Sep 2011|Vol 8|Iss 9

   
 
Case
 
   
A case of Fibroid Uterus with Ovarian cyst
 

 

Dr.Hafeezullah Baig is an Assistant Director in Homoeopathy.Here he presents a case of Fibroid Uterus with Ovarian cyst. He can be contacted at Drug Standardisation Unit(H), Central council for Research in Homoeopathy, O.U.B No.32 Osmania University, Hyderabad-500007, E mail: drhafeezullahbaig@gmail.com

 
 
 

       A 42 years old female complained of acute pain in right lower abdomen with a feeling of heaviness and tenderness associated with pre menstrual stress one week before periods cyclically since 3 months. And for which she had consulted a gynecologist in March 2010. Ultra sonograph examination revealed bulky uterus with fibroid and right ovarian cyst (Refer Plate Before). She was under allopathic management for 9 months without appreciable improvement. She reported to our clinical unit with the same nature of suffering and intensity, and was treated on Homoeopathic principles and followed up for 6 months resulting in not only total relief in signs and symptoms but also revealed normal Ultra sonographic report.(Refer Plate After)

Chief complaint
• Menstrual pain with heaviness and tenderness before periods since 1 year.

• Premenstrual stress since 1½ year

H/o Present complaint

       A week before periods she complained severe cramping pains in the right lower abdomen with a feeling of heaviness and tenderness and not allowing even to touch, but deep pressure she feels better. Menses scanty and lasts for 2 – 3 days. All problems start a week before periods since 1 year. Complaining of weakness, sadness in the morning with no desire to attend her routine work; heaviness of the body and breast tenderness and swelling, easily fatigued, irritable, headache (pulsating) etc. All these problems start 1 week before periods since 1½ year.

    She feels better to greater extent after commencement of periods.

Past History

Had typhoid fever 10 years back

Family History
Father is hypertensive

Physical generals

• Complexion- Fair
• Appetite-Normal
• Thirst –Normal
• Bowel movements –Constipation, some times c/o loose motions, 2-3 times with ineffectual urge
• Urine – NAD

Mental Generals

• Feel sad in the morning and no desire to attend daily work.
• Jealous of her sister’s family progress.
• Keeps herself busy in performing pooja, observing fast and reading and viewing T.V on religious matters.
• Suspicious of her husband’s relation with housemaid.

Menstrual History

     Attained menarche at the age of 12 years, periods are regular, once in 28 -32 days with 2-3 days flow, scanty discharge. Suffering from pre menstrual stress since 1½ year. Married and has 2 sons, born under caesarean section.

General examination

• Weight : 64 kgs
• B.P: 110/80 mm Hg,
• PR: 70/min
• CVS: NAD
• RS:NAD

Investigation

The ultra sonogram of the abdomen and pelvis – bulky uterus with fibroid (15X15 mm) with right ovarian cyst (40X25 mm) (Refer plate before)

First Prescription                      7/1/11
R/x
     Lachesis 200 1 d, at the commencement of the day of period. S.L-30 days

Follow Up 1                               8/2/11
Menstrual pain, pre menstrual stress reduced to 25%; S.L for 30 days

Follow Up 2                              11/3/11

Menstrual pain, pre menstrual stress slightly increased; Lachesis 1M 1 d, at the close of the periods; S.L-30 days

Follow Up 3                              8/4/11

Menstrual pain, pre menstrual stress reduced to 50%; S.L for 30 days

Follow Up 4                              16/5/11

Menstrual pain, pre menstrual stress reduced to 50%; S.L for 30 days

Follow Up 5                              16/5/11

Menstrual pain and pre menstrual stress completely reduced; S.L-30 days.

Investigation: The ultra sonogram of the abdomen and pelvis – Normal study (Refer plate after)

Discussion and conclusion

     Lachesis was selected on the basis of totality and given in single dose. Literature revealed that a single dose is sufficient when indicated. But present case needed repeated dose in higher potency to attain maximum improvement. Literature also revealed that it acts well at the beginning and at the close of menstruation. This is verified in the present case.