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.

5. AMENORROEA
HURSUITISM OBESITY

6. AMENORROEA
Poly
cystic
ovaries
HURSUITISM OBESITY

7. Path-physiology of PCOD
Hypothalmic-
pitutory axis
abnormality..
Androgen
excess
chronic
anovulation

8. Physiology of ovulation

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.)

29. Follow- ups

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.

37. Keep smiling……. stay healthy