{"paper_id":"cfb8292c-4335-4fc7-9ef1-1424337ee22d","body_text":"~ 293 ~ \n International Journal of Homoeopathic Sciences 2026; 10(6): 293-296 \n \nE-ISSN: 2616-4493 \nP-ISSN: 2616-4485 \nImpact Factor (RJIF): 5.96 \nwww.homoeopathicjournal.com \nIJHS 2026; 10(6): 293-296 \nReceived: 02-04-2025 \nAccepted: 05-05-2025 \n \nDr. Dalal Kinal \nMahendrakumar \nPG Scholar, Department of \nRepertory, National Institute \nof Homoeopathy (NIH), Delhi, \nIndia \n \nDr. KK Rathibha \nAssistant Professor, \nDepartment of Repertory, \nNational Institute of \nHomoeopathy (NIH), Delhi, \nIndia \n \nDr. Jitendra Kumar \nAssociate Professor, \nDepartment of Repertory, \nNational Institute of \nHomoeopathy (NIH), Delhi, \nIndia \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. Dalal Kinal \nMahendrakumar \nPG Scholar, Department of \nRepertory, National Institute \nof Homoeopathy (NIH), Delhi, \nIndia \n \nHealing ovarian cysts with individualized \nhomoeopathy: A case report \n \nDalal Kinal Mahendrakumar, KK Rathibha and Jitendra Kumar \n \nDOI: https://www.doi.org/10.33545/26164485.2026.v10.i6.D.2860  \n \nAbstract \nNon-neoplastic enlargement of the ovary occurs due to fluid accumulation within the fu nctional unit of \nthe ovary. Cystic or solid ovarian enlargement is possible at any age; however, functional and \ninflammatory ovarian swelling is most prevalent during reproductive years. It may occur without \nproducing any symptoms or result in painful mens trual conditions, infertility, pelvic pain, or \ndyspareunia. At times, associated with complications such as bleeding, rupture, or torsion, these \nenlargements may  produce sudden symptoms. This report has been made following HOM -CASE-\nCARE protocol. A female patient aged 34 years reported a complaint of right ovarian cyst. The lady \nhad a history of pain in right adnexa area and had irregular menstrual cycle (duration of 30 -35 days, \nprofuse with clots for 6 -7 days). Detailed patient history was obtained, and th e totality of signs and \nsymptoms was analysed by repertory for selection of homoeopathic remedy. Sepia officinalis 200 was \nrecommended to the patient. Gradually,  there was marked improvement in the health status of the \npatient. The condition of menstrual d isorder improved gradually, and eventually, there was resolution \nof the cyst.  \n \nKeywords: Homoeopathy, ovarian cyst, Sepia officinalis, individualised treatment \n \nIntroduction \nThe ovary can become malignant and has a complicated embryology, histology, and \nsteroidogenesis. As a result, the structure and biological behavior of ovarian neoplasms vary \ngreatly. Ovarian endometriosis that results in a chocolate cyst, ovarian congestion brought on \nby adnexal inflammatory states, or the persistence and expansion of physiological structures \nin the ovary such as the corpus luteum or Graafian follicle can all cause such an enlargement. \nlesions brought on by inflammatory diseases [1]. The reasons are: Polycystic ovarian \nsyndrome, follicular cysts, corpus luteum cysts, gr anulosa and Theca lutein cysts, and \nendometrial cysts (chocolate cysts) All of them, with the exception of the final one, are \nfunctional ovarian cysts and are collectively referred to as cystic ovaries [2]. \nSurgery is typically required for patients whose ovarian cysts persist for longer than six \nmonths and do not improve with hormonal therapy. However, as surgery may have an impact \non a woman's reproductive health, it should be avoided as much as possible in unmarried and \nchildless women. It is widely acknowledged that Ultrasonography (USG) is a quick and non-\ninvasive initial test for assessing ovarian lesions [3]. Since many patients are thought to be \nasymptomatic and untreated, the true frequency of ovarian cysts is unknown. Additionally, \nthe prevalence v aries depending on the community under study. By the age of 65, 4% of \nwomen will be hospitalized due to ovarian cysts.  \nThe prevalence of an adnexal lesion was 7.8% in a random sample of 335 asymptomatic \nwomen aged 24 to 40. A simple unilocular adnexal cys t had a prevalence of 2.5% in another \nstudy that looked at ovarian cysts in postmenopausal women. 