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Case-1: Complete normalization of menses and improvement in acne achieved with homepathy

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16-year-old girl, Miss S. R. (Patient reference number L6436), was brought to the clinic by her mother. She was a known case of PCOD (Polycystic Ovarian Disease) with Secondary Amenorrhea.

She had complaints of irregular menses; menses after every 4 or 5 months. Her menarche was at the age of 13. The flow would be moderate, lasting 5-6 days. She would develop crampy pain in lower abdomen during menses. Hormonal treatment was given initially by a gynecologist, but the patient had several side-effects due to it. She developed rashes on the skin and severe withdrawal bleeding, sometimes lasting for 20 days, due to it. So they discontinued hormonal treatment in 2-3 months and opted for Homoeopathy. On account of the PCOD she had also developed severe obesity since 3 years and she was weighing 70 kilograms when she reported to us.

Since 3 years, she also had complaints of Acne; painful, pustular lesions were present on both cheeks and back. The acne would get worse before and during menses, and more during summer and after taking spicy food.

Physicals Characteristics:
The patient is Obese.
She has craving for spicy food.
Perspiration is profuse.
Chilly patient: Cannot tolerate cold and winter. Requires warm water for bath, requires very less fan.
Constipation.

Family History: History of irregular menses in mother and 2 sisters. Mother had also suffered from Cancer of breast and Uterine cancer for which she had been treated and had recovered.

Investigation Reports:
Sonography of the Abdomen and Pelvis: Poly Cystic Ovarian Disease.
FSH, LH, and Testosterone: Within normal limits.
Lipid Profile: Triglycerides: 168
Blood Sugar Post Prandial: 99
LH: FSH Ratio: HIGH showing signs of PCOD.
Prolactin: 27 ng/ml. [3.5 to 17.9]

Her family consisted of her mother, father, and two sisters. The patient was in the 10th standard when she reported to us. She was a reserved and timid person. She would weep when teased, but would not retaliate. She would not mix easily with others and was shy in front of strangers. She was average in her studies. She was lazy by nature but being the youngest sibling, she was also pampered a lot.

Case Analysis:

The patient is an obese, chilly, reserved, timid and lazy girl with delayed menses and PCOD.

The entire characteristics match with those of the remedy CALCAREA CARB.

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

Treatment was started on 22-1-05

Thuja 200 C was used as an intermittent medicine.

Follow up Treatment:

Cactus 200 was used for Dysmenorrhea as an acute medicine.

The initial response was slow, in the first 5 months, menses appeared only once.

It was attributed to the structural changes in the ovary; the treatment was continued on similar lines. On 15-11-05, the case was re-studied and Pulsatilla was prescribed in 200C potency three times a day along with the previous medication.

Follow Up:

15-11-05: Pulsatilla 200 C tds prescribed
10-12-05: No change noted Pulsatilla 200 C tds continued
25-1-06: Menses appeared on 4-1-06 continue Puls 200 C tds
18-2-06: Menses appeared on 4-2-06 continue Puls 200 C tds
13-3-06: Menses appeared on 4-3-06 continue Puls 200 C tds
10-4-06: Menses appeared on 28-3-06 continue Puls 200 C tds
22-5-06: Menses appeared on 6-5-06 continue Puls 200 C tds
14-6-06: Menses appeared on 23-5-06 continue Puls 200 C tds
1-7-06: Menses appeared on 14-6-06 continue Puls 200 C tds
20-7-06: Menses appeared on 2-7-06 continue Puls 200 C tds
12-8-06: Menses appeared on 3-8-06 continue Puls 200 C tds
25-9-06: Menses appeared on 10 -9-06 continue Puls 200 C tds

The patient reported on 25-10-06 for a complaint of severe pain in abdomen, nausea, and vomiting. She was advised investigations; liver enzymes was normal, sonography of the Abdomen and Pelvis: Normal Sonography findings, no evidence of PCOD.

Thus, there was a complete normalization of menses and Sonography confirmed it.

The weight of the patient on starting treatment was 74 kg.

Weight on 25-9-06 was 69 kg.

Her acne also improved considerably.

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