polycystic ovarian disease
TRANSCRIPT
![Page 1: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/1.jpg)
Polycystic ovarian disease…Role of Homoeopathy
Presented by Dr. Shiva Singh
![Page 2: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/2.jpg)
Polycystic ovarian disease… as per homoeopathic concept of disease………. its a disease of women not of ovaries…
![Page 3: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/3.jpg)
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..
![Page 4: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/4.jpg)
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.
![Page 5: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/5.jpg)
AMENORROEA
HURSUITISM OBESITY
![Page 6: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/6.jpg)
Polycystic
ovaries
AMENORROEA
HURSUITISM OBESITY
![Page 7: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/7.jpg)
Androgen excess
chronic anovulation
Hypothalmic-pitutory axis abnormality..
Path-physiology of PCOD
![Page 8: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/8.jpg)
Physiology of ovulation
![Page 9: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/9.jpg)
![Page 10: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/10.jpg)
![Page 11: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/11.jpg)
Polycystic Ovaries SyndromeDr. Nelson Soucasaux , Brazilian gynecologistIn different intensities, degrees and clinical manifestations, the so-called "polycystic ovaries syndrome" constitutes a functional and hormonal disorder frequently found in gynecologic practice. Though fundamentally caused by several alterations in the functioning of the intricate mechanisms of the hypothalamus-pituitary-ovaries axis and sometimes including disorders in other areas of the endocrine system, gynecology is still insisting on trying to find out which should be the "ultimate cause" for this complicated disorder.
While some authors believe that the original or "primary" disorder responsible for the "polycystic ovaries syndrome" lies at the ovarian level, others believe that it lies at the hypothalamic-pituitary level. The fact is that, as we have already said, both the ovaries and the hypothalamic-pituitary function are deeply altered, creating a vicious circle. Besides the functional disturbance, the ovaries also exhibit considerable histologic and morphologic alterations, mostly characterized by the hyperthecosis (hyperplasia of the ovarian stroma) and the bilateral enlargement of these organs. As it was also observed, an excessive production of androgens by the adrenal glands (hyperandrogenic adrenal hyperplasia) may also be responsible for several cases of "polycystic ovaries syndrome," and sometimes both conditions may be associated.
![Page 12: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/12.jpg)
![Page 13: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/13.jpg)
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.
Psycho-neuro-endocrine-ovarian pathway….effects
and results..
![Page 14: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/14.jpg)
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.
![Page 15: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/15.jpg)
EMOTIONS AND
LIMBIC SYSTEM
![Page 16: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/16.jpg)
Miasmatic understandi
ng
psorasycosi
sTubercula
rsyphili
s
![Page 17: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/17.jpg)
Dr J.H. Allen in his book on chronic diseases has
describes the evolution of all miasm from psora i.e. mental
itch.
psora sycosis syphilis
Mental plane
Physical plane
functional
Proliferation of tissue
Destruction of tissue
![Page 18: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/18.jpg)
PCOD
Psora initially brings about
functional changes in the form of
neuro hormonal pathway
leading to hormonal changes.
Sycotic miasm brings
about pathological changes in OVARIES
leading to formation of
CYSTS.
Malignancy
Tubercular miasm
adds bleeding
to the CYST.
psorasycosi
stubercul
arsyphili
s
![Page 19: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/19.jpg)
.
CLINICAL CASES TREATED WITH HOMOEOPATHIC
CONSTITUTIONAL REMEDY BASED ON THE INDIVIDUALITY.
![Page 20: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/20.jpg)
CASE -1
Young female of 26 yrs, single.
Assistant professor in college.
Average looking , Accompanied with her mother.
Very tearful and anxious.
DATE -14/12/11
![Page 21: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/21.jpg)
LOCATION SENSATION MODALITY CONCOMITANT
FEMALE REPRODUCTIVE SYSTEMDuration- 1yr
IRREGULAR MENSES,MENSES APPERS IN 2-3 MONTHS,SCANTY BLEEDING.
LMP-16/10/11 for 3-4 days, scanty bleeding.
A/F ? NO SPECIFIC MODALITY.
HEIGHLY TEARFULL
GREAT ANXIETY OF HER IRREGULAR MENSES.
PIMPLE ON FACE.
LEUCORROEA, LEUCORROEA IN PLACE OF MENSES˂ DURING PASSING STOOL.
![Page 22: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/22.jpg)
(On the basis of clinical symptom and USG report)
POLYCYSTIC OVARION DISEASE.
DIAGNOSIS
![Page 23: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/23.jpg)
![Page 24: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/24.jpg)
GENERALS OF THE PT.-1. APPETIT- GOOD,,VEGETARION2. THIRST – SCANTY3. HUNGER- TOLERATED4. STOOL/URIN- NORMAL5. PERSPIRATION- AXILLA, OFFENSIVE.6. THERMALLY- CHILY7. SLEEP- SOUND8. 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.
![Page 25: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/25.jpg)
Past history Family history
Small pox.Dengue.
FA.- ? Tumor, got operated. Mo. – gall bladder stone, HTN
M. GM- brain tumor.P. GM-HTN, diabetes.
![Page 26: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/26.jpg)
MIASMETIC ASSESMENT OF THE CASE
FUNDAMENTALSYCO + TUB.
PREDOMINENTSYCOTIC
.
![Page 27: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/27.jpg)
Weeping while telling of the complaint
Anxiety about her diseaseIrritable specially with family
membersReserved
Menses – irregular.Menses – delayed .
Perspiration - offensive , axilla.Thirst- scanty
Thermally –chilly.Cyst in ovaries.
Totality of the case
![Page 28: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/28.jpg)
Final prescription
Sepia
(as a constitutional remedy.)
![Page 29: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/29.jpg)
Follow- ups
![Page 30: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/30.jpg)
Date Response Rx
14/1/10 Menses appeared on 2/1/11 for 8 days. leucorrhoea++ weeping++, irritability++,
Sepia 200Wkly.
16/2/11 LMP on 30/1/11 for 6 days, no concomitants. leucorroea throughout the month-- sq
Sepia 200Wkly.
16/3/11 LMP-11/3/11 for 3days, scanty flow.Leucorroea – sq. rt leg pain++.weeping ++
Tub. 1MSepia 200.
23/4/11 LMP-13/4/11 for 5 days. Leucorroea-> ++, weeping>++, irritability – sq.
THUJA 1MSepia 200.
7/6/11 LMP-27/5/11, but leucorroea++-sq, thin,thick, yelowish, dirty green, changeable in charactr.
Pulsetilla200, 3daysSepia 2oo wkly.
![Page 31: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/31.jpg)
Date Response RX
12/7/11 LMP 4/7/11 for 7 days, leucorrhoea >++ Irritability++, weeping++.
sepia 200 wkly. ADVISED FOR USG.
27/8/11 HER USG REPORT SHOWED NO EVIDENCE OF CYSTS IN OVARIES. PT INFORMED ME THAT HER MARRIAGE GOT FIXED AND SHE IS MOVING FROM JABALPUR…
RUBRUM 200 WKLY.
![Page 32: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/32.jpg)
![Page 33: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/33.jpg)
![Page 34: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/34.jpg)
![Page 35: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/35.jpg)
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.
![Page 36: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/36.jpg)
![Page 37: Polycystic ovarian disease](https://reader036.vdocuments.mx/reader036/viewer/2022062405/5551c783b4c905c2388b463d/html5/thumbnails/37.jpg)
Keep smiling……. stay healthy