Primary infertility in a female due to ovarian endometrioma managed with homoeopathic medicine Pulsatilla – A case report

Background: Infertility is defined as the failure to achieve a natural pregnancy after 12 months of regular unprotected sexual intercourse. There are various factors influencing fertility in females, such as ovulatory disorders, endometriosis, pelvic adhesions, tubal blockage, other tubal/uterine abnormalities and hyperprolactinemia, among which endometriosis is the second most common cause of female infertility. Endometriomas are cystic lesions that stem from endometriosis. This case report explores the usefulness of individualised homoeopathic treatment in addressing primary infertility associated with ovarian endometrioma. Case Summary: A 27-year-old woman with a history of laparoscopic cystectomy and three unsuccessful intrauterine insemination attempts sought homoeopathic intervention after experiencing a recurrence of ovarian endometrioma and inability to conceive for two years. Pulsatilla 200C was administered based on a comprehensive assessment of her symptoms, emphasising individual characteristics. Over a treatment period of two years, there was a gradual improvement in her symptoms, including a reduction in painful menstruation and normalisation of menstrual flow. She successfully conceived and delivered a healthy baby. The Modified Naranjo Criteria for Homeopathy score of +8 strongly indicates a causal attribution between the treatment and the outcome. This case highlights the potential of Homoeopathy as an alternative approach to addressing fertility issues associated with ovarian endometrioma. However, further research is warranted to establish the broader applicability of homoeopathic interventions in infertility management.