Endometrial hyperplasia case in a 24-year-old girl

A distinct branch of medicine called homoeopathy is focused on the individuality and clinical similarities of every patient. It treats the illness of a man, separate entity. The case study of a girl who underwent therapy for endometriosis hyperplasia over the course of 4 months with a homoeopathic similimum chosen based on individualization serves as evidence that homoeopathy can be beneficial in the treatment of a variety of illnesses.

Homoeopathy, endometriosis hyperplasia, cancer

In routine gynaecological practise, endometrial hyperplasia is a condition that is frequently observed. The underlying risk of having a concurrent genital cancer or the risk of advancement to endometrial carcinoma during the follow-up is the pathological entity's clinical significance. None of this research has reached a definitive conclusion yet, despite recent improvements in non-invasive procedures to identify underlying endometrial cancer during the first diagnosis of endometrial hyperplasia. We still lack a workable and reliable

to employ in everyday practise, despite extensive debates and associated studies that sought to define specific prognostic variables (WHO94 vs. EIN) to predict cases that will advance to cancer. Endometrial hyperplasia is treated according to the type, age, and desire for fertility of the patient. Nevertheless, progestogens [1]. An endometrial biopsy is frequently performed to rule out carcinoma when abnormal uterine bleeding, the main presenting symptom of endometrial neoplasia, occurs. 15% of women with abnormal uterine bleeding are found to have cancer, whereas 70% are found to have benign abnormalities. The diagnosis for the remaining 15% of women is endometrial hyperplasia (EH), which covers a wide spectrum of diseases, from benign, reversible proliferations to the early stages of cancer. Simple (SH), complex (CH), simple atypical (SAH), or complex atypical hyperplasia (CAH) are the four classifications for EH in the widely used World Health Organisation (WHO) system, although the two types of atypical hyperplasia (AH) are frequently combined into one classification [2]. Excessive multiplication of healthy cells is referred to as hyperplasia. There are three categories: straightforward, intricate, and unusual. Premalignant conditions can be simple or complex, and less than 3% of these conditions will progress to aggressive cancer. More alarming is atypical hyperplasia. It has been demonstrated in several studies that the risk of an underlying cancer is higher than anticipated. A frank malignancy was later discovered in 46.8% of instances among 348 women in a Gynaecologic Oncology Group (GOG) study who had first been diagnosed with atypical hyperplasia [3].

