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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
AMENORROEA




               Poly
              cystic
             ovaries
HURSUITISM                 OBESITY
Path-physiology of PCOD
                    Hypothalmic-
                    pitutory axis
                    abnormality..



                    Androgen
                     excess


                       chronic
                     anovulation
Physiology of ovulation
Polycystic ovarian disease
Polycystic ovarian disease
Polycystic Ovaries Syndrome
Dr. Nelson Soucasaux , Brazilian        While some authors believe that the
gynecologist                            original or "primary" disorder responsible
                                        for the "polycystic ovaries syndrome" lies at
In different intensities, degrees and
                                        the ovarian level, others believe that it lies
clinical manifestations, the so-        at the hypothalamic-pituitary level. The fact
called "polycystic ovaries              is that, as we have already said, both the
syndrome" constitutes a functional      ovaries and the hypothalamic-pituitary
and hormonal disorder frequently        function are deeply altered, creating a
found in gynecologic practice.          vicious circle. Besides the functional
Though fundamentally caused by          disturbance, the ovaries also exhibit
several alterations in the              considerable histologic and morphologic
functioning of the intricate            alterations, mostly characterized by the
                                        hyperthecosis (hyperplasia of the ovarian
mechanisms of the hypothalamus-
                                        stroma) and the bilateral enlargement of
pituitary-ovaries axis and              these organs. As it was also observed, an
sometimes including disorders in        excessive production of androgens by the
other areas of the endocrine            adrenal glands (hyperandrogenic adrenal
system, gynecology is still insisting   hyperplasia) may also be responsible for
on trying to find out which should      several cases of "polycystic ovaries
be the "ultimate cause" for this        syndrome," and sometimes both conditions
complicated disorder.                   may be associated.
Polycystic ovarian disease
Psycho-neuro-endocrine-ovarian
          pathway….effects and results..




     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.
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
        understanding

psora   sycosis   Tubercular   syphilis
Dr J.H. Allen in his book on chronic
       diseases has describes the evolution of
       all miasm from psora i.e. mental itch.

Mental                                        Physical
plane                                          plane


  psora             sycosis            syphilis


 functional         Proliferatio       Destruction
                     n of tissue        of tissue
psora                                PCOD
                  sycosis
                                 tubercular    syphilis
Psora initially
brings about
  functional         Sycotic
 changes in       miasm brings
 the form of
    neuro
                     about
                  pathological
                                   Tubercula   Mal
                                    r miasm
  hormonal
   pathway
                   changes in
                    OVARIES
                                      adds     ign
  leading to       leading to       bleeding
  hormonal
   changes.
                  formation of       to the    anc
                     CYSTS.           CYST.
                                                y
CLINICAL CASES
    TREATED WITH
  HOMOEOPATHIC
  CONSTITUTIONAL
REMEDY BASED ON THE
          .
   INDIVIDUALITY.
DATE -
CASE -1       14/12/11
 Young female of 26
 yrs, single.

 Assistant professor
 in college.

  Average looking
 , Accompanied with
 her mother.

 Very tearful and
 anxious.
LOCATION       SENSATION          MODALITY          CONCOMITANT
FEMALE          IRREGULAR        A/F ? NO SPECIFIC   HEIGHLY
REPRODUCTIVE    MENSES,          MODALITY.           TEARFULL
SYSTEM          MENSES APPERS IN
Duration- 1yr   2-3                                   GREAT ANXIETY
                MONTHS,SCANTY                        OF HER
                BLEEDING.                            IRREGULAR
                                                     MENSES.
                LMP-16/10/11 for
                3-4 days, scanty                     PIMPLE ON
                bleeding.                            FACE.

