Homeopathic Management of Coexisting Adenomyosis and Uterine Fibroid A Case Report

Background: Adenomyosis and uterine fibroids frequently coexist and produce overlapping symptoms that complicate diagnosis and management. Case: A 46-year-old woman presented with long standing heavy menstrual bleeding, pelvic and low back pain, and systemic complaints. Imaging confirmed diffuse adenomyosis with intramural and subserosal fibroid nodules. She received individualized classical homeopathic treatment with Arsenicum album as the principal constitutional remedy, with periodic follow up and remedy adjustments. Outcome: Over serial follow ups from November 2021 to June 2025 the patient reported reduction in gastrointestinal complaints symptoms, intermittent improvement in bleeding patterns, decreased pelvic pain at several visits, and improved general well-being. No serious adverse events were recorded. Conclusion: This single patient case illustrates the application of individualized homeopathic prescribing in a patient with combined adenomyosis and fibroid uterus. The report documents symptom course, remedy rationale, and longitudinal follow up, and highlights the need for controlled studies to evaluate homeopathy’s role as an adjunct in conservative management of benign uterine pathology.