{"paper_id":"529d040e-6144-4af0-a1d4-435ce3b59728","body_text":"~ 23 ~ \nInternational Journal of Homoeopathic Sciences 2023; 7(1): 23-25\n \nE-ISSN: 2616-4493 \nP-ISSN: 2616-4485 \nwww.homoeopathicjournal.com \nIJHS 2023; 7(1): 23-25 \nReceived: 01-11-2022 \nAccepted: 03-12-2022 \n \nDr. Tummala Aarathi Reddy \nAssistant Professor, \nDepartment of Obstetrics and \nGynaecology, MNR \nHomoeopathic Medical \nCollege, Sangareddy, \nTelangana, India \n \nDr Sreevidhya JS  \nAssociate Professor, \nDepartment of Obstetrics and \nGynaecology, MNR \nHomoeopathic Medical \nCollege, Sangareddy, \nTelangana, India \n \nDr. E Siva Rami Reddy \nProfessor and Head, \nDepartment of Practice of \nMedicine MNR Homoeopathic \nMedical College, Sangareddy, \nTelangana, India \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \nCorresponding Author: \nDr. E Siva Rami Reddy \nProfessor and Head, \nDepartment of Practice of \nMedicine MNR Homoeopathic \nMedical College, Sangareddy, \nTelangana, India \n \nEndometriosis: Homoeopathic perspective \n \nDr. Tummala Aarathi Reddy, Dr Sreevidhya JS and Dr. E Siva Rami \nReddy\n \n \nDOI: https://doi.org/10.33545/26164485.2023.v7.i1a.725 \n \nAbstract \nEndometriosis is a disease of contrast. It’s a benign condition, but malignancy transformation is also \npossible. Cyclic hormones stimulate growth but continuous hormones sup press it. Homoeopathy plays \nprime role in providing the healthy existence in both physical and mental plane without any side effects \nand can come across in women who is exposed to Endometriosis. \n \nKeywords: Endometriosis, homoeopathy, ovaries, uterus, abdomen \n \nIntroduction \nEndometriosis is presence of functioning of endometrium in sites other  than uterine mucosa. \nEctopic endometrial tissues found in myometrium called as Endometriosis in terna or \nAdenomyosis. Tissues found at sites other than Uterus is called as Endometr iosis externa or \nEndometriosis. It is a condition where cells are similar to endometrium lay er of tissues that \ncover inside the uterus, grows outside it. Most often seen on ovaries , fallopian tubes & \ntissues around uterus & ovaries. Incidence is of an average of 10% wh ile highest is seen in \ninfertile women of an around 30-40%.There are 2types of sites a)Common s ites: Ovaries, \nPelvic peritoneum, Pouch of Douglas, Uterosacral ligaments, Rectovaginal sep tum, sigmoid \ncolon, Appendix, Pelvic lymph nodes, fallopian tubes. b) Remote: Umbilicus, Abdominal \nscar, Episotomy scar, Lungs, Pleura, Ureter, Kidney, Arms, Legs, Nasal mucosa. \n \n \n  \n \nFig 1: Endometriosis \n \nRisk factors \n1. Daughters or Sisters of endometriosis are at higher risk. \n2. Low progesterone levels may be generated and may contribute to hormone imbalance. \n3. Women with affected 1st degree relative. \n4. Previously not have had given birth. \n5. Delayed child bearing \n6. Genital Obstruction \n7. Environmental toxins \n8. Prolonged exposure of oestrogen. \n \n \n \n  \n\n\nInternational Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com \n~ 24 ~ \nPathogenesis \nIts explained in theories \n1. Retrograde Menstruation (Sampsons theory): Retrograde \nflow of sloughed endometrial cells via fallopian tubes into \npelvic cavity during menstruation. Endometrial fragments get \nimplanted inperitoneal surface of pelvic organs. \n2. Coelomic metaplasia Theory (Meyer & Ivanoff): \nEndometriosis originates from metaplasia of specialized cells \nthat are present in mesothelial lining of visceral and \nabdominal peritoneum. \n3. Lymphatic & Vascular Metaplasia Theory (Halbans \ntheory): Explains the occurrence of endometriotic lesions at \ndistant sites such as lungs, arms or thighs. \n4. Genetics: High risk of endometriosis in those with an \naffected 1st degree relative. Multifactorial inheritance is \nthought of, defect of local cellular immunity may be \nresponsible for ectopic tissue to grow in abnormal sites only \nin susceptible women. \n5. Immunologic factors: Women with endometriosis have \nhigher concentration of activated macrophages with decreased \ncellular immunity \n6. Inflammation: Endometriosis may be associated with \nsubclinical peritoneal inflammation. \n \nClinical Features \n1. Dysmenorrhoea, Dyspareunia, Dyschezia, Dysuria \n2. Deep seated pain back and rectum \n3. Menorrhagia \n4. Chronic pelvic pain \n5. Abdominal pain  \n6. Chronic fatigueness \n7. Haemoptysis \n \nHomoeopathic Management \nHomoeopathy is the best system of medicine in treating \nEndometriosis. It doesn’t have any side effects ,it promotes \nhealth in general. Following are some of the medicines \nprescribed for Endometriosis. \n \n1. Pulsatilla nigricans \nUseful in treating endometriosis. Endometriosis in \nyoung age, Hot patient, Scanty menses, Delayed \nmenses, Delayed menarche, Desire for fatty food, meat, \nintolerance