KNOW Homoeopathy Journal
E-ISSN: 2583-2158
Bi-Annual, Indexed, Double Blind, Peer-Reviewed, Research Scholarly Online Journal in Field of Homoeopathy
KNOW Homoeopathy Journal Vol–2 & Issue-1, 15 March 2022, Published at https://www.knowhomoeopathyjournal.com/2022/03/volume-2-issue-1.html, Pages: 91 to 104,
Title: : A case Study of Recovery towards journey of cure in Uterine Fibroids
& Polyps Without any Surgical Procedure , Authored By: Dr Dyaneshwari Suresh Sakhare (PGR,Department of
Organon of Medicine of Sonajirao Kshirsagar Homoeopathic Medical
College,Beed,Maharashtra, India) & Co-Authored By:-
Dr Nitin Raut (Assistant Professor,Department of Organon of Medicine,Marchand
College of Gujarat,India.)
Title:
A case Study of Recovery towards journey of cure in Uterine Fibroids &
Polyps Without any Surgical Procedure
Authored By:- Dr Dyaneshwari Suresh Sakhare1 & Co-Authored By:- Dr Nitin Raut2
1PGR, Department of
Organon of sonajirao kshirsagar homoeopathic medical college, beed, Maharashtra, India
2Assistant Professor,
Department of Organon of Medicine,Marchand College of Gujarat, India
Cite this Case Report as:
Dr. Dyaneshwari Suresh Sakhare & Dr. Nitin Raut, A case Study of Recovery towards journey of
cure in Uterine Fibroids & Polyps Without any Surgical Procedure, Vol.2
& Issue 1, KNOW Homoeopathy Journal, Pages 91 to 104 ( 15 March 2022),
available at https://www.knowhomoeopathyjournal.com/2022/03/case-study-of-uterine-fibroids-and-polyp.html
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ABSTRACT
This case study is about the efficacy of Homoeopathic medicines in treating the uterine fibroid caused due to mental suppressed issue, which is a most common pelvic tumor in women. Day by day, case of uterine Fibroids is increasing, where they are causing bleeding after menopause also. Lower abdominal pain, abnormal uterine bleeding are other common symptoms. While conventional medicine does not offer any satisfactory treatment except surgical removal of Myomas (Myomectomy) or in extreme condition, complete removal of Uterus (hysterectomy), Homoeopathy is a good alternative for the treatment of Myomas. At, sonajirao kshirsagar homoeopathic medicical college, beed, MH, we have treated and still treating many cases of uterine fibroids by homoeopathic medicines. Out of them, around 70% have shown very good results. Most of them were referred for surgery by other doctors, but well selected homoeopathic medicine and proper counseling, leads the complete disappearance of fibroids. Duration of treatment varied from case to case depending on the size and total numbers of Myomas. Outcome of our study on uterine fibroid is very encouraging. These results are very encouraging and giving us the more confidence to work in the field of mental suppressed.
KEYWORD
Homoeopathy, uterine fibroid, mental suppressed, recovery, cure
INTRODUCTION
Uterine fibroids, also known as Leiomayomas or myomas, are benign (non-cancerous) overgrowths that form in the uterus' muscular wall. They might be as little as a grain of rice or as huge as a cricket ball. In the majority of instances, the uterus contains several fibroid tumors. Fibroids may be asymptomatic in some cases, but because of their size and placement, they can cause difficulties for certain women, such as stomach discomfort and excessive bleeding. It is quite rare for them to progress to malignancy. Despite the fact that the pathophysiology of fibroids is unknown, there is substantial evidence that estrogen and progesterone promote fibroids' development, since they seldom arise before menarche and disappear after menopause.
PATHOPHYSIOLOGY
Until now, the etiology of uterine leiomyomata has been idiopathic. Several theories have been proposed, including:
Glucose-6-phosphate dehydrogenase investigations imply that each leiomyoma is monoclonal and unicellular in origin. As a result, this suggests a hereditary predisposition for uterine expansion.
Another theory for the formation of uterine fibroids is an increase in circulating oestrogen exposure. Oestrogen receptors are found in larger quantities in leiomyomas than in the surrounding myometrium. This oestrogen, however, may contribute to tumor growth by boosting the formation of extracellular matrix at lower quantities than the endometrium. Progesterone, on the other hand, boosts the mitotic activity of myomas in young women. By inhibiting apoptosis in the fibroids, it may allow for tumor growth. Beyond menopause, myomas normally shrink in size, but if they increase after that, malignancy should be considered.
Leiomyomas that become malignant are very uncommon, occurring in about 0.04 percent of women with uterine fibroids. In a study of 13,000 leiomyomas, 38 instances (0.29 percent) showed signs of malignancy. Malignant transformation was seen in fewer than 0.13 percent of uterine leiomyomas in a second research. The presence of 10 or more mitotic figures per 10 HPFs is used to diagnose leiomyosarcomas. A absence of necrotizing tumour cells and a mitotic count of fewer than 7 per 10 HPFs distinguish atypical leiomyoma from leiomyosarcoma. Mitotically active leiomyoma is distinguished by nuclear atypia. When fibroids overrun their blood supply, secondary alterations might develop. For acute degenerations, they might be necrotic, haemorrhagic (red degeneration), or septic. Atrophic, hyaline (65%), cystic, calcific (10%), myxomatous (15%), or fatty chronic degeneration are all possible.
