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She gazes at the
calendar. Almost that
time of the month again
and dread overwhelms
her. The pain so
unbearable it cuts to
her very soul. Doctors
have told her it is as
close to labour pains as
she may ever come.
Those words alone cut
more deeply than the
surgeon's knife they
have suggested.

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HOW IT LOOKS USG

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 Symptoms of PCOS
Common symptoms of PCOS include the following:
 Menstrual disorder: PCOS mostly produces oligomenorrhea(few menstrual
periods) or amenorrhea(no menstrual periods), but other types of menstrual
disorders may also occur.
 Infertility This generally results directly from chronic anovulation (lack of
ovulation).[9]
 High levels of masculinizing hormones: The most common signs are acne
and hirsutism (male pattern of hair growth), but it may produce
hypermenorrhea (heavy and prolonged menstrual periods), androgenic
alopecia (increase hair thinning or diffuse hair loss), or other
symptoms.Approximately three-quarters of people with PCOS (by the
diagnostic criteria of NIH/NICHD 1990) have evidence of
hyperandrogenemia
 Metabolic syndrome This appears as a tendency towards central obesity and
other symptoms associated with insulin resistance.Serum insulin ,insulin
resistance, and homocysteine levels are higher in women with PCOS.

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 HOMOEOPATHIC APPROACH
Homeopathy is a system of medicine with holistic
approach.
PCOS/PCOD is one disease in which homeopathy
remedies are taken for treatment.
Conventional medicine or treatments have severe
side effects that make people sceptical to go ahead
with it.
 For such reasons, they find homeopathic treatment
as a simple and effective solution.

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HOMOEOPATHIC APPROACH
 Infertility is a multidimensional problem in which the couples
are more affected mentally than the physical complaints.
Therefore the more emphasis is given on educating the couple
and psychological counselling along with the homeopathic
medicinal treatment.
 Problems faced by the infertile couples
1) Medical problems – faced by either or both the partners.
2) Social problems – such as superstitions, misbelieves
3) Psychological problems – such as anxiety, apprehension,
embracement etc...
4) Antisocial habits – such as smoking, drinking etc…
5) Problems in interpersonal relationship
6) Psychosexual problems

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HOMOEOPATHIC APPROACH

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 ROLE OF CASE TAKING
 ANAEMIA
 Drugs indicated for anaemia are – Pulsatilla, nat mur , ferrum phos, china etc..

PHYSICAL FEATURES PERTAINING TO VARIOUS

ENDOCRINOPATHIES
 Hormonal imbalance
 Hirsuitism
 Galactorrhoea

Drugs indicated are – nat mur, throidinum, iodum,

phytolacca etc.. 

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 CASE
D.O.C -9/4/1014
Miss K.S.B. HINDU-BRAHMIN
 AGE 19yrs ,
 Eggeterian
Father 50yrs Professor commerce college ,
Mother 43yrs housewife ,
Brother 12 yrs old .

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 Patient as a person
Structure :- DELICATE , 4.2’. weight 48kg, height-
152cm, fair skin – face :- multiple moles ,rough with
acne . Hirsutism . dark hair, nails –white spots ridged
nails,long dark black eyelashes
craving -farinacious, spicy
aversion – milk,sour, pungent
stools – hard , constipated whenever she travels out.
Perspiration cold in extremities,
Thermals :- C2H3
Sleep deep has to be w0ken up ,position on abdomen.
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Past history and family history
Recurrent cold and coryza.
5yrs old- tonsillitis treated by homoeopathy.
History of worms infestations.
MENARCHE IN 8TH STANDARD 13 yrs of age.

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 Family history
F/H:-
PATERNAL GRANDFATHER-CA TONGUE
PATERNAL AND MATERNAL GRAND MOTHER-CA
BREAST AND DM
FATHER-DIABETES ON OHA
MOTHER -OBESITY

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 Life space
A delicate melancholic female came to clinic with
complaint of her acne and hair fall with known case of
PCOD on her USG report which said she has bulky
ovaries suggesting of PCOD (dated20/4/11)
Investigation :-hb% 13.8,CBC:-WNL,INCREASE
LEVELS OF PROG.,PROLACTIN,L.H
Initially wanted Homoeopathy for her hair growth
and acne to improve as was very conscious about it.

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As her confidence grew she confided her story.
Very pampered childhood by her mother as only
daughter,ery delicate ,calm,quiet in nature, was very
intelligent.
Very submissive and timid since in childhood.
Father was very strict with her. Had fear of father since
childhood as would reprimand her whenever she was in
fault.
Had liked a boy in 10th standered. Boy left her because of
family disapprovl of the girl.
Very hardworking sincere girl. Would help everyone .
Likes to do all her work in very fasdidious manner.
Mature girl to her age.
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Mother revealed that she cried a lot after the break up as she
was very attached to him.
 Reserved obedient girl. Likes to travel in scenic beauty,going
treks,playing dhol and tasha in every ganesh festival.
Very religious and sympathetic toward needy and poor people.
Intellegent girl can score 90% but scores 78% in PCB because of
laziness.
She was adviced again a usg which revealedon 21/5/2014
endometrium thickness -10mm ,both ovaries bulky,multiple
tiny cyst,
Right kidney-calculi-4mm,left kidney calculi-3mm-4mm
Impression bilateral renal calculi and PCOD

