Healing ovarian cysts with individualized homoeopathy: A case report

Non-neoplastic enlargement of the ovary occurs due to fluid accumulation within the fu nctional unit of the ovary. Cystic or solid ovarian enlargement is possible at any age; however, functional and inflammatory ovarian swelling is most prevalent during reproductive years. It may occur without producing any symptoms or result in painful mens trual conditions, infertility, pelvic pain, or dyspareunia. At times, associated with complications such as bleeding, rupture, or torsion, these enlargements may produce sudden symptoms. This report has been made following HOM -CASE- CARE protocol. A female patient aged 34 years reported a complaint of right ovarian cyst. The lady had a history of pain in right adnexa area and had irregular menstrual cycle (duration of 30 -35 days, profuse with clots for 6 -7 days). Detailed patient history was obtained, and th e totality of signs and symptoms was analysed by repertory for selection of homoeopathic remedy. Sepia officinalis 200 was recommended to the patient. Gradually, there was marked improvement in the health status of the patient. The condition of menstrual d isorder improved gradually, and eventually, there was resolution of the cyst.

Homoeopathy, ovarian cyst, Sepia officinalis, individualised treatment

The ovary can become malignant and has a complicated embryology, histology, and steroidogenesis. As a result, the structure and biological behavior of ovarian neoplasms vary greatly. Ovarian endometriosis that results in a chocolate cyst, ovarian congestion brought on by adnexal inflammatory states, or the persistence and expansion of physiological structures in the ovary such as the corpus luteum or Graafian follicle can all cause such an enlargement. lesions brought on by inflammatory diseases [1]. The reasons are: Polycystic ovarian syndrome, follicular cysts, corpus luteum cysts, gr anulosa and Theca lutein cysts, and endometrial cysts (chocolate cysts) All of them, with the exception of the final one, are functional ovarian cysts and are collectively referred to as cystic ovaries [2]. Surgery is typically required for patients whose ovarian cysts persist for longer than six months and do not improve with hormonal therapy. However, as surgery may have an impact on a woman's reproductive health, it should be avoided as much as possible in unmarried and childless women. It is widely acknowledged that Ultrasonography (USG) is a quick and non- invasive initial test for assessing ovarian lesions [3]. Since many patients are thought to be asymptomatic and untreated, the true frequency of ovarian cysts is unknown. Additionally, the prevalence v aries depending on the community under study. By the age of 65, 4% of women will be hospitalized due to ovarian cysts. The prevalence of an adnexal lesion was 7.8% in a random sample of 335 asymptomatic women aged 24 to 40. A simple unilocular adnexal cys t had a prevalence of 2.5% in another study that looked at ovarian cysts in postmenopausal women. 46.7% of the 33,739 premenopausal and postmenopausal women surv eyed had an adnexal cyst on transvaginal ultrasound, and 63.2% of the abnormalities resolved on follow-up ultrasounds [4]. The following are risk factors for the development of ovarian cysts: Treatment for infertility: Patients receiving gonadotropins or other ovulation-inducing drugs may develop cysts as part of ovarian hyperstimulation syndrome; T amoxifen; Pregnancy: Ovarian cysts may develop during the second trimester of pregnancy when hCG levels are at their highest. Cigarette smoking, hypothyroidism, maternal gonadotropins whose transplacental effects might cause fetal ovarian cysts . Ligation of tubes Sterilizations via tubal ligation have been linked to functional cysts. Each patient's age, desire to keep her ovaries, and future fertility will determine the best course of action. Medical treatments are thought of as the first line of treatment, but long-term use can have negative effects, and post-surgical complications can International Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com ~ 294 ~ be quite dangerous for the patient [5]. Numerous studies have shown that homoeopathic medicine is beneficial in treating ovarian cysts. The current case study as sesses the efficacy of constitutional homeopathic medication in a patient with an ovarian cyst in order to add to this body of research.

