PCOD is a very common condition nowadays. I had treated many cases with equal success and failures. Some cases are perfectly homoeopathic and there will be homeopathicity and we can reach the patient’s remedy easily. But many other cases are not like that. We have to try many options. The patients usually present with late or irregular menses, amenorrhea and infertility. The other symptoms associated with this complaint are obesity, hirsutism, acne etc. By USG we can diagnose the case at once. There are many blood tests also. USG shows multiple small cysts in the ovary arranged peripherally in necklace pattern, which obstruct the normal function of the ovary. The ovary is enlarged and there is excessive production of androgen and oestrogenic hormones. This process, with absence of ovulation causes infertility. Due to excessive production of androgen, hirsutism may occur.
Blood tests like LH, FSH ratio are important. Usually it is 1:1. In case of PCOD- LH is much higher. This is called reversal of LH. The androgen level is elevated, and for this we test DHEA-S (Dehydroepiandrsterone sulphate). Insulin level in the blood is also increased. Blood test to exclude other conditions that have similar symptoms to PCOS include TSH, Prolactin and hormones related to adrenal function (17-hydroxyprogesterone). It is important to assess the risk of cardiovascular disease and diabetes because there are links between PCOS and insulin resistance and being overweight.
The actual cause of PCOD is unknown, but the hereditary component is there from mother to daughter. The characteristic PCOD occurs when anovulation persists for a long period. Obesity can aggravate PCOD, because fatty tissues are hormonally active and they produce oestrogen which disrupts ovulation. Overactive adrenal glands also produce excess androgens.
In some cases the classical symptoms and signs of PCOD (Acne, Obesity, irregular menses, hirsutism, obesity) may be absent. The patient may be thin with no hirsutism and have normal looking ovaries. This problem is detected during the time of ovulation, as the patients are superovulated and producing a large number of follicles. This is called ‘Occult PCOD’ .
A diagnosis of polycystic ovary syndrome can be made when at least two out of three of the following criteria are met:
1) The size of the ovary (one or both) is increased and at least 10 to 12 follicles are visible.
2) High level of androgens in the blood
3) Menstrual dysfunction such as lack of menses, irregular menses, lack of ovulation
Increasing physical activity – walking, jogging, swimming etc.
1) If the patient’s correct picture is there, the cure is almost sure. The patient’s remedy will be obtained by totality, or mentals, or uncommon symptoms or even from concomitants, etc
2) Sarcodes (Organopathy) – If I don’t get the correct picture I will opt for other methods. One method is the use of sarcodes. We have many organopathic remedies suited to this condition. The MM I referred to is OA Julian, and Understanding Glands by Dr Rajeeve Saxena.
ACTH– There will be obesity, virilism, acne, irregular menses, amenorrhoea of young girls. The individual is a very lonely person, depressed and timid in society, hesitating, with stuttering language, under takes everything and completes nothing, and changing mood. Memory very weak.
Hypothalamus– Irregular menstrual cycle. Mentally a sweet and loving person, extremely sensitive, weeps for nothing, easily discouraged, morbid fear of the opposite sex, or intense attractions, homosexuality, sexual deviations (Majeptil). obesity.
Folliculinum – Prolonged menses, dysmenorrhoea, premenstrual nervous tension and the patient is hypersensitive to noise, heat.
Corpus luteum – Pale , anemic, exhausted woman. amenorrhoea, dysmenorrhoea, obesity, high BP.
Parotidinum – is used for ovarian disorders also. dysmenorrhoea and menorrhagia also.
4) Bowel nosodes
5) Depending upon other symptoms
Aristolochia Cl – This remedy has special action on the female genital organs. Patient is lean, tall like Phosphorus, and very sensitive easily weeping like Pulsatilla. Depressed and aversion society, Depression > by menses.Obesity. Periods may be absent, short lasting or late. Balck blood with clots. Pain and feeling of hardness of breasts.
Chloropromazine– Hypothalamic amenorrhoea (menstruation stops several months due to problem of hypothalamus). Obesity, Acne
Apis, Calc carb, Con, Cyclamen, Eup- Purpurium, Fer met,Fer iod, Iod, KC, Ol-jec, Palladium, Puls, Senecio aur, Sepia, Thuja etc , etc…
Here I am writing indications of a few remedies only. So PCOD is curable and various approaches may be needed to combat it.