An Individualized Homoeopathic Approach in a Case of Left Adnexal Chocolate Cyst: A Case Report

Aditya Narayan Puilya, Sumanta Kamila, Rayba Khatoon, Sanjay Sarkar
In: Homœopathic Links · 2025 · vol. 38(03) , pp. 139–144 · doi:10.1055/s-0044-1788298 · W4412649357
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a 30-year-old woman with a left adnexal chocolate cyst who experienced symptom relief and became symptom-free after individualized homeopathic treatment with Lachesis mutus 200c and other remedies.

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This paper reports a case of a 30-year-old woman with pain and abdominal distension and dysmenorrhea, diagnosed by ultrasonography as a left adnexal “chocolate cyst” (an endometriosis manifestation). After a case study with repertorization, the authors initiated individualized homeopathic treatment with Lachesis mutus 200c and then provided additional remedies based on indications, with symptom improvement noted after the initial medication and continued improvement over about 1 year, including a symptom-free state and corroborating ultrasonography findings. Causal attribution was assessed using the Modified Naranjo Criteria, with a reported MONARCH score of +9 suggesting the outcome was likely attributable to homeopathic treatment, though the design is a single case report. This paper is centrally about endometriosis—specifically, an individualized homeopathic approach for a left adnexal chocolate cyst (endometrioma).

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Abstract

Abstract Chocolate cyst in the adnexa (i.e., ovary and fallopian tube) pathologically comes under the domain of endometriosis. In this case, a 30-year-old woman visited our clinic for the complaint of pain and distension of abdomen along with dysmenorrhea which was diagnosed to be left adnexal chocolate cyst on ultrasonography (USG). After a thorough and meticulous case study and repertorization, at first individualized homoeopathic medicine, Lachesis mutus 200c was introduced initially followed by remedies as per the indication were given. There was a remarkable a improvement in the complaints of the patient after the initial medication and within about 1 year of homoeopathic treatment, the patient continued showing improvement and became symptom free which was also corroborated on USG demonstrating a positive role of individualized homoeopathic treatment, in a case of left adnexal chocolate cyst. Modified Naranjo Criteria was used to assess the causal relationship between homoeopathic intervention and clinical outcome. The MONARCH score (+9) suggested that the clinical improvement was likely attributable to the homoeopathic treatment. This case study shows the effectiveness of individual homoeopathic treatment in case of adnexal chocolate cyst. More studies and evidenced-based clinical trials are required to establish the efficacy of homoeopathy in such cases.
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Abstract

Chocolate cyst in the adnexa (i.e., ovary and fallopian tube) pathologically comes under the domain of endometriosis. In this case, a 30-year-old woman visited our clinic for the complaint of pain and distension of abdomen along with dysmenorrhea which was diagnosed to be left adnexal chocolate cyst on ultrasonography (USG). After a thorough and meticulous case study and repertorization, at first individualized homoeopathic medicine, Lachesis mutus 200c was introduced initially followed by remedies as per the indication were given. There was a remarkable a improvement in the complaints of the patient after the initial medication and within about 1 year of homoeopathic treatment, the patient continued showing improvement and became symptom free which was also corroborated on USG demonstrating a positive role of individualized homoeopathic treatment, in a case of left adnexal chocolate cyst. Modified Naranjo Criteria was used to assess the causal relationship between homoeopathic intervention and clinical outcome. The MONARCH score (+9) suggested that the clinical improvement was likely attributable to the homoeopathic treatment. This case study shows the effectiveness of individual homoeopathic treatment in case of adnexal chocolate cyst. More studies and evidenced-based clinical trials are required to establish the efficacy of homoeopathy in such cases. Patients' Consent Written consent has been obtained from the patient. Publication History Article published online: 23 July 2025 © 2025. Thieme. All rights reserved. Thieme Medical and Scientific Publishers Pvt. Ltd. A-12, 2nd Floor, Sector 2, Noida-201301 UP, India -

References

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