                                                     LEUCORROEA,
                                                     LEUCORROEA IN
                                                     PLACE OF
                                                     MENSES˂ DURING
                                                     PASSING STOOL.
(On the basis of clinical
DIAGNOSIS   symptom and USG report)




                        POLY
                        CYSTIC
                        OVARION
                        DISEASE.
Polycystic ovarian disease
1.   APPETIT- GOOD,,VEGETARION
GENERALS OF THE PT.-   2.   THIRST – SCANTY
                       3.   HUNGER- TOLERATED
                       4.   STOOL/URIN- NORMAL
                       5.   PERSPIRATION- AXILLA, OFFENSIVE.
                       6.   THERMALLY- CHILY
                       7.   SLEEP- SOUND
                       8.   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



                  FA.- ? Tumor, got
Small pox.      operated. Mo. – gall
 Dengue.        bladder stone, HTN
               M. GM- brain tumor.
               P. GM-HTN, diabetes.
MIASMETIC ASSESMENT
          OF THE CASE



FUNDAMENTAL         PREDOMINENT
 SYCO + TUB.          SYCOTIC.
Totality of the case
 Weeping while telling of the complaint
       Anxiety about her disease
Irritable specially with family members
              Reserved
          Menses – irregular.
          Menses – delayed .
    Perspiration - offensive , axilla.
             Thirst- scanty
           Thermally –chilly.
            Cyst in ovaries.
Final
 prescription
     Sepia
(as a constitutional remedy.)
Follow- ups
Date      Response                                     Rx

4/1/10 Menses appeared on 2/1/11 for 8 days. Sepia
       leucorrhoea++ weeping++, irritability++, Wkly.

6/2/11   LMP on 30/1/11 for 6 days, no concomitants.   Sepia
          leucorroea throughout the month-- sq         Wkly.
6/3/11   LMP-11/3/11 for 3days, scanty flow.            Tub. 1
         Leucorroea – sq. rt leg pain++.weeping ++     Sepia
3/4/11   LMP-13/4/11 for 5 days. Leucorroea-> ++,      THUJA
         weeping>++, irritability – sq.                Sepia

/6/11    LMP-27/5/11, but leucorroea++-sq, thin,thick, Pulset
Date      Response                              RX
12/7/11   LMP 4/7/11 for 7 days, leucorrhoea >++ sepia 200
          Irritability++, weeping++.             wkly.
                                                 ADVISED FOR
                                                 USG.
27/8/11   HER USG REPORT SHOWED                  RUBRUM 200
                                                 WKLY.
          NO EVIDENCE OF CYSTS IN
          OVARIES. PT INFORMED ME
          THAT HER MARRIAGE GOT
          FIXED AND SHE IS MOVING
          FROM JABALPUR…
Polycystic ovarian disease
Polycystic ovarian disease
Polycystic ovarian disease
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.
Polycystic ovarian disease
Keep smiling……. stay healthy

