A case of Hemorrhagic

ovarian cyst treated with

homoeopathy
Dr Sandhya Rastogi , MD( HOM)
Lecturer
Dr B R Sur Homoeopathic Medical
College & hospital Govt of NCT of Delhi

ABSTRACT

Hemorrhagic ovarian cyst (HOC) is an adnexal mass formed because of occurrence of

bleeding into a follicular cyst . Hemorrhagic cysts are commonly seen in clinical practice
because hemorrhage into a cyst is usually painful, triggering the patient to consult her
physician.

It is one of the many common diseases found in middle aged females. The disease in which
surgery is thought to be a common solution. But indiscriminate and hasty decision of
removal of ovaries in cases of hemorrhagic cysts does more harm than good, since in
Homeopathy we consider each case unique and treat patient behind the Ovarian Cyst. A
case of Hemorrhagic ovarian cyst was cured with homoeopathy which proves once again
that not everything can be solved using a scalpel; as our master Dr. Hahnemann suggested,
there is always a gentler, faster and more subtle way of curing diseases.

INTRODUCTION

Hemorrhagic ovarian cyst (HOC) is an adnexal mass formed because of occurrence of

bleeding into a follicular or corpus luteum cyst . Hemorrhagic cysts are commonly seen in
clinical practice because hemorrhage into a cyst is usually painful, triggering the patient to
consult her physician. They can present with variable clinical symptoms and signs ranging
from no symptoms up to acute abdominal pain.

Most of Hemorrhagic ovarian cyst are functional, few of them can be neoplastic but they are
universally benign. Surgical intervention may be indicated in cases of large cysts greater
than 5 cm in diameter, severe persistent abdominal pain, failure of the cyst to resolve
spontaneously, masses that cannot be confirmed to be benign by ultrasound criteria and
finally occurrence of complications such as rupture and ovarian torsion may indicate the
surgical intervention.

CASE

A short fair, thin woman, 42 years of age came to OPD of Dr B R Sur Homoeopathic
medical college with a complaint of irregular delayed menses with Right ovarian hemorrhagic
cyst. She has a complaint of pain in hypochondria with bloated feeling, weakness, vertigo
and oedema in lower limb. Leucorrhoea is profuse and acrid. All complaints aggravated
before menses. Menses are irregular, delayed by 2-3 months with strong smell in discharge.
Constipation present before and during menses. Regarding mental state, she said she
always like to be in company. She is mild, does her household work very neatly. She is
sincere about her duties toward family. Intellect and memory is good. She has increased
thirst. Increased perspiration more on palms and soles. Desire and aversion is not specific.

On examination it was found that she had no systemic problem; fair complexion, thin built,
weight 45 kg with height 152cm

In USG 29/03/15 Rt ovarian Hemorrhagic cyst 43.3 x24.4 mm

Complete repertory ( hompath Zomeo version) was referred for repertorization of the case.

Repertorisation Sheet – Zomeo

Physician Name : Dr. SANDHYA RASTOGI , Patient Name : Mrs. Annu

Remedy Nu Na Gr
Ka Se Sul Ca Ar Ly Pul La Nit- Pla
Sil x- t- ap
li-c p ph lc s c s ch ac t
v m h

Totality 35 33 31 30 27 27 27 25 24 24 23 23 23 23

Symptoms Covered 11 11 10 12 11 10 9 7 9 9 9 9 9 7

[Complete ] [Female
Genitalia]Tumors:Cysts: 0 0 0 0 1 0 1 3 0 0 1 3 1 4
Ovaries:

[Complete ]
4 1 4 3 3 2 4 4 4 4 0 0 3 1
[Mind]Mildness:

[Complete ]
[Mind]Company:Desire 1 4 3 1 3 3 4 4 1 3 1 1 1 0
for:

[Complete ]
1 3 1 3 0 3 3 4 3 4 3 0 0 4
[Mind]Fastidious:

