Polycystic ovarian disease

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Polycystic ovarian disease

  1. 1. Polycystic ovariandisease…Role of Homoeopathy Presented by Dr. Shiva Singh
  2. 2. Polycystic ovariandisease… as perhomoeopathicconcept ofdisease………. its adisease of women notof ovaries…
  3. 3. Clinically PCOD has became such a common problemnow a days that every 7th or 8th girl appearing in gynacclinics 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 longcontinued hormonal treatment with temporary/ partialrelief , sometimes they come after surgical removal ofcysts( electro coagulation / laparoscopic laserpunctured of cyst)without much relief in previouscomplaints.Hormonal and surgical management makes the ptsinternal equilibrium worst because it works likesuppressive treatment and disease becomecomplicated and complexed.This happens because of lack of awareness in generalpopulation regarding scope of hpathy in such cases..
  4. 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. 5. AMENORROEAHURSUITISM OBESITY
  6. 6. AMENORROEA Poly cystic ovariesHURSUITISM OBESITY
  7. 7. Path-physiology of PCOD Hypothalmic- pitutory axis abnormality.. Androgen excess chronic anovulation
  8. 8. Physiology of ovulation
  9. 9. Polycystic Ovaries SyndromeDr. Nelson Soucasaux , Brazilian While some authors believe that thegynecologist original or "primary" disorder responsible for the "polycystic ovaries syndrome" lies atIn different intensities, degrees and the ovarian level, others believe that it liesclinical manifestations, the so- at the hypothalamic-pituitary level. The factcalled "polycystic ovaries is that, as we have already said, both thesyndrome" constitutes a functional ovaries and the hypothalamic-pituitaryand hormonal disorder frequently function are deeply altered, creating afound in gynecologic practice. vicious circle. Besides the functionalThough fundamentally caused by disturbance, the ovaries also exhibitseveral alterations in the considerable histologic and morphologicfunctioning of the intricate alterations, mostly characterized by the hyperthecosis (hyperplasia of the ovarianmechanisms of the hypothalamus- stroma) and the bilateral enlargement ofpituitary-ovaries axis and these organs. As it was also observed, ansometimes including disorders in excessive production of androgens by theother areas of the endocrine adrenal glands (hyperandrogenic adrenalsystem, gynecology is still insisting hyperplasia) may also be responsible foron trying to find out which should several cases of "polycystic ovariesbe the "ultimate cause" for this syndrome," and sometimes both conditionscomplicated disorder. may be associated.
  10. 10. 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 relatedto exploitation of emotions… in todays modern life social andpsycho-social pressures like grief ,worries, anxiety,jealosy andstress causes emotional turbulence. Suppression of emotions affects the limbic system of brain leading to disterbences inpsycho-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.
  11. 11. CENTER OF EMOTION IN THE BRAIN CAN BE FOUND IN LIMBICSYSTEM, 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 ANDPITUTORY GLANDS THROUGH PSYCHO-NEURO-HORMONAL AXIS TOPRODUCE 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.
  12. 12. EMOTIONS AND LIMBIC SYSTEM
  13. 13. Miasmatic understandingpsora sycosis Tubercular syphilis
  14. 14. Dr J.H. Allen in his book on chronic diseases has describes the evolution of all miasm from psora i.e. mental itch.Mental Physicalplane plane psora sycosis syphilis functional Proliferatio Destruction n of tissue of tissue
  15. 15. psora PCOD sycosis tubercular syphilisPsora initiallybrings 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
  16. 16. CLINICAL CASES TREATED WITH HOMOEOPATHIC CONSTITUTIONALREMEDY BASED ON THE . INDIVIDUALITY.
  17. 17. 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.
  18. 18. LOCATION SENSATION MODALITY CONCOMITANTFEMALE IRREGULAR A/F ? NO SPECIFIC HEIGHLYREPRODUCTIVE MENSES, MODALITY. TEARFULLSYSTEM MENSES APPERS INDuration- 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.
  19. 19. (On the basis of clinicalDIAGNOSIS symptom and USG report) POLY CYSTIC OVARION DISEASE.
  20. 20. 1. APPETIT- GOOD,,VEGETARIONGENERALS 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.
  21. 21. Past history Family history FA.- ? Tumor, gotSmall pox. operated. Mo. – gall Dengue. bladder stone, HTN M. GM- brain tumor. P. GM-HTN, diabetes.
  22. 22. MIASMETIC ASSESMENT OF THE CASEFUNDAMENTAL PREDOMINENT SYCO + TUB. SYCOTIC.
  23. 23. 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.
  24. 24. Final prescription Sepia(as a constitutional remedy.)
  25. 25. Follow- ups
  26. 26. Date Response Rx4/1/10 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 ++ Sepia3/4/11 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
  27. 27. Date Response RX12/7/11 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…
  28. 28. 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.
  29. 29. Keep smiling……. stay healthy

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