TYPES OF FIBROIDS
Intramural Fibroids: The most frequent form of fibroid is an intramural fibroid. These kinds may be found in the uterine lining (endometrium). Intramural fibroids may increase in size and strain the womb.
Subserosal Fibroids: Subserosal fibroids develop on the outer layer of the uterus, known as the serosa. They may expand to the point that one side of the womb seems to be larger than the other.
Submucosal Fibroids: These tumors form in the uterus's inner lining (myometrium). Submucosal tumors are less frequent than other forms, although they may cause excessive menstrual flow and make it difficult to conceive.
Subserosal tumors that grow a stem (a thin base that supports the tumor) are referred to as pedunculated fibroids.
CASE RECORD
Name: X
Age: 61 yrs female
Registration no. 10995-21
Date of the first visit: 4th may 2021
Chief complaints:
1. Uterine bleeding after menopause.
2. Mental stress.
3. Scanty leucorrhoea
ASSOCIATED COMPLAINTS
Bleeding Offensive and dark colour
Smell like fish and egg
Feeling tightness in uterine region
Stool constipated most of the time
PAST HISTORY
Hypertension – 2020
Abdominal hernia – no operate
Covid positive with HRCT – 5/25
FAMILY HISTORY
Mother – hypertension
OTHER FAMILY MEMBER – hypertension, DM
PHYSICAL GENERALS
Perspiration – profuse in chest region, offensive
Dreams – relative seen who already death
Thermal state – chilly
GYNECOLOGY & OBS. HISTORY
G6P6L4A0
G1- girl death due to spine disorder
G2 – boy, 39yrs, live
G3- boy, 36yrs, live
G4- boy, 36yrs, death due to covid
G5-girl, 35yrs, housewife
LIFE HISTORY
In 2020, 3 family death due to covid
Husband- anger, violent, aggressive
Cannot talk with husband, last year patient argument with husband.
PHYSICAL EXAMINATION
Tongue: clear & moist
Abdomen: Swelling and tenderness in lower abdomen
VITALS
Blood pressure: 130/80 mmHg
Heart rate: 70 beats/min
ANALYSIS OF CASE
Mental Generals: anger, excessive taking, suppressed, thinking of complaints
Physical Generals: chilly patient, hypertensive
Particular: uterine fibroid with bleeding, scanty leucorrhea
EVALUATION OF SYMPTOMS
Anger, excessive taking,
Thinking of complaints
Hypertensive patient
Uterine fibroid with bleeding
Leucorrhea
REPERTORIAL TOTALITY WITH REPERTORISATION
Figure-1
Figure-2
PRESCRIPTION
On first visit phosphorus has been given to the patient in 30 CH potency
FOLLOW UP SHEET
|
DATE |
SYMPTOM |
PRESCRIBED MEDICINE |
|
4 /5/ 2021 |
Uterine fibroid and poylp with
bleeding, leucorrhea |
Rx Phosphorus 200 OD X 3 DAYS SL X TDS X 15 DAYS |
|
20 / 5/2021 |
Scanty bleeding with tightness of
abdomen |
Rx SL X TDS X 15 DAYS |
|
12/6/2021 |
Spotting bleeding, leucorrhea USG shows decrease in size of
fibroid |
Rx phosphorus 200 OD X 3 DAYS SL X TDS X 30 DAYS |
|
8 /7 /2021 |
Spotting bleeding, leucorrhea |
Rx SL X TDS X 15 DAYS |
|
30 /7 /2021 |
Spotting bleeding, leucorrhea USG shows decrease in size of
fibroid and endometrial polyp is not seen |
Rx phosphorus 200 OD X 3 DAYS SL X TDS X 30 DAYS |
|
4 /9/ 2021 |
Spotting bleeding |
Rx SL X TDS X 15 DAYS |
Follow up sheet shows recovery of patients
towards cure as depicted in Table-1
INVESTIGATIONS REPORTS
First ultrasound (16th January 2021)
On the basis of physical symptoms and investigations, uterine fibroid due to mental suppressions was diagnosed and homoeopathic treatment was started.
 |
| Figure-3 First Visit USG Report |
 |
| Figure-4 Third Visit USG Report |
 |
| Figure-5 Fifth Visit USG Report |
Result
28-07-2021: USG report shows recovery of patient towards journey of cure They owing this blessing to God and to Homoeopathy.
References
1.
DC Dutta’s Textbook of Gynecology, 7th Edition
Bibliography
1. https://treatment-for-fibroids.com/fibroids-treatment/treatment-of-fibroids-in-homeopathy/
2.https://www.medclinres.org/open-access/a-case-study-of-efficacy-of-homoeopathic-medicines-in-case-of-infertility-due-to-uterine-fibroid-without-any-surgical-pr.pdf