[Complete ]
[Extremities]Perspiratio 4 3 1 3 3 0 1 0 3 3 0 0 4 0
n:Feet:Soles:
 [Complete ]
[Extremities]Perspiratio 4 3 4 4 4 4 0 3 1 1 0 0 2 0
n:Hands:Palms:

[Complete ]
4 4 4 4 4 4 4 4 4 4 4 4 4 4
[Stomach]Thirst:

[Complete ] [Female
Genitalia]Menses:Late,
3 0 0 2 0 0 0 0 0 0 0 4 0 0
too:Two or three
months later:

[Complete ] [Female
Genitalia]Menses:Offens 3 3 3 3 1 1 4 0 0 1 1 3 1 3
ive:

[Complete ]
[Rectum]Constipation:M 4 4 0 1 1 1 0 0 1 0 3 3 0 0
enses:Before:

[Complete ]
[Rectum]Constipation:M 4 4 4 2 1 3 0 0 4 1 4 1 0 4
enses:During:

[Complete ] [Female
Genitalia]Leucorrhea:Off 3 1 4 3 3 4 3 0 0 0 3 3 4 0
ensive:

[Complete ]
[Blood]Anemia:Producti
0 3 3 1 3 2 3 3 3 3 3 1 3 3
on of red blood cells
impaired:

Silicea was selected after considering the mental generals, physical generals and particular

date Symptoms prescription

6/5/15 LMP: 2 April 2015 vaginal discharge Sil 30 QID for 3 day /week
present with strong smell bet menses
Pain in hypochondria, bloated feeling
constipation
13/5/15 Pain in lower abd present Sil 30 QID for 3 day /week
6/6/15 Lmp 2 April Pain in lower abd present Puls Q 10 drop Qid for 3
constipation weeknees, leaucorrhoea days
present
16/7/15 LMP 1 July20015 only for 2 days, vaginal Sil 30 QID for 3 day /week
discharge present but no smell
29/10/15 USG 27/10/15 Rt ovarian Hemorrhagic cyst Sil 30 QID for 3 day /week
2 x 1118 and No blood found in cyst
18/11/15 LMP 6/11/15 menses for 2 days Sil 30 QID for 3 day /week
constipation better during menses
9/2/16 LMP 29/12/15 very mild pain during menses Sil 30 QID for 3 day /weekv

12/4/16 Menses are regular no pain during menses Sil 30 QID for 3 day /week

9/8/16 Feeling better looking very happy

Both the ovaries are normal in size
USG 8/8/16 Normal scan
 USG 27/10/15 Rt ovarian Hemorrhagic Both the ovaries are normal in size
cyst 22 x18 mm unilocular cyst and No USG 8/8/16 Normal scan
blood found in cyst

DISCUSSION : Patient was diagnosed to be suffering from Right Hemorrhagic ovarian cyst
she gave history of delayed menses, pain in hypochondrium. A gynaecologist suggested her
to get operated. But she did not want to get it operated.

Prescription was based on repertorial totality giving more emphasis to general symptoms of
the patient to include remedy instead of clinical symptoms and pathological symptoms.
Silicea was selected though silicea does not cover the rubric ovarian cyst in most of the
repertories, but by analysis of repertorial result, silicea was selected .

With reference to Boericke material media, Silicea can stimulate the organism to reabsorb
fibrotic conditions also imperfect assimilation and consequent defective nutrition is given, as
my patient was having problem of anemia though having good diet, Silicea is also
considered for her strong general symptom of perspiration and constipation.

Also with reference to The essentials of modern materia medica and therapeutics by John
William Fyfe, Silicea is indicated for cystic tumors and A Manual of Homeopathic
Therapeutics by Edwin A. Neatby, says that Silicea is indicated for innocent cyst.

CONCLUSION A careful case taking and correct analysis of reportorial totality shows that
how homoeopathy treatment resolves the gross pathological changes in an individual &
thereby helping in curing the case.