and Methodology Case: A 24-year-old woman came to our office in Jaipur, Rajasthan, on April 25, 2022, complaining of irregular periods, pain in her stomach, back, and thighs, as well as an excessive number of pimples on her face before and during her period. She had tried allopathic treatment, but it had no effect, so she was referred to homoeopathy through a relative. History of the Current Complaint: In the past six months, the patient had irregular periods, significant menstrual discomfort in the stomach, back, and thighs, and facial acne before and during periods. In the past six months, she had trouble falling asleep. International Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com ~ 528 ~ History: Menstrual discomfort since puberty. Family History: In the last six months, her father underwent major heart surgery in addition to numerous other surgeries. Mother was still alive and well. Among her two sisters, she is the oldest daughter. Physical Characteristics: She frequently had cold hands and feet and was chilly, but she despises heat. She was physically weak and had no thirst. Mentals Generals: She was a responsible individual and the house's eldest daughter. In addition to being concerned about their health, she was frightened of losing his father. With worry and a sombre demeanour, she had sleepless nights. Feeling down over her thoughts. Diagnosis: Endo material Hyperplasia. Table 1: Analysis and assessment of symptoms S. No. Symptoms MG/PG/Particulrs Intensity 01 Weeping MG ++++ 02 Anxiety MG ++++ 03 Sadness MG +++ 04 Sleeplessness MG +++ 05 Chilly patient PG +++ 06 Thirstlessness PG +++ 07 Menses -irregular Particulars ++++ 08 Menses -painful Particulars ++++ 09 Face-acne Particulars +++ Table 2: Repertorial Totality S. No. Symptoms Chapter/Rubrics 01 Weeping Mind-Weeping 02 Anxiety Mind-Anxiety-Family; About His 03 Sadness Mind-Sadness 04 Sleeplessness Sleep-Sleeplessness 05 Chilly patient General-Heat-Lack Of Vital Heat 06 Thirstlesness Stomach-Thirstless 07 Menses -irregular Female Sex-Menses-Irregular 08 Menses - painful Female Sex-Menses-Painful 09 Facial acne Face-Eruptions-Acne-Menses-Irregular Fig 1: Repertorial Sheet International Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com ~ 529 ~ Table 3: Repertorial Analysis [4] S. No. Remedies and their Relative Values 01. Pulsatilla 20/9 02. Calcarea carbonica 19/9 03. Graphites 19/8 04. Lycopodium 17/8 05. Sulphur 17/8 06. Belladonna 16/8 The Remedy Pulsatilla nigricans 200-single followed by rubrum. After carefully evaluating the patient's case history and considering all their symptoms, a remedy was selected using the RADAR version 10 software. Finally, it was decided that pulsatilla was the most appropriate remedy for this case, spanning the entire spectrum, including the overall physical, mental, and thermal picture. Pulsatilla, calcarea carbonica, graphites, lycopodium, sulphur, and belladonna all met most of the criteria and received a better grade. The remedy is once again confirmed using a reference from the materia medica. When confirming the remedy from several books, the following aspects were considered: 1. Suppressed menses, too late, scanty, thick, dark, clotted, pain in back with tired feeling [5] 2. Weeps easily, feels better by consolation [6]. Table 4: Follow Up Date Symptoms Remedy 25/04/2022 Irregular menses. Painful menses. Acne on face. Sleeplessness. Endometrium thickness- 17.5 mm. Pulsatilla 200/1dose Rubrum 30/tds*1month 23/05/2022 Patient better Cramps during periods. Pulsatilla 200/1dose Phytum200/tds*1 month 24/06/2022 Patient better. Facial acne cleared. Sleep better. Phytum 200/tds*1 month 25/07/2022 Patient better with cure in all symptoms. Pulsatilla 200/1dose Phytum 30/tds *1month Reports Fig 2: Before Report International Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com ~ 530 ~ Fig 3: After Report

and Discussion Individualised homoeopathic intervention may be a viable alternative in the treatment of endometrial hyperplasia, even though more study with a better methodology is needed.

Doctors who practise homoeopathy treat a wide range of illnesses by selecting the most effective drug based on reportorial analysis and individualization. According to Aphorism 270-Foot in % the Fifth and Sixth Editions of the Organon of Medicine, the choice of potency depends on susceptibility [7].

1. Gültekin M, Diribaş K, Dursun P , Ayhan A. Current management of endometrial hyperplasia and endometrial intraepithelial neoplasia (EIN). Eur J Gynaecol Oncol. 2009;30(4):396-401. 2. Lacey JV, Jr, Chia VM. Endometrial hyperplasia and the risk of progression to carcinoma. Maturitas. 2009;63(1):39-44. https://doi.org/10.1016/j.maturitas.2009.02.005 3. Lees C, Bourne T. (Ed ). Dewhurst’s Textbook of Obstetrics & Gynaecology (9th ed). John Wiley & Sons; c2018. 4. Schroyens F. English Edition. Synthesis. 2021;1:9. 5. Boericke W, Boericke OE. Homoeopathic materia medica with repertory comprising the characteristic and guiding symptoms of the remedies (R. B. Savage, Ed.; 2nd ed). Homoeopathic Book Service; c1990. International Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com ~ 531 ~ 6. Allen HC. Key notes and characteristics with comparisons of some of the leading remedies of the materia medica with nosodes. B Jain; c2002. 7. Hahnemann S, Dudgeon RE, Boericke W. Organon of homoeopathic medicine: The classic guidebook for understanding homeopathy - the fifth and sixth edition texts, with notes (hardcover) (Lulu.com, Ed.); c2019. How to Cite This Article Sharma A, Sharma P, Sharma OP, Jabdoliya H, Mathur G, Choudhary K . Endometrial hyperplasia case in a 24 -year-old girl . International Journal of Homoeopathic Sciences. 2023;7(2):527-531. Creative Commons (CC) License This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 International (CC BY-NC-SA 4.0) License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.