Cystadenoma Of Ovary
NATIONAL JOURNAL OF HOMOEOPATHY 2005 Mar / Apr VOL VIII NO 2.
Dr Sonu Mehrotra
'Medo

Mrs K aged 45 years, consulted me on 30-10-2003 for severe dysmenorrhoea, offensive bleeding and leucorrhea; she was on allopathic medicine with no relief. Ultrasound done before starting the treatment showed Mild hepatomegaly and Cystadenoma left ovary. (Full Report attached) The sonologist advised me not to take her case since in cyst adenoma chances of cyst turning malignant are high. But I took this case as a challenge.

Patient as a Person
Ht: 5'1". Wt: 55 kgs, wheatish complexion
Appetite: Good. Feels like to eat off and on
Craving: Sour fruits and food
Bowels: Constipation. Itching in rectum due to haemorrhoids (2)
Sleep: Always sleeps with knees bent towards the chest

Life Situation: Wife of a truck driver who often remained on tour. She revealed that he always suffered by eruptions and itching on the penis. Though she did not mention any specific disease, but I thought it safer to presume that he might be suffering from a STD-sexually transmitted disease.

Mind: Patient was very sad, weeping, nervous, weak memory, fear of dark. Sometimes thinks of committing suicide because of her ailment.

Chief Complaints

1. Menses offensive, profuse, painful, partially clotted and dark.
2. Severe pain in left ovary better by pressure.
3. Leucorrhoea - thin and offensive and always worse after coitus.
4. Vaginal itching ++.
5. Rectal itching because of piles.

Past H/O: Jaundice 2 yrs back

Family H/O: Father died of heart attack. Mother: hysterectomy due to profuse bleeding

Selection Of Remedy
When I took the detail H/O patient I knew the case was falling under sycotic miasm but I was not sure about the medicine. What made me select Medorrhinum? On asking modalities, she told me if she is busy in her work she feels better but as soon as she is free she thinks of her disease and becomes worse,- thinks that she will not recover. Second modality was feels better, during menses, while lying on her abdomen in order to get relief from pain. And third was, might have got some infection from her husband who suffered by some kind or gonorrheal infection, and clichéd by her knee chest peculiar position in sleep

Treatment and Follow Up
I gave her Medorrhinum 200 single dose followed by placebo for a month she felt better. Pain during menses, Leucorrhea was better. Mentally too she felt little better. After one month I gave her Medorrhinum 1M single dose and waited for another month and she was completely cured. She kept on coming to me for three months and in her 3rd month she did not have any past symptoms. Only after a year she came with second ultra sound report of normal uterus and ovaries. (Report attached)

Investigation
Before Treatment 31.10.2003
USG Whole Abdomen
Liver is slightly enlarged with normal echotexture.

Gall bladder, pancreas, spleen and upper para aortic region appears normal.

Both kidneys are of normal size and echotexture. There is no evidence of calculus, hydronephrosis or mass lesion in both kidneys. Right kidney is 9.83. Left Kidney is 10.14 Urinary bladder is distended well and appears normal. There is no evidence of calculus or intrinsic lesion in it. There is negligible post void residue.

Uterus is anteverted, measuring 8.37 x 3.66 x 5.63cm. Normal in echotexture.
Right ovary is 2.49 x1.89 cm. Normal in echotexture.
Left ovary shows a cyst of size 4.23x 4.05cm. It shows septae and internal echoes inside it. It appears to be cyst adenoma.
Right adnexa is normal. There is no free fluid in pouch of Douglas.

Opinion: Mild Hepatomegaly. Cystadenoma left ovary.

After Treatment: 01.11.2004
Report On Pelvic Ultrasound Examination

·         Uterus is anteverted and measures 8.8 x 5.4 x 3.8 cm (LxTxA.P.)

·         Uterine outline is smooth.

·         Uterine parenchyma appears homogenous.

·         Endometrial cavity is normal.

·         Both ovaries are normal.

·         Urinary bladder is normal. No vesical calculus or growth is seen. No post-void residue Is observed.

·         Iliac Vessels have normal course and caliber.

·         There is no pelvic lymphadenopathy or free fluid.

Opinion: normal uterus and ovaries.