{"paper_id":"de12ea85-f369-41be-96fc-72be730f2b62","body_text":"~ 1349 ~ \n International Journal of Homoeopathic Sciences 2025; 9(3): 1349-1352 \n \nE-ISSN: 2616-4493 \nP-ISSN: 2616-4485 \nImpact Factor (RJIF): 5.96 \nwww.homoeopathicjournal.com \nIJHS 2025; 9(3): 1349-1352 \nReceived: 15-07-2025 \nAccepted: 17-08-2025 \n \nDr. Vijay Kumar Pushkar \nProfessor (Principal), State \nNational Homoeopathic \nMedical College and Hospital, \nGomtinagar, Lucknow, Uttar \nPradesh, India \n \nDr. Sutapa Nandi MD \nDepartment of Repertory, \nState National Homoeopathic \nMedical College and Hospital, \nGomtinagar, Lucknow, Uttar \nPradesh, India \n \nDr. Shweta Verma \nMD Scholar, Department of \nRepertory, State National \nHomoeopathic Medical College \nand Hospital, Gomtinagar, \nLucknow, Uttar Pradesh, \nIndia \n \nDr. Shailej \nMD Scholar, Department of \nRepertory), State National \nHomoeopathic Medical College \nand Hospital, Gomtinagar, \nLucknow, Uttar Pradesh, \nIndia \n \nDr. Rupali Verma \nMD Scholar, Department of \nMateria Medica, State \nNational Homoeopathic \nMedical College and Hospital, \nGomtinagar, Lucknow, Uttar \nPradesh, India \n \n \n \n \n \n \n \n \n \n \n \n \n \nCorresponding Author: \nDr. Shweta Verma \nMD Scholar, Department of \nRepertory, State National \nHomoeopathic Medical College \nand Hospital, Gomtinagar, \nLucknow, Uttar Pradesh, \nIndia\n \n \nIndividualized homoeopathic approach in \nmanagement of endometriosis: A case study \n \nVijay Kumar Pushkar, Sutapa Nandi MD, Shweta Verma, Shailej and \nRupali Verma\n \n \nDOI: https://www.doi.org/10.33545/26164485.2025.v9.i3.U.1830  \n \nAbstract \nEndometriosis is a chronic gynecological disorder characterized by the ectopic presence of \nendometrial-like tissue outside the uterine cavity, often leading to pelvic pain, dysmenorrhea, \ndyspareunia, and infertility. The conventional management primarily focuses on hormonal therapy, \nanalgesics, and surgical interventions, which may provide temporary relief but are often associated \nwith relapse and side effects. Homoeopathy, based on the principle of individualization, offers a \nholistic approach by addressing both physical and emotional dimensions of the patient. This case study \ndemonstrates the role of individualized homoeopathic treatment in the management of endometriosis, \nwhere the prescription was based on totality of symptoms, miasmatic background, and constitutional \ncharacteristics. Significant reduction in pain, improvement in menstrual regularity, and enhanced \nquality of life were observed, suggesting that homoeopathy may serve as a complementary option in \nthe long-term management of endometriosis\n. \n \nKeywords: Endometriosis, dysmenorrhea, pelvic pain , infertility, homoeopathy, individualized \ntreatment, constitutional medicine, staphysagria, quality of life, complementary management \n \nIntroduction \nEndometriosis is a progressive, estrogen-dependent condition affecting approximately 10-\n15% of women of reproductive age and up to 35-50% of women with infertility or chronic \npelvic pain [1, 2] . It is defined as the presence of functional endometrial glands and stroma \noutside the uterine cavity, commonly involving the ovaries, fallopian tubes, pelvic \nperitoneum, and, less frequently, extra-pelvic sites [3]. The pathophysiology remains \nmultifactorial, with theories including retrograde menstruation, coelomic metaplasia, \nimmune dysfunction, and genetic predisposition [4]. \nClinical manifestations include dysmenorrhea, chronic pelvic pain, menorrhagia, \ndyspareunia, and subfertility, which significantly