{"paper_id":"b9ec2c0f-3e07-41b7-8c51-52b4907aee9b","body_text":"~ 527 ~ \nInternational Journal of Homoeopathic Sciences 2023; 7(2): 527-531\n \nE-ISSN: 2616-4493 \nP-ISSN: 2616-4485 \nwww.homoeopathicjournal.com \nIJHS 2023; 7(2): 527-531 \nReceived: 23-03-2023 \nAccepted: 29-04-2023 \n \nDr. Ankita Sharma \nSwasthya Kalyan, \nHomoeopathic Medical College \nand Research Center, Jaipur, \nRajasthan, India \n \nDr. Pankaj Sharma \nHOD of Organon of Medicine \nand Philosophy, Swasthya \nKalyan Homoeopathic Medical \nCollege and Research Center, \nJaipur, Rajasthan, India \n \nDr. OP Sharma \nProfessor of Organon of \nMedicine and Philosophy, \nSwasthya Kalyan \nHomoeopathic Medical College \nand Research Center, \nJaipur, Rajasthan, India \n \nDr. Harish Jabdoliya \nAssociate Professor of Organon \nof Medicine and Philosophy, \nSwasthya Kalyan, \nHomoeopathic Medical College \nand Research Center, \nJaipur, Rajasthan, India \n \nDr. Geetanjali Mathur \nAssistant Professor of organon \nof Medicine and Philosophy, \nSwasthya Kalyan \nHomoeopathic Medical College \nand Research Center, \nJaipur, Rajasthan, India \n \nDr. Kanak Choudhary \nPGR at Swasthya Kalyan \nHomoeopathic Medical College \nand Research Center, \nJaipur, Rajasthan, India \n \n \n \n \n \n \n \n \n \n \n \nCorresponding Author: \nDr. Ankita Sharma \nSwasthya Kalyan, \nHomoeopathic Medical College \nand Research Center, Jaipur, \nRajasthan, India\n \n \nEndometrial hyperplasia case in a 24-year-old girl \n \nDr. Ankita Sharma, Dr. Pankaj Sharma, Dr. OP Sharma, Dr. Harish \nJabdoliya, Dr. Geetanjali Mathur and Dr. Kanak Choudhary\n \n \nDOI: https://doi.org/10.33545/26164485.2023.v7.i2h.879 \n \nAbstract \nA distinct branch of medicine called homoeopathy is focused on the individuality and clinical \nsimilarities of every patient. It treats the illness of a man, separate entity. The case study of a girl who \nunderwent therapy for endometriosis hyperplasia over the course of 4 months with a homoeopathic \nsimilimum chosen based on individualization serves as evidence that homoeopathy can be beneficial in \nthe treatment of a variety of illnesses.\n \n \nKeywords: Homoeopathy, endometriosis hyperplasia, cancer \n \nIntroduction \nIn routine gynaecological practise, endometrial hyperplasia is a condition that is frequently \nobserved. The underlying risk of having a concurrent genital cancer or the risk of \nadvancement to endometrial carcinoma during the follow-up is the pathological entity's \nclinical significance. None of this research has reached a definitive conclusion yet, despite \nrecent improvements in non-invasive procedures to identify underlying endometrial cancer \nduring the first diagnosis of endometrial hyperplasia. We still lack a workable and reliable \nmethod to employ in everyday practise, despite extensive debates and associated studies that \nsought to define specific prognostic variables (WHO94 vs. EIN) to predict cases that will \nadvance to cancer. Endometrial hyperplasia is treated according to the type, age, and desire \nfor fertility of the patient. Nevertheless, progestogens [1].  \nAn endometrial biopsy is frequently performed to rule out carcinoma when abnormal uterine \nbleeding, the main presenting symptom of endometrial neoplasia, occurs. 