46.7% of the 33,739 \npremenopausal and postmenopausal women surv eyed had an adnexal cyst on transvaginal \nultrasound, and 63.2% of the abnormalities resolved on  follow-up ultrasounds  [4]. The \nfollowing are risk factors for the development of ovarian cysts: Treatment for infertility: \nPatients receiving gonadotropins or other ovulation-inducing drugs may develop cysts as part \nof ovarian hyperstimulation syndrome; T amoxifen; Pregnancy: Ovarian cysts may develop \nduring the second trimester of pregnancy when hCG levels are at their highest. \nCigarette smoking, hypothyroidism, maternal gonadotropins  whose transplacental effects \nmight cause fetal ovarian cysts . Ligation of tubes Sterilizations via tubal ligation have been \nlinked to functional cysts. Each patient's age, desire to keep her ovaries, and future fertility \nwill determine the best course of action. Medical treatments are thought of as the first line of \ntreatment, but long-term use can have negative effects, and post-surgical complications can  \n\nInternational Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com \n~ 294 ~ \nbe quite dangerous for the patient [5]. Numerous studies have \nshown that homoeopathic medicine is beneficial in treating \novarian cysts. The current case study as sesses the efficacy \nof constitutional homeopathic medication in a patient with \nan ovarian cyst in order to add to this body of research. \n \nMaterials and Methods \nA 34 -year-old female patient presented herself to OPD R -\n125 [A -HMIS ID - 102024194703] National I nstitute of \nHomoeopathy, Narela, Delhi, with chief complaints of right \novarian cyst. The patient complained of having pain in the \nright adnexal region. Her menst rual cycle was irregular \n(cycle 30 -35 days, heavy flow for 6 -7 days with clots). \nAccording to t he ultrasonography abdomen - Cystic area \nmeasuring about 20× 26 mm seen in right ovary has been \nnoticed. There was associated bearing down sensation in the \nlower pelvic region. In mentally aspect she had a weeping \ndisposition with sensitivity. She was unde r emotional \ndisturbance because of being dominated by her in -laws \nfamily and had palpitations during thinking about her past \nunhappy events. Along with this ther e was strong craving \nfor sour foods. \n \nHomoeopathic analysis \nPatient was evaluated holistically in choosing his \nsimillimum based on totality where both his mental, \nphysical and particular symptoms were taken into \nconsideration as described in table 1. Then the case was \nrepertorised taking into account all relevant rubrics as \nshown in table 2. Finally , prescription was made based on \nthe analysis done after repertorization. Repertorisation chart \nis shown in fig 1. \n \nHomeopathy interventions \nThe patient underwen t homeopathy medication in a \nsystematic way, with follow-ups done as indicated in table 3 \n(follow-up). Follow -up tests were conducted periodically. \nThe medications were administered based on the totality of \nsymptoms present in the patient’s body. \n \nTable 1: Symptoms evaluation and totality based on first day for first prescription \n \nMental general  Physical general  Particular \nWeeping easily Sour food desire Ovary cyst \nDomination from her in-laws side  Bearing down sensation in lower pelvic region \nPalpitation when thinking about past event   \n \nTable 2: Rearranging totality for the final selection \n \nS. No.  Repertorial totality Repertorial result  \n1. [Mind] Weeping, tearful mood: Sepia -16/6 \n2. [Mind] Domination by others, ailments from, agg: Lilium Tigrinum- 12/4 \n3. [Mind] Anxiety: Palpitation: With events, about past:  Aurum-Mur-Natronatum- 11/4 \n4. [Generalities] Food and drinks: sour, acid: Desire: Rhus Toxicodendron- 10/4, \n5. [Female Genitalia] Tumor: cysts: Apis Melifica- 10/3 \n6. [Female Genitalia] Pain: Bearing Down: Uterus and region extending to vulva:   \n \n \n \nFig 1: Repertoriasation was formed by using complete repertory with hompath zomeo software \nSelection of prescription: Sepia officinalis 200 od for 2 days (06/09/26) \n\nInternational Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com \n~ 295 ~ \nTable 3: Prescription with follow-up \n \nDate/ Time  Medication/ Dose Observation \n20/09/24 Pl \nAdnexal Pain better 30-40%  \nMenses lasted for 5-6 days, menstrual flow was profuse with no clots.  \nMentally she feels quite better. \n04/10/24 Pl \nAdnexal Pain better 50-60%  \nMenses lasted for 5-6 days, menstrual flow was not much profuse with no clots   \nMentally she feels better. \n08/10/24 Sepia 1M/1dose Pain as like before in same region. \nMentally she feels dull and weep all day  \n07/11/24 Bryonia Alba 200/BD/2 days  \nCough dry, thirst increased \nAdnexal Pain better 70-80 %  \nMenses lasted for 5 days, menstrual flow was not profuse with no clots   \nMentally she feels better.  \n20/12/24 Lyco 200/1dose C/o dyspepsia, flatulence at lower abdomen. > flatus passing  \n06/01/25 Pl \nAdnexal Pain better (almost no pain) \nMenses lasted for 5-6 days, menstrual flow was not profuse with no clots   \nMentally she feels completely better. \n \n \n \n Before treatment                                                             After treatment \n \nTable 4: Total Naranjo score \n \nSl. No. Item/ Question Yes No Not sure or \nN/A \n1. Was there an improvement in the main symptom or condition for which the homoeopathic medicine was prescribed? +2   2. Did the clinical improvement occur within a plausible time frame relative to the drug intake? +1   3. Was there an initial aggravation of symptom? (Need to define in glossary)  0  \n4. Did the effect encompass more than the main symptom or condition, i.e., were other symptoms ultimately improved or \nchanged? +2   \n5. Did overall wellbeing improve? (Suggest using a validated scale) +2   6(A) Direction of cure: did some symptoms improve in the opposite order of the development of symptoms of the disease?  0  \n \n6(B) \nDirection of cure: did at least two of the following aspects apply to the order of improvement of symptoms - from \norgans of more importance to those of less importance - from deeper to more superficial aspects of the individual - \nfrom the top downwards. \n \n \n \n 0 \n7. Did old symptoms” (defined as non-seasonal and non-cyclical that were previously thought to have resolved) reappear +1   \n\nInternational Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com \n~ 296 ~ \ntemporarily during the course of improvement? \n8. Are there alternate causes (other than the medicine) that-with a high probability- could have caused the improvement? \n(Consider known course of disease, other forms of treatment and other clinically relevant intervention \n \n \n \n0 \n \n \n9. Was the health improvement confirmed by any objective evidence? (e.g. lab test, clinical observation, etc.) +2   10. Did repeat dosing, if conducted, create similar clinical improvement?  0  Total score = Maximum score=13 \nMinimum score=02 Score=10 \nThe interpretat ion of the total Naranjo Score predicting drug action is as follows: Total scores range from -4 to +13; the reaction is \nconsidered definite if the score is 9 or higher, probable if 5 to 8, and possible if 1 to 4, and doubtful if 0 or less \n \nDiscussion \nAn ovarian cyst is a very common gynecological problem in \nfemales of childbearing age. There can be symptoms of \npelvic pain, menstrual disorders, infertility or even there \nmight be no symptoms at all in many cases. Treatment \nusually comprises observation, horm onal therapy or even \nsurgery according to the size, persistence and type of the \ncyst. But since there is always a risk factor involved in using \nlong-term hormone  therapy and surgery, many researchers \nhave looked into other options for treating this condition. \nIn this particular case, a 34 -year-old lady had come with the \ncomplaint of right ovarian cyst, pain in the right-side adnexa \nregion, irregular and excessive bleeding with clots and \nsensation of downward pressure in the right adnexal area. \nAlong with th at, there were certain prominent mental \nsymptoms like weeping tendency, being upset due to \ndomination by her in laws, and palpitations while thinking \nabout unpleasant past memories. \nAccording to the repertorial analysis, the choice of Sepia \nofficinalis was indicated as the best individualised \nhomoeopathic prescription. This was further strengthened \nby the classical symptoms of Sepia including pressure \nsensation in pelvic organs, hypersensitivity, weeping, \nhormonal imbalance and menstrual disorders. The pati ent \ngradually responded well to the prescription of Sepia \nofficinalis 200C and later Sepia officinalis  1M with an \nimprovement in both local and general symptoms.  