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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
patient had several side-effects due to it. She developed
rashes over the skin and severe withdrawal bleeding, some
times 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:
Patient is Obese.
She has craving for spicy food.
Perspiration is profuse.
Chilly patient: Cant 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. 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:
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.
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
Patient reported on 25-10-06 for 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.
There was some improvement in Acne also.
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