the same.

Personal History:

Diet: Mixed

Appetite: Reduced

Bowels: Regular

Thirst: Thirstless, drinks only few sips after meals.

Sleep: Disturbed due to mental stress.

Micturition: 3-4/0-1

Thermals: Chilly cannot bear slight drought of air.

LIFE SPACE INVESTIGATIONS:

She belongs to well educated family. Likes to talk only with people whom she is comfortable with, otherwise she prefers to be quiet. Lively, only when feels comfortable with surroundings. Married to a teacher from village. In her initial phase of married life she was very obedient, a caring and loving person to all the family members, but was never appreciated.

She couldn’t cope up with the atmosphere of village and home. Husband was non-cooperative and introvert. She faced lots of problems trying to keep home and job balanced. Husband used to have many complaints against her which made her undergo a lot of stress.

She used to be more mentally tired. She had a strong desired to conceive, and faced  lots of problems. Her mother in law wanted her son to marry another woman to get children, she had consulted four gynecologists regarding this and underwent all required investigations.

There was no specific cause for infertility. She developed a kind of melancholy, started getting irritated on and off. As she was 30 plus by then and on her gynecologist’s advice she took a decision of going for IVF. After the childbirth she had a problem of lactation failure.

All the time she was scared afraid her in-laws would come to know about IVF. It would be a big issue because the IVF was done without the knowledge of her in laws. After the childbirth the husband started to take care of her, gradually the relationship started becoming fair, but she developed aversion towards her in laws, became irritable, short tempered and an uncaring type of a person.

DIFFERENTIAL DIAGNOSIS:

DUB

Pre menopausal syndrome.

Adenomyosis

Leomyomas

Ovarian tumour

 FINAL DIAGNOSIS: UTERINE FIBROID.

TOTALITY OF SYMPTOMS:

1. Menstrual bleeding dark in color exessive.
2. Passing of big clots.
3. Chilly
4. Thirstless
5. Irritable
6. Indifferent
7. Pain in lower abdomen, which is bearing down
8. Sad and melancholic.
9. skin pale ++
10. Melasma on cheeks.

 Repertorisation brought forth:

• Lycopodium
• China
• Pulsatilla
• Sepia

FIRST PRESCRIPTION.

Rx: Sepia 200/3 doses on 16/09/2020 follow up after a month.

• LMP: 10/09/2020

Follow up:

Discussion:

This pre-diagnosed case of fibroids presented with the complaints, physical and mental which were very helpful in selection of the simillimum, Sepia acted well in this case to take care of her physical, general and mental symptoms.

As fibroids are benign growths from smooth muscle fibers of myometrium and represent sycosis, a miasmatic approach using Thuja 1M was prescribed as an intercurrent remedy. The case was managed with her constitutional remedy, Sepia. The patient started showing improvement right after the first prescription and improvement was constant. The patient’s general health improved including her  mental /emotional state.