15% of women \nwith abnormal uterine bleeding are found to have cancer, whereas 70% are found to have \nbenign abnormalities. The diagnosis for the remaining 15% of women is endometrial \nhyperplasia (EH), which covers a wide spectrum of diseases, from benign, reversible \nproliferations to the early stages of cancer. Simple (SH), complex (CH), simple atypical \n(SAH), or complex atypical hyperplasia (CAH) are the four classifications for EH in the \nwidely used World Health Organisation (WHO) system, although the two types of atypical \nhyperplasia (AH) are frequently combined into one classification [2]. \nExcessive multiplication of healthy cells is referred to as hyperplasia. There are three \ncategories: straightforward, intricate, and unusual. Premalignant conditions can be simple or \ncomplex, and less than 3% of these conditions will progress to aggressive cancer. More \nalarming is atypical hyperplasia. It has been demonstrated in several studies that the risk of \nan underlying cancer is higher than anticipated. A frank malignancy was later discovered in \n46.8% of instances among 348 women in a Gynaecologic Oncology Group (GOG) study \nwho had first been diagnosed with atypical hyperplasia [3].  \n \nMaterial and Methodology \nCase: A 24-year-old woman came to our office in Jaipur, Rajasthan, on April 25, 2022, \ncomplaining of irregular periods, pain in her stomach, back, and thighs, as well as an \nexcessive number of pimples on her face before and during her period. She had tried \nallopathic treatment, but it had no effect, so she was referred to homoeopathy through a \nrelative. \n \nHistory of the Current Complaint: In the past six months, the patient had irregular periods, \nsignificant menstrual discomfort in the stomach, back, and thighs, and facial acne before and \nduring periods. In the past six months, she had trouble falling asleep. \n\n\nInternational Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com \n~ 528 ~ \nHistory: Menstrual discomfort since puberty. \n \nFamily History: In the last six months, her father \nunderwent major heart surgery in addition to numerous \nother surgeries. Mother was still alive and well. Among her \ntwo sisters, she is the oldest daughter. \n \nPhysical Characteristics:  She frequently had cold hands \nand feet and was chilly, but she despises heat. She was \nphysically weak and had no thirst. \n \nMentals Generals: She was a responsible individual and \nthe house's eldest daughter. In addition to being concerned \nabout their health, she was frightened of losing his father. \nWith worry and a sombre demeanour, she had sleepless \nnights. Feeling down over her thoughts. \n \nDiagnosis: Endo material Hyperplasia. \n \nTable 1: Analysis and assessment of symptoms \n \nS. No. Symptoms MG/PG/Particulrs Intensity \n01 Weeping MG ++++ \n02 Anxiety MG ++++ \n03 Sadness MG +++ \n04 Sleeplessness MG +++ \n05 Chilly patient PG +++ \n06 Thirstlessness PG +++ \n07 Menses -irregular Particulars ++++ \n08 Menses -painful Particulars ++++ \n09 Face-acne Particulars +++ \n \nTable 2: Repertorial Totality \n \nS. No. Symptoms Chapter/Rubrics \n01 Weeping Mind-Weeping \n02 Anxiety Mind-Anxiety-Family; About His \n03 Sadness Mind-Sadness \n04 Sleeplessness Sleep-Sleeplessness \n05 Chilly patient General-Heat-Lack Of Vital Heat \n06 Thirstlesness Stomach-Thirstless \n07 Menses -irregular Female Sex-Menses-Irregular \n08 Menses - painful Female Sex-Menses-Painful \n09 Facial acne Face-Eruptions-Acne-Menses-Irregular \n \n \n \nFig 1: Repertorial Sheet \n\nInternational Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com \n~ 529 ~ \nTable 3: Repertorial Analysis [4] \n \nS. No. Remedies and their Relative Values \n01. Pulsatilla 20/9 \n02. Calcarea carbonica 19/9 \n03. Graphites 19/8 \n04. Lycopodium 17/8 \n05. Sulphur 17/8 \n06. Belladonna 16/8 \n \nThe Remedy \nPulsatilla nigricans 200-single followed by rubrum. \nAfter carefully evaluating the patient's case history and \nconsidering all their symptoms, a remedy