impair the patient's quality of life [5]. \nConventional management involves analgesics, hormonal therapy (oral contraceptives, \nprogestins, GnRH agonists), and surgical excision, yet recurrence rates remain high, and \nlong-term side effects are a concern [6]. \nHomoeopathy, with its individualized approach, aims not only at symptomatic relief but also \nat improving general health and vitality. Remedies are selected after detailed case-taking \nconsidering mental, emotional, physical, and miasmatic factors [7]. Previous studies and case \nreports have highlighted the potential role of individualized homoeopathy in gynecological \nconditions, including dysmenorrhea, ovarian cysts, and endometriosis [8, 9]. \nThis article presents a case of endometriosis successfully managed with individualized \nhomoeopathic medicine highlighting the importance of holistic prescribing in chronic \ngynecological disorders. \n \nCase report \nName of the patient: Ms. XYZ \nAge: 25 yr \nSex: Female \nMarital status: Unmarried \nReligion: Muslim  \n\n~ 1350 ~ \nDate of first visit: 31/01/2023 \nCase presentation \nCase history \nA 25 years old woman presented to the outpatient \ndepartment with complaints of severe dysmenorrhea for the \nlast 4 years, which had progressively worsened over time. \nThe pain was described as cramping, bearing-down, and \nradiating to the thighs, aggravated before and during \nmenses, and slightly relieved by lying on the abdomen. Her \nmenstrual cycle was regular (28-30 days), lasting 4-5 days, \nwith dark clotted bleeding and associated nausea. \n Associated complaints included constipation, irritability \nbefore menses, suppressed anger, and marked sensitivity to \nreproach. Sleep was disturbed due to pain, and she felt \nfatigued during menses. \nThere was a history of U.S.G diagnosis of endometriosis \nconfirmed two years prior, and she was on oral hormonal \ntherapy earlier, which was discontinued due to side effects \n(weight gain, mood swings). \n \nMenstrual history: Regular [28-30 Days cycle] \nL.M.P. - 20/12/2023 \nDuration - 4-5 days \nCharacter of blood - dark red, clotted sometime. \nPain aggravated 2-3 days of menses  \n \nPast clinical history \nIn 2014 she was diagnosed for right ovarian teratoma for \nwhich she got oophorectomy. \n \nPhysical generals \nAppetite: Normal, prefers warm food. \nThirst: Thirstless \nDesires: Sweet  \nThermal: Chilly patient. \nSleep: Disturbed during menses. \nMental generals: Submissive, but prolonged suppression of \nemotions and indignation, often weeps when alone. \n \nPhysical examination \nAbdomen: Mild tenderness in hypogastrium during \npalpation. \nUSG Abdomen: Suggestive of small well defined \nhypoechoic cystic lesion [1.92 x 1.92 x 2.07 cm with \nvolume approx. 3.99 cc in left ovary.  \nOther systemic examination: Within normal limit. \nAnalysis of the case \nChief complaints:  Severe dysmenorrhea, dyspareunia, \nconstipation. \nMental generals: Complains after death of loved one, \nsuppressed anger, sensitivity to reproach, tendency to weep \nwhen alone. \nPhysical generals:  Chilly patient, Thirstless, disturbed \nsleep. \nParticulars: Dark clotted menses, bearing-down pelvic \npain, constipation. \nTotality of symptoms pointed towards the constitutional \nmedicine.  \nVAS score before treatment - 09  \n \n \n \nPrescription \nStaphysagria 200C one dose, followed by placebo for 15 \ndays, was prescribed based on the totality of symptoms \n(marked sensitivity to emotions, suppressed anger, bearing-\ndown pelvic pain). \nFollow-up assessments were made every month. \n \nFollow-up \nAt 1 month: Dysmenorrhea intensity reduced. \nConstipation improved. \nSleep quality better. \nAt 3 months: Marked reduction in dysmenorrhea. \nEmotional stability improved; patient reported less \nirritability. relations. \nMenses became less clotted. \n \nAt 6 months:  Dysmenorrhea minimal, managed without \nanalgesics. \nNo recurrence of cyst on repeat USG. \nGeneral well-being improved, fatigue absent.  \nVAS score after treatment-02  \n \n \n\nInternational Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com \n~ 1351 ~ \n \n \nBefore treatment - 09/01/2024 \n \n\nInternational Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com \n~ 1352 ~ \n \n \n After treatment - 11/06/2024  04/01/2025 \n \nDiscussion \nThis case illustrates the significance of individualized \nhomoeopathic prescribing in chronic gynecological \ndisorders like endometriosis. The selected remedy, \nStaphysagria, was prescribed on the basis of constitutional \nsymptoms-especially suppressed emotions, sensitivity to \nreproach, bearing-down pelvic pains [7]. The patient showed \nconsistent improvement in both physical and emotional \nspheres. \nConventional treatment modalities for endometriosis often \nprovide only temporary relief, with recurrence being \ncommon. Homoeopathy, through individualized medicine, \naims to restore balance by addressing the underlying \nsusceptibility and miasmatic background [10]. \n The improvement in this case supports the scope of \nhomoeopathy as a complementary system of care, especially \nin cases where conventional therapy is limited or poorly \ntolerated. \n \nReferences \n1. Eskenazi B, Warner ML. Epidemiology of \nendometriosis. Obstet Gynecol Clin North Am. \n1997;24(2):235-258. \n2. Kennedy S, Bergqvist A, Chapron C, et al . ESHRE \nguideline for the diagnosis and treatment of \nendometriosis. Hum Reprod. 2005;20(10):2698-2704. \n3. Sampson JA. Peritoneal endometriosis due to menstrual \ndissemination of endometrial tissue into the peritoneal \ncavity. Am J Obstet Gynecol. 1927;14:422-469. \n4. Burney RO, Giudice LC. Pathogenesis and \npathophysiology of endometriosis. Fertil Steril. \n2012;98(3):511-519. \n5. Vercellini P, Crosignani P, Somigliana E, Vigano P, \nBuggio L. Endometriosis: current therapies and new \npharmacological developments. Drugs. 2009;69(6):649-\n675. \n6. Dunselman GAJ, Vermeulen N, Becker C, et al . \nESHRE guideline: management of women with \nendometriosis. Hum Reprod. 2014;29(3):400-412. \n7. Kent JT. Lectures on Homoeopathic Philosophy. New \nDelhi: B. Jain Publishers; 1990. \n8. Rastogi DP. Homoeopathy in gynecological disorders: \nA review. CCRUM Q Bull. 2007;29(1-4):45-50. \n9. Nayak C, Singh V, Oberai P. Clinical research evidence \nin Homoeopathy. New Delhi: Central Council for \nResearch in Homoeopathy, Ministry of AYUSH, Govt. \nof India; 2015. \n10. Hahnemann S. Organon of Medicine. 6th ed. New \nDelhi: B. Jain Publishers; 2002. \n \nHow to Cite This Article \nPushkar VK, Nandi SM, Verma S, Shailej, Verma R. Individualized \nhomoeopathic approach in management of endometriosis: a case \nstudy\n. International Journal of Homoeopathic Sciences . \n2025;9(3):1349-1352. \n \n \nCreative Commons (CC) License \nThis is an open access journal, and articles are distributed under the  \nterms of the Creative Commons Attribution-NonCommercial-\nShareAlike 4.0 International (CC BY-NC-SA 4.0) License, which \nallows others to remix, tweak, and build upon the work non-\ncommercially, as long as appropriate credit is given and the new \ncreations are licensed under the identical terms.","source_license":"CC0","license_restricted":false}