A 34 -year-old female patient presented herself to OPD R - 125 [A -HMIS ID - 102024194703] National I nstitute of Homoeopathy, Narela, Delhi, with chief complaints of right ovarian cyst. The patient complained of having pain in the right adnexal region. Her menst rual cycle was irregular (cycle 30 -35 days, heavy flow for 6 -7 days with clots). According to t he ultrasonography abdomen - Cystic area measuring about 20× 26 mm seen in right ovary has been noticed. There was associated bearing down sensation in the lower pelvic region. In mentally aspect she had a weeping disposition with sensitivity. She was unde r emotional disturbance because of being dominated by her in -laws family and had palpitations during thinking about her past unhappy events. Along with this ther e was strong craving for sour foods. Homoeopathic analysis Patient was evaluated holistically in choosing his simillimum based on totality where both his mental, physical and particular symptoms were taken into consideration as described in table 1. Then the case was repertorised taking into account all relevant rubrics as shown in table 2. Finally , prescription was made based on the analysis done after repertorization. Repertorisation chart is shown in fig 1. Homeopathy interventions The patient underwen t homeopathy medication in a systematic way, with follow-ups done as indicated in table 3 (follow-up). Follow -up tests were conducted periodically. The medications were administered based on the totality of symptoms present in the patient’s body. Table 1: Symptoms evaluation and totality based on first day for first prescription Mental general Physical general Particular Weeping easily Sour food desire Ovary cyst Domination from her in-laws side Bearing down sensation in lower pelvic region Palpitation when thinking about past event Table 2: Rearranging totality for the final selection S. No. Repertorial totality Repertorial result 1. [Mind] Weeping, tearful mood: Sepia -16/6 2. [Mind] Domination by others, ailments from, agg: Lilium Tigrinum- 12/4 3. [Mind] Anxiety: Palpitation: With events, about past: Aurum-Mur-Natronatum- 11/4 4. [Generalities] Food and drinks: sour, acid: Desire: Rhus Toxicodendron- 10/4, 5. [Female Genitalia] Tumor: cysts: Apis Melifica- 10/3 6. [Female Genitalia] Pain: Bearing Down: Uterus and region extending to vulva: Fig 1: Repertoriasation was formed by using complete repertory with hompath zomeo software Selection of prescription: Sepia officinalis 200 od for 2 days (06/09/26) International Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com ~ 295 ~ Table 3: Prescription with follow-up Date/ Time Medication/ Dose Observation 20/09/24 Pl Adnexal Pain better 30-40% Menses lasted for 5-6 days, menstrual flow was profuse with no clots. Mentally she feels quite better. 04/10/24 Pl Adnexal Pain better 50-60% Menses lasted for 5-6 days, menstrual flow was not much profuse with no clots Mentally she feels better. 08/10/24 Sepia 1M/1dose Pain as like before in same region. Mentally she feels dull and weep all day 07/11/24 Bryonia Alba 200/BD/2 days Cough dry, thirst increased Adnexal Pain better 70-80 % Menses lasted for 5 days, menstrual flow was not profuse with no clots Mentally she feels better. 20/12/24 Lyco 200/1dose C/o dyspepsia, flatulence at lower abdomen. > flatus passing 06/01/25 Pl Adnexal Pain better (almost no pain) Menses lasted for 5-6 days, menstrual flow was not profuse with no clots Mentally she feels completely better. Before treatment After treatment Table 4: Total Naranjo score Sl. No. Item/ Question Yes No Not sure or N/A 1. Was there an improvement in the main symptom or condition for which the homoeopathic medicine was prescribed? +2 2. Did the clinical improvement occur within a plausible time frame relative to the drug intake? +1 3. Was there an initial aggravation of symptom? (Need to define in glossary) 0 4. Did the effect encompass more than the main symptom or condition, i.e., were other symptoms ultimately improved or changed? +2 5. Did overall wellbeing improve? (Suggest using a validated scale) +2 6(A) Direction of cure: did some symptoms improve in the opposite order of the development of symptoms of the disease? 0 6(B) Direction of cure: did at least two of the following aspects apply to the order of improvement of symptoms - from organs of more importance to those of less importance - from deeper to more superficial aspects of the individual - from the top downwards. 0 7. Did old symptoms” (defined as non-seasonal and non-cyclical that were previously thought to have resolved) reappear +1 International Journal of Homoeopathic Sciences https://www.homoeopathicjournal.com ~ 296 ~ temporarily during the course of improvement? 8. Are there alternate causes (other than the medicine) that-with a high probability- could have caused the improvement? (Consider known course of disease, other forms of treatment and other clinically relevant intervention 0 9. Was the health improvement confirmed by any objective evidence? (e.g. lab test, clinical observation, etc.) +2 10. Did repeat dosing, if conducted, create similar clinical improvement? 0 Total score = Maximum score=13 Minimum score=02 Score=10 The interpretat ion of the total Naranjo Score predicting drug action is as follows: Total scores range from -4 to +13; the reaction is considered definite if the score is 9 or higher, probable if 5 to 8, and possible if 1 to 4, and doubtful if 0 or less

