CASE DISCUSSION ON PCOS AND ITS MANAGEMENT THROUGH HOMOEOPATHY .pptx

A CASE DISCUSSION ON PCOS (POLY-CYSTIC OVARIAN SYNDROME)
CASE OF A 26-YEAR-OLD FEMALE, INABILITY TO CONCEIVE WITH IRREGULAR MENSES, SINCE 2 YEARS...
Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder affecting women of reproductive age. It is characterized by hormonal imbalances, irregular menstrual cycles, and the presence of multiple small cysts on the ovaries. PCOS is a leading cause of infertility and is associated with significant long-term health risks, including metabolic and cardiovascular diseases.
Pathophysiology of PCOS
The exact cause of PCOS is not fully understood, but it is believed to involve a combination of genetic, environmental, and lifestyle factors. Central to PCOS is the dysfunction of the hypothalamic-pituitary-ovarian axis, leading to excessive production of androgens (male hormones) by the ovaries.
Conclusion-
PCOS is a complex hormonal disorder with significant medical, reproductive, and psychological implications. Early diagnosis and appropriate management are essential for reducing the long-term risks associated with this condition, including infertility, metabolic syndrome, and cardiovascular disease...

1. INTERDEPARTMENTAL INTEGRATION OBG & ORGANON TOPIC : CASE DISCUSSION (PCOS) BY DR. MD SANEN S BHMS 2019-BATCH AMSHMC BELGAUM

2. CASE PRELIMINARY DATA- NAME: XYZ AGE: 26 RELIGION: MUSLIM OCCUPATION: HOUSEWIFE MARITAL STATUS: MARRIED ADDRESS: 2 ND CROSS, AZAM NAGAR, BELGAUM HUSBANDS OCCUPATION: IT SECTOR SOCIO-ECONOMIC STATUS: MIDDLE CLASS

3. PRESENTING COMPLAINT WITH DURATION- INABILITY TO CONCIEVE WITH IRREGULAR MENSES SINCE 2 YEARS

4. MENSTRUAL HISTORY- MARRIED SINCE 4 YEARS AGE OF MENARCHE: 13 YEARS (which were very irregular for the first 2 years) LMP: 7/8/2022 (last menses in June – 1 & ½ months amenorrhoea) MENSES- FLOW- PROFUSE CLOTS- BLACKISH NO STAINS NO ODOUR

5. BEFORE MENSES: CRAMPS IN ABDOMEN DURING MENSES : DIARRHOEA (3-4 LOOSE STOOLS WITH COLICKY PAIN) > PRESSURE, HOT FOMENTATION ASSOCIATED SYMPTOMS: SENSATION OF HEAT & FEVERISHNESS ARISING OUT OF ANXIETY BURNING PAINS IN STOMACH INDIGESTION WITH URGING FOR STOOLS < EMPTY STOMACH, SPICES, BREAD > COLD, MILK, TEA. DIZZINESS & PERSPIRATION

6. PHYSICAL GENERALS- TALL & THIN ANXIOUS LOOK ON FACE DRYNESS OF SKIN IN WINTERS APPETITE: GOOD; FREQUENT EATING DESIRES: SPICES, COLD DRINKS, CARBONATED DRINKS, SWEETS, ICE CREAMS AVERSION: SALADS THERMALS: EXTREMELY CHILLY

7. MIND- ANXIOUS PERSON REGARDING HEALTH (HYPOCHONDRIASIS) ANXIETY DEVELOPS IN STOMACH – NEGATIVE THOUGHTS FEARS EATING- ESP. BETWEEN MEALS VERY SENSITIVE BROODING MENTALLY VERY RESTLESS WANTS A CHANGE ALL TIME LIKES TO GO OUT, DISLIKES STAYING HOME DESIRES COMPANY & LOVES TO TALK (FULL OF IDEAS)

8. GETS ATTACHED TO PEOPLE VERY EASILY VERY CO OPERATIVE QUITE FASTIDIOUS GETS ANGERED EASILY WEEPS EASILY, CONSOLATION > DREAMS ABOUT UNFINISHED WORKS INTELLIGENT – WANTS TO LEARN NEW THINGS HAS A GOOD MEMORY

9. PAST HISTORY- VOCAL NODULES RECURRENT PHARYNGITIS BRONCHITIS BRONCHO-PNEUMONIA HERPES ZOOSTER

10. FAMILY HISTORY- MOTHER- PULMONARY TB., HTN FATHER- M.I. BROTHER- PULMONARY TB.

11. INVESTIGATIONS- ULTRASONOGRAPHY POLY CYSTS SEEN IN OVARIES

12. TREATMENT- PHOS 1M SINGLE DOSE PRESCRIBED

13. ANALYSIS OF THE SYMPTOMS- HAHNEMANNIAN – COMMON IRREGULAR MENSES INABILITY TO CONCEIVE CRAMPS IN ABDOMEN BURNING PAINS IN STOMACH DRYNESS OF SKIN CHANGEABILITY OF MOOD UNCOMMON ANXIOUS ABOUT HEALTH VERY SENSITIVE BROODING VERY RESTLESS LIKES TO GO OUT TRAVELLING DESIRES COMPANY QUITE FASTIDIOUS GETS ANGERED EASILY > CONSOLATION SLEEP DISTURBED FROM LEAST NOISE >CATNAPS DREAMS OF UNFINISHED WORKS EXTREMELY CHILLY AVERSION TO SALADS DESIRE-SPICES, COLD DRINKS, CARBONATED DRINKS, SWEETS, ICE CREAM DIARRHOEA DURING MENSES SENSATION OF HEAT & FEVERISHNESS DURING MENSES <EMPTY STOMACH, SPICES, BREAD. >COLD, MILK, TEA.

