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Case-4: Remarkable improvement seen in a case of PCOD

A 32 years old female, Miss. S. W. came to our clinic along with her parents. She was a known case of PCOD (Polycystic Ovarian Syndrome) with secondary amenorrhea along with underactive thyroid.

She complained of irregular menses; menses after every 5-6 months for 12- 15 yrs. Her flow was moderate and lasted for 5 days. She was on allopathic medicines which were hormonal treatment given by gynecologist for many years which gave temporary effect.
She was also diagnosed to have under active thyroid as well.
On the account of PCOD she had started developing obesity with weight gain of 8kg in last year.

Physical Characteristics:
She has craving for sweets.
She was having difficulty in sweating.
She had thermals hot , couldn't tolerate heat, needed continuous fan….
Bowels satisfactory.

Family History:
Father- Hypertension
Mother- Hypertension

Investigation Reports:
04-10-08:
TSH: 7.93 increased suggesting hypothyroidism.
T3: 144ng/dl
T4: 7.70µg/dl
LH: 12.08mlU/ml
FSH: 6.05 mlU/ml
Prolactin: 9.05ng/ml
Pelvic sonography: polycystic ovarian disease

Background:
Her family consists of father, mother and one brother. She was very confident, clever and expressive person. Very sincere and hard working, having lots of aim in life. Ambitious. She had focused on her goal and was satisfied to achieve it. She wanted to be top most in her field. She was also reserved and emotional person. Had many friends.
Felt depressed due to her illness.

Case Analysis:
Patient is ambitious, well focused, confident, reserved, thermally hot, craved sweets, with delayed menses and PCOD.

She was prescribed Natrum Mur 200C in repeated doses, as per the demands of the case.

Treatment was started on 23-08-08.

Thuja 200 C was used as an intermittent medicine.

Follow up treatment:
7-10-08:
LMP 13-08-08
She was feeling lethargic, increased sleep

17-12-08:
LMP 18-10-08
Her weakness improved, sleep improved.
Her weight came down to 61 kg.
Her general condition improved.
Her thyroid status done on 13-12-08:
T3:169 ng/dl
T4:10 µg/dl
TSH: 2.13 suggesting thyronormalcy.

16-02-09:
LMP: 05-02-09 5days normal flow.
Tab. Regestrone was taken.
Wt. 63kg

14-04-09:
LMP 05-04-09
No hormonal treatment was given
Wt. 61 kg

01-07-09:
LMP 05-04-09
Wt. 55kg
USG pelvis was done on 13-06-09 suggest normal pelvic sonography.
GC Fair

07-08-09:
LMP 05-07-09 had moderate flow for 5 days.
Wt. 57kg

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