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 CHIEF COMPLAINT
Location Sensation Modalities Concomitant
Abdomen Dull Pain Burning in
LUMBAR micturation ,occ. Very
Since 2 -3 months dark urine
LMP SHE DOSENT
REMEMBER ,SAYS
MORE THAN 2-3
MONTHS
Hypogastric region, since S/o Griping, < BEFORE MENSES Weeping
a year Cutting, >warm application &
Warm bath
Pain and
Heaviness
Face Eruptions popular <before menses Hair fall in
Cheek Reddish <constipation bunches<combing
Chin Nodular Oily greasy scalp
Since 4-5months Painful
Acne rosasea
F.G.O PCOD
Menses FLOW SCANTY Pruritis vulva
LMP 7/4/2014 PALE-PINK <night Restless
<Slight movement Heaviness leg
Burning micturation
Breast tenderness

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Remed Aur-m-
Lyc Puls Lach Sep Bufo Nux-v Staph Plat Thuj Bell Calc
y Name n
Totality 28 23 22 21 18 18 18 18 18 17 17 17
Sympto
ms
8 7 7 6 7 6 6 6 5 7 6 6
Covere
d
Kingdo
                       
m
[Compl
ete ]
[Mind]
Weepin 4 4 4 4 4 4 4 4 4 4 4 4
g,
tearful
mood:
[Compl
ete ]
[Mind] 4 4 3   1 1 3   4 3    
Fastidio
us:
[Compl
ete ]
[Mind]
Yieldin 4 4 1   3   3 1   3    
g
disposit
ion:
[Compl
ete ]
[Mind]
Love:D
isappoi
ntment,   3 4 3 1 3 2 4     3  
unhapp DUBAI SEMINAR 2015 22
Remedy
Med Nat-m Phos Sulph Apis Carc Con Canth Sil Ph-ac Acon Aur
Name
Totality 16 16 16 16 16 15 15 15 15 15 14 14
Symptoms
6 6 6 6 5 7 7 6 6 5 6 6
Covered
Kingdom                        
[Complete
]
[Mind]Wee
4 4 4 4 4 4 4 3 4 4 4 4
ping,
tearful
mood:
[Complete
]
1 3 1 3   4 1   1     1
[Mind]Fast
idious:
[Complete
]
[Mind]Yiel
  1 1     1     3 3    
ding
disposition
:
[Complete
]
[Mind]Lov
e:Disappoi
  4 3 3 1 3 3     4 3 4
ntment,
unhappy,
ailments
from, agg.:
[Complete
] [Female
4 3 4 4 4 1 4 4 3 3 4 3
Genitalia]
Ovaries:
[Complete
] [Female
Genitalia]T 3     1 4 1 1 2 1 1 1 1
umors:Ova
ries:
[Complete
] [Female
Genitalia]T3    
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2015
1 1 1       1
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REMEDIES
CONSTITUTIONAL :-PULSATILLA-
TIMID,WEEPING YEILDING DISPOSITION WITH
PAIN,
INTERCURRENT :- CARCINOCIN :- STRONG
FAMILY HISTROY OF CANCER , FASTIDIOUS
DELICATE MELANCHOLIC,WORMS,
BIOCHEMIC-MAG-PHOS.
SPECIFIC-BERBERIS AQI Q,CALENDULAQ
BERBERIS VULGARIS Q

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DATE COMPLAINT REMEDY
21/5/14 FIRST PRESCRIPTON Carcinocin 1M 1 dose stat.
Followed by Pulsatilla 30 BD
Berberis aquifolium and
calendula mother tincture for
face application Berb.vul.Q
27/6/14 MENSES APPEARED , weeps EASILY SL BD
Dull Pain in abdomen Mag phos 12X , 4 tds for 5
Pimples , hair fall less days.for pain
Constipation better

7/7/2014 No complaints. FEELS MUCH BETTER NOW . OOFORIUM 200 BD FOR 5

DAYS.
28/8/2014 discomfort and bloating sensation in abdomen pulsatilla 200 6 powders
Hair fall , given to take bd for 3 days.
CONSTPATION

6/9/2014 Menses appeared SL BD

Flow normal.
Acne much better
No hairfall
15/9/2014 BETTER OVERALL. WEIGHT 50KG OOPHORINUM 200
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13/10/2014 Menses appear. SL
22/10/2014 No complaints Oophorinum 200

19/11/2014 MENSES APPEAR Mag phos 12X

STRESS OF EXAMS
28/11/2014 BETTER SL
Advise sonography

20/12/2014 MENSES APPEAR SL

16/12/2008 USG report SL

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 CONCLUSION
It will be too premature to discuss the further
prognosis of this case we have to keep our fingers
crossed and pray god for the best FOR HER FUTURE .
I leave along with this enigma of such cases of PCOS
in the hands of hom0eopaths.
Until there is cure for PCOD she can hope to achieve
is an uneasy truce with her disorder.

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Bibliography
 
1. Shaw’s textbook of Gynaecology.
2. Textbook of Obstetrics by Dutta.
3. Gynaecology Illustrated by David McKay Hart,Jane Norman 5 th edition.
4. Obstetrics and Gynaecology for post-graduates by S.S.Ratnam ,K.Bhaskar Rao,
S.Arulkumaran.
5. Clinical Gynaecology by James C Wood.
6. Clinical Gynaecology by Tindall.
7. Principles of anatomy and physiology by Tortora ,Garard J.
8. Francs Vermulen Materia Medica.
9. Allen’s Keynotes
10. Farrington’s Clinical Materia Medica
11. Boericke’s Materia Medica.
12. Kent’s Repertory.
13. Murphy’s Repertory
14. Repertory on uterine therapeutics by Morgan.
15. www.endometriosis.org.

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