Polycystic ovarian disease

Polycystic ovarian disease…Role of Homoeopathy

Presented by Dr. Shiva Singh

Polycystic ovarian disease… as per homoeopathic concept of disease………. its a disease of women not of ovaries…

Clinically PCOD has became such a common problem now a days that every 7th or 8th girl appearing in gynac clinics is having PCOD.The major concern of the sufferer are irregular/ delayed menses, obesity and infertility.Most of the pts come to homoeopath after taking long continued hormonal treatment with temporary/ partial relief , sometimes they come after surgical removal of cysts( electro coagulation / laparoscopic laser punctured of cyst)without much relief in previous complaints.Hormonal and surgical management makes the pts internal equilibrium worst because it works like suppressive treatment and disease become complicated and complexed.This happens because of lack of awareness in general population regarding scope of hpathy in such cases..

Introduction PCOD was originally described in 1935 by

stein & leventhal as a syndrome manifested by secondary amenorrhea, hursuitism and obesity associated with enlarged polycystic ovaries

This complex disorder is characterized by excessive androgen production by ovaries which interferes with the growth of ovarian follicles, therefore PCOD is a state of androgen excess and chronic anovulation.

AMENORROEA

HURSUITISM OBESITY

Polycystic

ovaries

AMENORROEA

HURSUITISM OBESITY

Androgen excess

chronic anovulation

Hypothalmic-pitutory axis abnormality..

Path-physiology of PCOD

Physiology of ovulation

Polycystic Ovaries SyndromeDr. Nelson Soucasaux , Brazilian gynecologistIn different intensities, degrees and clinical manifestations, the so-called "polycystic ovaries syndrome" constitutes a functional and hormonal disorder frequently found in gynecologic practice. Though fundamentally caused by several alterations in the functioning of the intricate mechanisms of the hypothalamus-pituitary-ovaries axis and sometimes including disorders in other areas of the endocrine system, gynecology is still insisting on trying to find out which should be the "ultimate cause" for this complicated disorder.

While some authors believe that the original or "primary" disorder responsible for the "polycystic ovaries syndrome" lies at the ovarian level, others believe that it lies at the hypothalamic-pituitary level. The fact is that, as we have already said, both the ovaries and the hypothalamic-pituitary function are deeply altered, creating a vicious circle. Besides the functional disturbance, the ovaries also exhibit considerable histologic and morphologic alterations, mostly characterized by the hyperthecosis (hyperplasia of the ovarian stroma) and the bilateral enlargement of these organs. As it was also observed, an excessive production of androgens by the adrenal glands (hyperandrogenic adrenal hyperplasia) may also be responsible for several cases of "polycystic ovaries syndrome," and sometimes both conditions may be associated.

Emotions initiate, precipitate and aggravates most of the illnesses and the root cause of most of the illnesses

is related to exploitation of emotions… in today's modern life social and psycho-social pressures like

grief ,worries, anxiety,jealosy and stress causes emotional turbulence. Suppression of emotions affects

the limbic system of brain leading to disterbences in psycho-neuro-hormonal axis and ultimatly lresult in imbalance in pitutory and ovarian hormone like FSH

and LH, estrogen and progesterone resulting in formation of cyst in ovaries.

Psycho-neuro-endocrine-ovarian pathway….effects

and results..

CENTER OF EMOTION IN THE BRAIN CAN BE FOUND IN LIMBIC SYSTEM, HERE MOST OF THE EMOTIONS ARE REGULATED

THROUGH RELEASE OF EXCITORY AND INHIBITORY NEUROTRANSMITTERS, THEASE NEUROTRABMITTERS INFLUENCE THE HYPOTHALAMUS WHICH TRANSMITS THE MESSEGES THAT

TRIGGER PHYSICAL RESPONSE.

HRT OR SURGICAL TREATMENT USUALLY MAKE THE HORMONE PRODUCING GLANDS MORE SLUGGISH AS BODY STARTS

DEPENDING ON EXTERNALLY INTRODUCED HORMONE WHICH CAUSES UNWANTED SIDE EFFECTS.

HOMEOPATHY ON THE CONTRARY ACTS ON HYPOTHALAMUS AND PITUTORY GLANDS THROUGH PSYCHO-NEURO-HORMONAL AXIS TO PRODUCE THE REQUIRED AMOUNT OF HORMONES THUS BRINGING

THE EQUILIBRIUM FROM THE ORIGION.

SIGMUND FREUD --- PSYCHOLOGICAL CAUSES OF ILLNESS ARE THE KEY IN UNDERSTANDING AND TREATING THE PHYSICAL ILLNESS.

