Homoeopathic Treatment of Chocolate Cyst: A Case Report

Priyanka S. Mahajan, Kanchan R. Tayade
In: Homœopathic Links · 2023 · vol. 37(01) , pp. 054–057 · doi:10.1055/s-0042-1757227 · W4368347422
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This case report describes the complete regression of an ovarian chocolate cyst in a 31-year-old woman following treatment with individualized homeopathic medicine, Lachesis.

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This paper is a case report of a 31-year-old woman diagnosed with an ovarian “chocolate cyst,” reporting painful irregular menses, large clots, and right inguinal stitching pain, with ultrasound showing cyst enlargement despite one year of hormonal therapy. She was treated with individualized homeopathic medicine Lachesis in centesimal potency, and the authors report significant symptom improvement with follow-up and laboratory investigation showing complete cyst regression; causal attribution was assessed using modified Naranjo criteria. The main limitation is that the evidence is derived from a single uncontrolled case, with causality based on a structured attribution method rather than a comparative trial. This paper is centrally about endometriosis — it focuses on ovarian chocolate cysts (a subgroup of endometriosis) and reports homeopathic treatment with complete regression.

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Abstract

Abstract Chocolate cysts of the ovary come under the subgroup of endometriosis. The prevalence of chocolate cyst in the reproductive age group is 8% and in the postmenopausal age group, 18%. Its defining symptoms include dyspareunia, pelvic pain, irregular periods and menstrual pain. A cyst size of more than 4 cm indicates the need for surgical treatment. The typical therapies for this condition include hormone therapy and operations like hysterectomy. In this case report, we have shown a positive curative role of homeopathic medicine in the management of chocolate cyst of the ovary. A 31-year-old woman complaining of weakness came to the OPD, painful irregular menses with large clots and stitching pain in the right inguinal region. She was diagnosed with chocolate cyst of the ovary. She had been on hormonal therapy for a year without any relief, and the USG report showed that the cyst had grown bigger. The patient was treated successfully with individualised homoeopathic medicine Lachesis in centesimal potency, which showed significant improvement in patient – and post-treatment outcome was corroborated with follow-up and laboratory investigation which showed complete regression of cyst. Causal attribution for changes in the condition of patient after homoeopathic medication was assessed by modified Naranjo criteria.
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Abstract

Chocolate cysts of the ovary come under the subgroup of endometriosis. The prevalence of chocolate cyst in the reproductive age group is 8% and in the postmenopausal age group, 18%. Its defining symptoms include dyspareunia, pelvic pain, irregular periods and menstrual pain. A cyst size of more than 4 cm indicates the need for surgical treatment. The typical therapies for this condition include hormone therapy and operations like hysterectomy. In this case report, we have shown a positive curative role of homeopathic medicine in the management of chocolate cyst of the ovary. A 31-year-old woman complaining of weakness came to the OPD, painful irregular menses with large clots and stitching pain in the right inguinal region. She was diagnosed with chocolate cyst of the ovary. She had been on hormonal therapy for a year without any relief, and the USG report showed that the cyst had grown bigger. The patient was treated successfully with individualised homoeopathic medicine Lachesis in centesimal potency, which showed significant improvement in patient – and post-treatment outcome was corroborated with follow-up and laboratory investigation which showed complete regression of cyst. Causal attribution for changes in the condition of patient after homoeopathic medication was assessed by modified Naranjo criteria. Patients' Consent In the form, the patient has given her consent for investigation report and clinical information to be reported in the journal. Patient understands that her name will not be published anywhere, and due efforts will be made to conceal her identity. Funding None. Publication History Article published online: 04 May 2023 © 2023. 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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endometriosisdyspareunia

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