14. TOTALITY IRREGULAR MENSES INABILITY TO CONCEIVE CRAMPS IN ABDOMEN BURNING PAINS IN STOMACH DRYNESS OF SKIN ANXIOUS ABOUT HEALTH VERY SENSITIVE BROODING VERY RESTLESS CHANGEABILITY OF MOOD LIKES TO GO OUT TRAVELLING DESIRES COMPANY QUITE FASTIDIOUS GETS ANGERED EASILY > CONSOLATION SLEEP DISTURBED FROM LEAST NOISE >CATNAPS DREAMS OF UNFINISHED WORKS EXTREMELY CHILLY AVERSION TO SALADS DESIRE-SPICES, COLD DRINKS, CARBONATED DRINKS, SWEETS, ICE CREAM DIARRHOEA DURING MENSES SENSATION OF HEAT & FEVERISHNESS DURING MENSES <EMPTY STOMACH, SPICES, BREAD. >COLD, MILK, TEA.

15. ANALYSIS KENT GENERAL SYMPTOMS: MENTAL GENERALS- ANXIOUS ABOUT HEALTH (HYPOCHONDRIASIS) VERY SENSITIVE BROODING MENTALLY RESTLESS CHANGEABLE MOOD LIKES TO GO OUT TRAVEL DESIRES COMPANY QUITE FASTIDIOUS GETS ANGERED EASILY> CONSOLATION SLEEP DISTURBED FROM LEAST NOISE> CATNAPS DREAMS UNFINISHED WORKS

16. PHYSICAL GENERALS- EXTREMELY CHILLY AVERSION TO SALADS DESIRES FOR SPICES, COLD DRINKS, CARBONATED DRINKS, SWEETS, ICE CREAMS

17. PARTICULAR SYMPTOMS- DIARRHOEA DURING MENSES SENSATION OF HEAT & FEVERISHNESS DURING MENSES <EMPTY STOMACH, SPICES, BREAD >COLD, MILK, TEA

18. COMMON – IRREGULAR MENSES INABILITY TO CONCEIVE CRAMPS IN ABDOMEN BURNING PAINS IN STOMACH DRYNESS OF SKIN IN WINTERS CYSTS IN OVARIES

19. EVALUATION OF THE SYMPTOMS (KENT) GENERAL SYMPTOMS- 1 ST GRADE: ANXIOUS ABOUT HEALTH (HYPOCHONDRIASIS) VERY SENSITIVE BROODING MENTALLY RESTLESS CHANGEABLE MOOD LIKES TO GO OUT TRAVEL DESIRES COMPANY QUITE FASTIDIOUS GETS ANGERED EASILY> CONSOLATION SLEEP DISTURBED FROM LEAST NOISE> CATNAPS DREAMS UNFINISHED WORKS

20. 2 ND GRADE: EXTREMELY CHILLY AVERSION TO SALADS DESIRES FOR SPICES, COLD DRINKS, CARBONATED DRINKS, SWEETS, ICE CREAMS 3 RD GRADE:

21. PARTICULAR SYMPTOMS- 1 ST GRADE : DIARRHOEA DURING MENSES SENSATION OF HEAT & FEVER DURING MENSES 2 ND GRADE: <EMPTY STOMACH, SPICES, BREAD > COLD, MILK, TEA

22. MIASMATIC BACKGROUND- Polycystic ovarian syndrome its an collection of water like cyst on outer edges of ovaries, Raman lal patel states in his MM about cystic ovaries under chapter female genatalia tumor cyst which in terms he relates the miasmatic background as psora sycotic . In case of Polycystic ovarian syndrome, it is the psoric miasm which initially brings about the functional changes followed by involment of sycotic miasm which leads to cystic changes in ovary. Polycystic ovarian syndrome is result of combination of psora and sycotic miasms in sick individuals . Ref- Dr Vishnu tm and Dr. shusthritha k, Miasmatic evolution in polycystic ovarian syndrome with repertorial analysis. Article

23. ASSESSING THE SUSCEPTIBILITY Suscebtibility is the general capability of the organism to receive impression or the power of organism to react to stimuli, It is one of the fundamental attributes of life upon which vital force depends. In Polycystic ovarian syndrome the susceptibility of the females will be more through which the disease factors also increase along with it. Presently the stress induced factors. sedentary life style , financial challenges ,Familial obstacles , social challenges , modernised lifestyles , food habits all does make women to have more susceptibility by affecting the vital force of an individual.

24. DECIDING UPON POTENCY Based on susceptibilty the potency is decided More the Susceptibiliy higher the potency , less the susceptibility lower the potency

25. REPEATATION OF DOSE BASED ON CONDITION & PROGRESS OF THE PATIENT NATURE OF THE DISEASE NATURE OF THE REMED Y

26. EXPLORING OBSTACLES TO CURE

27. PROBABLE INDICATED REMEDY- PHOSPHOROUS

28. THERAPEUTICS- APIS MELL PULSATILLA SEPIA LACHESIS GRAPHITES CAL CARB NAT MUR OLEUM JECONIS ASELLI PHOSPHOROUS

29. THANK YOU !