was selected using \nthe RADAR version 10 software. Finally, it was decided \nthat pulsatilla was the most appropriate remedy for this case, \nspanning the entire spectrum, including the overall physical, \nmental, and thermal picture. Pulsatilla, calcarea carbonica, \ngraphites, lycopodium, sulphur, and belladonna all met most \nof the criteria and received a better grade. The remedy is \nonce again confirmed using a reference from the materia \nmedica. When confirming the remedy from several books, \nthe following aspects were considered: \n1. Suppressed menses, too late, scanty, thick, dark, \nclotted, pain in back with tired feeling [5] \n2. Weeps easily, feels better by consolation [6]. \n \nTable 4: Follow Up \n \nDate Symptoms Remedy \n25/04/2022 \nIrregular menses. \nPainful menses. \nAcne on face. \nSleeplessness. \nEndometrium thickness-\n17.5 mm. \nPulsatilla 200/1dose \nRubrum \n30/tds*1month \n23/05/2022 Patient better \nCramps during periods. \nPulsatilla 200/1dose \nPhytum200/tds*1 \nmonth \n24/06/2022 \nPatient better. \nFacial acne cleared. \nSleep better. \nPhytum 200/tds*1 \nmonth \n25/07/2022 Patient better with cure \nin all symptoms. \nPulsatilla 200/1dose \nPhytum 30/tds \n*1month \n \nReports \n \n \n \nFig 2: Before Report \n\nInternational Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com \n~ 530 ~ \n \n \nFig 3: After Report \n \nResult and Discussion \nIndividualised homoeopathic intervention may be a viable \nalternative in the treatment of endometrial hyperplasia, even \nthough more study with a better methodology is needed. \n \nConclusion \nDoctors who practise homoeopathy treat a wide range of \nillnesses by selecting the most effective drug based on \nreportorial analysis and individualization. According to \nAphorism 270-Foot in % the Fifth and Sixth Editions of the \nOrganon of Medicine, the choice of potency depends on \nsusceptibility [7].  \n \nReference \n1. Gültekin M, Diribaş K, Dursun P , Ayhan A. Current \nmanagement of endometrial hyperplasia and \nendometrial intraepithelial neoplasia (EIN). Eur J \nGynaecol Oncol. 2009;30(4):396-401. \n2. Lacey JV, Jr, Chia VM. Endometrial hyperplasia and \nthe risk of progression to carcinoma. Maturitas. \n2009;63(1):39-44.  \nhttps://doi.org/10.1016/j.maturitas.2009.02.005 \n3. Lees C, Bourne T. (Ed ). Dewhurst’s Textbook of \nObstetrics & Gynaecology (9th ed). John Wiley & Sons; \nc2018.  \n4. Schroyens F. English Edition. Synthesis. 2021;1:9. \n5. Boericke W, Boericke OE. Homoeopathic materia \nmedica with repertory comprising the characteristic and \nguiding symptoms of the remedies (R. B. Savage, Ed.; \n2nd ed). Homoeopathic Book Service; c1990.  \n\nInternational Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com \n~ 531 ~ \n6. Allen HC. Key notes and characteristics with \ncomparisons of some of the leading remedies of the \nmateria medica with nosodes. B Jain; c2002.  \n7. Hahnemann S, Dudgeon RE, Boericke W. Organon of \nhomoeopathic medicine: The classic guidebook for \nunderstanding homeopathy - the fifth and sixth edition \ntexts, with notes (hardcover) (Lulu.com, Ed.); c2019.  \n \n \nHow to Cite This Article \nSharma A, Sharma P, Sharma OP, Jabdoliya H, Mathur G, \nChoudhary K\n. Endometrial hyperplasia case in a 24 -year-old girl . \nInternational Journal of Homoeopathic Sciences. 2023;7(2):527-531. \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, which allows \nothers to remix, tweak, and build upon the work non-commercially, \nas long as appropriate credit is given and the new creations are \nlicensed under the identical terms.","source_license":"CC0","license_restricted":false}