An ovarian cyst is a very common gynecological problem in females of childbearing age. There can be symptoms of pelvic pain, menstrual disorders, infertility or even there might be no symptoms at all in many cases. Treatment usually comprises observation, horm onal therapy or even surgery according to the size, persistence and type of the cyst. But since there is always a risk factor involved in using long-term hormone therapy and surgery, many researchers have looked into other options for treating this condition. In this particular case, a 34 -year-old lady had come with the complaint of right ovarian cyst, pain in the right-side adnexa region, irregular and excessive bleeding with clots and sensation of downward pressure in the right adnexal area. Along with th at, there were certain prominent mental symptoms like weeping tendency, being upset due to domination by her in laws, and palpitations while thinking about unpleasant past memories. According to the repertorial analysis, the choice of Sepia officinalis was indicated as the best individualised homoeopathic prescription. This was further strengthened by the classical symptoms of Sepia including pressure sensation in pelvic organs, hypersensitivity, weeping, hormonal imbalance and menstrual disorders. The pati ent gradually responded well to the prescription of Sepia officinalis 200C and later Sepia officinalis 1M with an improvement in both local and general symptoms. Follow- up consultations showed that there was improvement in pelvic pain, improvement in emoti onal wellbeing and ultrasound resolution of the ovarian cyst. The improvement achieved in the main symptom was not only on the specific local site but also involved general wellbeing and emotional status of the patient. The objective evaluation of the impr ovement was further confirmed with the ultrasonographic findings. Using the modified Naranjo Criteria, there was an affirmative score of 10 which meant that ther e was a "definite" relationship between the homoeopathic medicine prescribed and the improvemen t seen clinically as well as symptomatically. There are similar cases in the homoeopathic literature where ovarian cysts and other gynaecological disorders were found to be responsive to individualised homoeopathic medicines. However, it must be understood that this particular case study has limitations. Some functional ovarian cysts have been known to go into spontaneous regression, and so no definitive conclusion can be drawn in terms of efficacy here. Future research needs to be conducted to confirm this mode of treatment's effectiveness using larger patient samples. This case also highlights how individualized medication, even in the lowest possible dosage, is capable of helping patients relieve their symptoms as well as achieve permanent healing from an ailment. According to Dr Stuart Close, “Individualization is the cardinal principle of a true pathology as well as of true therapeutics” [6]. Proper selection o f constitutional and antimiasmatic medications can lead to successful treatment of ailments, if prescribed in the right doses. Potency, dose and repetition of treatment must all conform to guidelines provided in the Organon of Medicine [7]. This case report emphasizes the significance of using individualized medicines in treating diseases, especiall y ovarian cysts.

In this case, it is proved that the holistic application of homoeopathy in treating ovarian cysts is effective. Holistic approach taking into account the patient’s psychological and physical symptoms was helpful in finding out the similimum, which gradually led to the cure of symptoms and the cyst itself. The importance of case taking, repertorization, and follow -up in homoeopathy can be seen from this case as well.

1. Padubidri VG, Daftary SN. Shaw's textbook of gynecology. 16th ed. New Delhi: Elsevier; 2014. 2. Konar H. DC Dutta's textbook of gynecology. 8 th ed. New Delhi: Jaypee Brothers Medical Publishers; 2024. 3. Gupta G, Sin gh N, Singh R, Nayak C, Khurana A. Evidence based clinical study on the effect of homoeopathic medicines in cases of ovarian cysts. Indian J Res Homoeopathy. 2011;5:32-42. 4. Mobeen S, Apostol R. Ovarian cyst. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022 May 1. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560541/ 5. Sabud A, Das A. Homoeopathic constitutional medicine helps to cure ovarian cyst: A case report. Int J Homoeopath Sci. 2022;6(4):319-324. 6. Close S. The genius of homoeop athy: lectures and essays on homoeopathic philosophy with word index. 6th ed. New Delhi: B. Jain Publishers; 2012. 7. Hahnemann S. Organon of medicine. 26th impression. New Delhi: B. Jain Publishers; 2010. How to Cite This Article Dalal KM, Rathibha KK, Kumar J. Healing ovarian cysts with individualized homoeopathy: A case report . International Jour nal of Homoeopathic Sciences. 2026; 10(6): 293-296. 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.