Follow-\nup consultations showed that there was improvement in \npelvic pain, improvement in emoti onal wellbeing and \nultrasound resolution of the ovarian cyst. \nThe improvement achieved in the main symptom was not \nonly on the specific local site but also involved general \nwellbeing and emotional status of the patient. The objective \nevaluation of the impr ovement was further confirmed with \nthe ultrasonographic findings. Using the modified Naranjo \nCriteria, there was an affirmative score of 10 which meant \nthat ther e was a \"definite\" relationship between the \nhomoeopathic medicine prescribed and the improvemen t \nseen clinically as well as symptomatically. \nThere are similar cases in the homoeopathic literature where \novarian cysts and other gynaecological disorders were found \nto be responsive to individualised homoeopathic medicines. \nHowever, it must be understood  that this particular case \nstudy has limitations. Some functional ovarian cysts have \nbeen known to go into spontaneous regression, and so no \ndefinitive conclusion can be drawn in terms of efficacy here. \nFuture research needs to be conducted to confirm this  mode \nof treatment's effectiveness using larger patient samples. \nThis case also highlights how individualized medication, \neven in the lowest possible dosage, is capable of helping \npatients relieve their symptoms as well as achieve \npermanent healing from an  ailment. According to Dr Stuart \nClose, “Individualization is the cardinal principle of a true \npathology as well as of true therapeutics”  [6]. Proper \nselection o f constitutional and antimiasmatic medications \ncan lead to successful treatment of ailments, if  prescribed in \nthe right doses. Potency, dose and repetition of treatment \nmust all conform to guidelines provided in the Organon of \nMedicine [7]. \nThis case report emphasizes the significance of using \nindividualized medicines in treating diseases, especiall y \novarian cysts. \n \nConclusion \nIn this case, it is proved that the holistic application of \nhomoeopathy in treating ovarian cysts is effective. Holistic \napproach taking into account the patient’s psychological and \nphysical symptoms was helpful in finding out the \nsimilimum, which gradually led to the cure of symptoms \nand the cyst itself. The importance of case taking, \nrepertorization, and follow -up in homoeopathy can be seen \nfrom this case as well. \n \nReferences \n1. Padubidri VG, Daftary SN. Shaw's textbook of \ngynecology. 16th ed. New Delhi: Elsevier; 2014.  \n2. Konar H. DC Dutta's textbook of gynecology. 8 th ed. \nNew Delhi: Jaypee Brothers Medical Publishers; 2024.  \n3. Gupta G, Sin gh N, Singh R, Nayak C, Khurana A. \nEvidence based clinical study on the effect of \nhomoeopathic medicines in cases of ovarian cysts. \nIndian J Res Homoeopathy. 2011;5:32-42.  \n4. Mobeen S, Apostol R. Ovarian cyst. In: StatPearls. \nTreasure Island (FL): StatPearls Publishing; 2022 May \n1. Available from: \nhttps://www.ncbi.nlm.nih.gov/books/NBK560541/  \n5. Sabud A, Das A. Homoeopathic constitutional medicine \nhelps to cure ovarian cyst: A case report. Int J \nHomoeopath Sci. 2022;6(4):319-324.  \n6. Close S. The genius of homoeop athy: lectures and \nessays on homoeopathic philosophy with word index. \n6th ed. New Delhi: B. Jain Publishers; 2012.  \n7. Hahnemann S. Organon of medicine. 26th impression. \nNew Delhi: B. Jain Publishers; 2010. \n \nHow to Cite This Article \nDalal KM, Rathibha KK, Kumar J. Healing ovarian cysts with \nindividualized homoeopathy: A case report . International Jour nal of \nHomoeopathic Sciences. 2026; 10(6): 293-296. \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}