EMOTIONS AND

LIMBIC SYSTEM

Miasmatic understandi

ng

psorasycosi

sTubercula

rsyphili

s

Dr J.H. Allen in his book on chronic diseases has

describes the evolution of all miasm from psora i.e. mental

itch.

psora sycosis syphilis

Mental plane

Physical plane

functional

Proliferation of tissue

Destruction of tissue

PCOD

Psora initially brings about

functional changes in the form of

neuro hormonal pathway

leading to hormonal changes.

Sycotic miasm brings

about pathological changes in OVARIES

leading to formation of

CYSTS.

Malignancy

Tubercular miasm

adds bleeding

to the CYST.

psorasycosi

stubercul

arsyphili

s

.

CLINICAL CASES TREATED WITH HOMOEOPATHIC

CONSTITUTIONAL REMEDY BASED ON THE INDIVIDUALITY.

CASE -1

Young female of 26 yrs, single.

Assistant professor in college.

Average looking , Accompanied with her mother.

Very tearful and anxious.

DATE -14/12/11

LOCATION SENSATION MODALITY CONCOMITANT

FEMALE REPRODUCTIVE SYSTEMDuration- 1yr

IRREGULAR MENSES,MENSES APPERS IN 2-3 MONTHS,SCANTY BLEEDING.

LMP-16/10/11 for 3-4 days, scanty bleeding.

A/F ? NO SPECIFIC MODALITY.

HEIGHLY TEARFULL

GREAT ANXIETY OF HER IRREGULAR MENSES.

PIMPLE ON FACE.

LEUCORROEA, LEUCORROEA IN PLACE OF MENSES˂ DURING PASSING STOOL.

(On the basis of clinical symptom and USG report)

POLYCYSTIC OVARION DISEASE.

DIAGNOSIS

GENERALS OF THE PT.-1. APPETIT- GOOD,,VEGETARION2. THIRST – SCANTY3. HUNGER- TOLERATED4. STOOL/URIN- NORMAL5. PERSPIRATION- AXILLA, OFFENSIVE.6. THERMALLY- CHILY7. SLEEP- SOUND8. HABBIT- NIL.

EMOTIONAL NATURE- 1. TEARFUL, WEEPING WHIL TELLING HER COMPLAINTS.

2. IRRITABLE, SPECIALLY WITH FAMILY MEMBERS/MO.

3. GREAT ANXIETY ABOUT FUTURE ASPECTS OF HER SUFFERING.

4. NEGATIVE THIKING.5. RESERVED.6. STOP TALKING WHEN ANGRY.

Past history Family history

Small pox.Dengue.

FA.- ? Tumor, got operated. Mo. – gall bladder stone, HTN

M. GM- brain tumor.P. GM-HTN, diabetes.

MIASMETIC ASSESMENT OF THE CASE

FUNDAMENTALSYCO + TUB.

PREDOMINENTSYCOTIC

.

Weeping while telling of the complaint

Anxiety about her diseaseIrritable specially with family

membersReserved

Menses – irregular.Menses – delayed .

Perspiration - offensive , axilla.Thirst- scanty

Thermally –chilly.Cyst in ovaries.

Totality of the case

Final prescription

Sepia

(as a constitutional remedy.)

Follow- ups

Date Response Rx

14/1/10 Menses appeared on 2/1/11 for 8 days. leucorrhoea++ weeping++, irritability++,

Sepia 200Wkly.

16/2/11 LMP on 30/1/11 for 6 days, no concomitants. leucorroea throughout the month-- sq

Sepia 200Wkly.

16/3/11 LMP-11/3/11 for 3days, scanty flow.Leucorroea – sq. rt leg pain++.weeping ++

Tub. 1MSepia 200.

23/4/11 LMP-13/4/11 for 5 days. Leucorroea-> ++, weeping>++, irritability – sq.

THUJA 1MSepia 200.

7/6/11 LMP-27/5/11, but leucorroea++-sq, thin,thick, yelowish, dirty green, changeable in charactr.

Pulsetilla200, 3daysSepia 2oo wkly.

Date Response RX

12/7/11 LMP 4/7/11 for 7 days, leucorrhoea >++ Irritability++, weeping++.

sepia 200 wkly. ADVISED FOR USG.

27/8/11 HER USG REPORT SHOWED NO EVIDENCE OF CYSTS IN OVARIES. PT INFORMED ME THAT HER MARRIAGE GOT FIXED AND SHE IS MOVING FROM JABALPUR…

RUBRUM 200 WKLY.

Conclusion

As per homeopathic philosophy it is the person as a whole who is sick even if his/her particular organ appears to be sick by the disease. The person therefore has to be treated holistically or as per modern point of view as psycho-somatically. Such approach not only removes the effect of disease/ pathology but also annihilates the cause of disease.

Keep smiling……. stay healthy