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Polycystic ovarian disease

  • 1. Polycystic ovarian disease… Role of Homoeopathy Presented by Dr. Shiva Singh
  • 2. Polycystic ovarian disease… as per homoeopathic concept of disease………. its a disease of women not of ovaries…
  • 3. 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..
  • 4. 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.
  • 6. AMENORROEA Poly cystic ovaries HURSUITISM OBESITY
  • 7. Path-physiology of PCOD Hypothalmic- pitutory axis abnormality.. Androgen excess chronic anovulation
  • 11. Polycystic Ovaries Syndrome Dr. Nelson Soucasaux , Brazilian While some authors believe that the gynecologist original or "primary" disorder responsible for the "polycystic ovaries syndrome" lies at In different intensities, degrees and the ovarian level, others believe that it lies clinical manifestations, the so- at the hypothalamic-pituitary level. The fact called "polycystic ovaries is that, as we have already said, both the syndrome" constitutes a functional ovaries and the hypothalamic-pituitary and hormonal disorder frequently function are deeply altered, creating a found in gynecologic practice. vicious circle. Besides the functional Though fundamentally caused by disturbance, the ovaries also exhibit several alterations in the considerable histologic and morphologic functioning of the intricate alterations, mostly characterized by the hyperthecosis (hyperplasia of the ovarian mechanisms of the hypothalamus- stroma) and the bilateral enlargement of pituitary-ovaries axis and these organs. As it was also observed, an sometimes including disorders in excessive production of androgens by the other areas of the endocrine adrenal glands (hyperandrogenic adrenal system, gynecology is still insisting hyperplasia) may also be responsible for on trying to find out which should several cases of "polycystic ovaries be the "ultimate cause" for this syndrome," and sometimes both conditions complicated disorder. may be associated.
  • 13. Psycho-neuro-endocrine-ovarian pathway….effects and results.. 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.
  • 14. 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.
  • 15. EMOTIONS AND LIMBIC SYSTEM
  • 16. Miasmatic understanding psora sycosis Tubercular syphilis
  • 17. Dr J.H. Allen in his book on chronic diseases has describes the evolution of all miasm from psora i.e. mental itch. Mental Physical plane plane psora sycosis syphilis functional Proliferatio Destruction n of tissue of tissue
  • 18. psora PCOD sycosis tubercular syphilis Psora initially brings about functional Sycotic changes in miasm brings the form of neuro about pathological Tubercula Mal r miasm hormonal pathway changes in OVARIES adds ign leading to leading to bleeding hormonal changes. formation of to the anc CYSTS. CYST. y
  • 19. CLINICAL CASES TREATED WITH HOMOEOPATHIC CONSTITUTIONAL REMEDY BASED ON THE . INDIVIDUALITY.
  • 20. DATE - CASE -1 14/12/11 Young female of 26 yrs, single. Assistant professor in college.  Average looking , Accompanied with her mother. Very tearful and anxious.
  • 21. LOCATION SENSATION MODALITY CONCOMITANT FEMALE IRREGULAR A/F ? NO SPECIFIC HEIGHLY REPRODUCTIVE MENSES, MODALITY. TEARFULL SYSTEM MENSES APPERS IN Duration- 1yr 2-3  GREAT ANXIETY MONTHS,SCANTY OF HER BLEEDING. IRREGULAR MENSES. LMP-16/10/11 for 3-4 days, scanty PIMPLE ON bleeding. FACE. LEUCORROEA, LEUCORROEA IN PLACE OF MENSES˂ DURING PASSING STOOL.
  • 22. (On the basis of clinical DIAGNOSIS symptom and USG report) POLY CYSTIC OVARION DISEASE.
  • 24. 1. APPETIT- GOOD,,VEGETARION GENERALS OF THE PT.- 2. THIRST – SCANTY 3. HUNGER- TOLERATED 4. STOOL/URIN- NORMAL 5. PERSPIRATION- AXILLA, OFFENSIVE. 6. THERMALLY- CHILY 7. SLEEP- SOUND 8. 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.
  • 25. Past history Family history FA.- ? Tumor, got Small pox. operated. Mo. – gall Dengue. bladder stone, HTN M. GM- brain tumor. P. GM-HTN, diabetes.
  • 26. MIASMETIC ASSESMENT OF THE CASE FUNDAMENTAL PREDOMINENT SYCO + TUB. SYCOTIC.
  • 27. Totality of the case  Weeping while telling of the complaint Anxiety about her disease Irritable specially with family members Reserved Menses – irregular. Menses – delayed . Perspiration - offensive , axilla. Thirst- scanty Thermally –chilly. Cyst in ovaries.
  • 28. Final prescription Sepia (as a constitutional remedy.)
  • 30. Date Response Rx 4/1/10 Menses appeared on 2/1/11 for 8 days. Sepia leucorrhoea++ weeping++, irritability++, Wkly. 6/2/11 LMP on 30/1/11 for 6 days, no concomitants. Sepia leucorroea throughout the month-- sq Wkly. 6/3/11 LMP-11/3/11 for 3days, scanty flow. Tub. 1 Leucorroea – sq. rt leg pain++.weeping ++ Sepia 3/4/11 LMP-13/4/11 for 5 days. Leucorroea-> ++, THUJA weeping>++, irritability – sq. Sepia /6/11 LMP-27/5/11, but leucorroea++-sq, thin,thick, Pulset
  • 31. Date Response RX 12/7/11 LMP 4/7/11 for 7 days, leucorrhoea >++ sepia 200 Irritability++, weeping++. wkly. ADVISED FOR USG. 27/8/11 HER USG REPORT SHOWED RUBRUM 200 WKLY. NO EVIDENCE OF CYSTS IN OVARIES. PT INFORMED ME THAT HER MARRIAGE GOT FIXED AND SHE IS MOVING FROM JABALPUR…
  • 35. 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.