to oily food. Aggravation by lying before \nmenses, during menses, Amm by discharges, slow \ngentle motion. \n \n2. Sepia \nThis remedy is helpful in woman whose periods are late \nand scanty, burning and soreness is but heavy and \nflooding when early. Her pelvic organs feel weak and \nsagging, craving for vinegar or sour foods. Women who \nneed this remedy are usually indifferent with an \nirritable, detachment regarding family members, and a \nloss of interest in daily tasks. Exercise, especially \ndancing, can brighten up her mood and improves her \nenergy. \n \n3. Calc carb  \nIt is a useful remedy during Endometriosis for pale, fat \nflabby, relaxed and chilly patients tired by overwork. \nExcessive pains during menses. Menses too early too \nprofuse, too long lasting with subsequent anaemia. \nHead and neck will be having more perspirations, \nworse during sleep. Metrorrhagia and uterine fibroids, \nwith marked uterine hemorrhages. Anxious about the \nfuture and about her health. Agg by physical exertion, \noverlifting.Amm by Cold bathing, hot applications. \n \n4. Lachesis  \nIt is an important remedy for endometriosis. \nHaemorrhages, Fainting Weakness, Melancholy, \nPeriods profuse. Generally worse before menses, and \npains and mood better once the flow starts. Hot flushes, \nwith headaches, palpitations and hot sweats. \nHeadaches, beginning at the back and passing over to \nthe front of the head with burning sensations. Sensitive \nto touch. Nausea, diarrhoea or haemorrhoids. The left \novary is painful and swollen, and there may be \nprolapsed uterus.They generally feel worse in \nmornings, can’t tolerate heat and are hypersensitive to \ntight clothing around neck or waist. \n \n5. Cimicifuga \nIndicated remedy in Endometriosis with pain during \nperiods. Its indicated in case of severe, bearing down \npain in the lower abdomen, uterine region and back \nduring menses. More the flow ,more the pain.Sharp \nelectric shock like pains may be seen in various parts of \nbody .Sour erructations, loud belching. \n \n6. Sabina \nIndicated remedy for Endometriosis when colicky or \nlabour like pains appear in pelvis. Marked pain in back \nand sacrum, pubis. Menses are profuse, partly fluid and \npart clotted .Menstrual bleeding is bright and contains \nclots as well as fluids. \n \n7. Platina \nIndicated remedy in endometriosis. Feeling exhaustion \nand forsaken, there can be feeling of contempt for \nothers. There is violent cramping dark bleed, often \nbearing down pain burning and soreness usually with \nmarked sexual desire. \n \n8. Xanthophyllum \nGreat remedy for Endometriosis. Periods are very \npainful with pain that can radiate into back,thighs and \nlegs. Menstrual bleed is excessive and exhausting with \na bearing down pain.Profuse mense and \nexhaustion.Very effective remedy in periods which are \npainful. \n \nFinancial support and sponsorship: Nil. \n \nConflicts of interest: None declared. \n \nReferences \n1. Hiralal Konar. DC Dutta’ Textbook of Gynecology. 7 th \nedition, New Central Book Agency  \n2. Williams Gynecology-by John O. Schorge, MD. Joseph \nSchaffer, Mdetc, McGraw-Hill Medical Publishing \nCompany. Ch. 8 and 11. \n3. Clarke JH. A Dictionary of Practical Materia Medica. \nNew Delhi; B. Jain Publishers Pvt. Ltd.; c2014. \n4. Gargett CE, Schwab KE, Brosens JJ, et al . Potential \nrole of endometrial stem/progenitor cells in the \npathogenesis of early-onset endometriosis. Mol Hum \nReprod; c2014. \n5. Allen HC. Keynotes and characteristics with \n\nInternational Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com \n~ 25 ~ \ncomparisons of some of the leading remedies of \nMateria Medica with Bowel Nosodes. B. Jain \nPublishers; c2002. \n6. Kent JT. Lectures on Homoeopathic Materia Medica, \nNew Delhi: B. Jain Publishers (P) Ltd; c2013. \n7. Pernoll's B. Handbook of Obstretics and Gynecology \n10th Edition. Mc Graw Hill Medical. \n8. Roger Smith P. Dysmenorrhoea and Menorrhagia, A \nClinician’s Guide. First Edition, 2018, Springer \nPublishers. \n9. Howkins & Bourne. Shaws Textbook Of Gynaecology. \n16th Edition, Reed Elsevier India Private Limited, New \nDelhi; c2015. p. 471-473. \n \n \nHow to Cite This Article \nReddy TA, Sreevidhya JS, Reddy ESR . Endometriosis: \nHomoeopathic perspective. International Journal of Homoeopathic \nSciences. 2023;7(1):23-25. \n \n \nCreative Commons (CC) License \nThis is an open access journal, and articles are distributed under the  \nterms of the Creative Commons Attribution-Non Commercial -Share \nAlike 4.0 International (CC BY-NC-SA 4.0) License, w hich allows \nothers to remix, tweak, and build upon the work non-c ommercially, \nas long as appropriate credit is given and the new cre ations are \nlicensed under the identical terms.","source_license":"CC0","license_restricted":false}