Your Homeopath In Kerala
FEMALE DISORDERS

We have our own special Therapy unit were external treatment along with internal treatment is provided for skin, Hair, sinusitis, Varicose veins, bone and joint complaints.

ENDOMETRIOSIS

What is endometriosis?

The presence of functioning endometrium (glands and stroma) in sites other than uterine mucosa is called endometriosis. It is not a neoplastic condition, although malignant transformation is possible.

Types of Endometriosis

ENDOMETRIOSIS INTERNA OR ADENOMYOSIS

ENDOMETRIOSIS EXTERNA OR GENERALLY REFERRED TO AS ENDOMETRIOSIS

Types of Endometriosis

Abdomen- rectum and pelvic lymph nodes.
Rare sites are gut, appendix, ureter and urinary bladder.
Extra-abdominal- the abdominal scar ofcaesarean section, tubectomy, and myomectomy, umbilicus, episiotomy scar, vagina and cervix.
Remote sites are – pleura,lungs, deep tissues of arms and thighs

CLINICAL FEATURES

Painful menses and painful sex
Abnormal menstruation- Heavy menses with premenstrual spotting
Infertility
Chronic lower abdomen pain because of inflammation which increases during menses
Abdominal pain
Other symptoms – frequent painful urination, hematuria [blood in urine], painful stool, diarrhea, rectal bleeding,fatigue, premenstrual symptoms

COMPLICATIONS OF ENDOMETRIOSIS

Endocrinopathy
Rupture of chocolate cyst
Infection of chocolate cyst
intestinal obstruction-ureteral obstruction
Malignancy is rare , the commonest one being adenoacanthoma

HOMOEOPATHIC MANAGEMENT

Homoeopathy has a good role in treating female complaints. There are wide sets of homoeopathic medicines which help the patient to overcome the severe bleeding and pain during the menses.In this condition of endometriosis there will be thickening of the uterus so, homoeopathic medicines will be acting on the uterus and will be helpful in reducing the thickness of uterus. Homoeopathic medicines also help to build up immunity and thus preventing recurrent bouts of infection.

FIBROID

Fibroids Are The Commonest Benign [Non-Cancerous] Solid Tumors In Female. 20% Of Women At The Age Of 30 Have Got Fibroid In Their Wombs. The Prevalence Is Higher Between 35-45 Yrs.

Risk factors

Females who have not given birth
Obesity
Black women
smoking of breath

TYPES OF FIBROIDS BASED ON LOCATION

Body-fibroids are most commonly located in the uterus and are usually multiple

Interstitial or intramural
Subserous
Submucous

Cervical-anterior

Cervical-anterior

Posterior

Central

Lateral

SYMPTOMS OF FIBROID UTERUS

Asymptomatic- majority of cases

Menstrual abnormality- heavy bleeding, bleeding between menses
Painful menses
Painful sex
Infertility
Pressure symptoms, when fibroid is big and presses on the bladder then it can cause frequent urination
Recurrent pregnancy loss(miscarriage, preterm labor)
Lower abdominal or pelvic pain
Abdominal enlargement

COMPLICATIONS OF FIBROIDS

Degenerations

Necrosis
Infection
Sarcomatous change
Torsion of subserous pedunclated fibroid
Hemorrhage
Polycythemia

HOMOEOPATHIC MANAGEMENT

Homoeopathy is a holistic system. In conditions like fibroid uterus initial ultrasound scanning is advised to the patient and further medicines will be given to reduce the size of the fibroid uterus and medicines are given for pain and bleeding. These medicines don’t have any side effects and are very safe. The homoeopathic medicines will help in increasing the immunity of the patient.

DYSMENORRHOEA [PAINFUL MENSES]

Dysmenorrhea Means Painful Menstruation To Incapacitate Day-To -Day Activities

TYPES OF DYSMENORRHOEA

PRIMARY DYSMENORRHOEA (SPASMODIC)

SECONDARY DYSMENORRHOEA

PRIMARY DYSMENORRHOEA

The primary dysmenorrhoea is one where there is no identifiable pelvic pathology

PRIMARY DYSMENORRHOEA

Psychosomatic factors-due to tension and anxiety during adolescence, lower pain threshold is often attributed as an aggravating factor in pain perception.

Abnormal anatomical and functional aspect of uterus

  • Unequal development of mullerian duct, such as septate or bicornuate uterus
  • Uterine hypoplasia

Imbalance in the autonomic nervous control of uterine muscles

Role of vasopressin-It causes uterine hyperactivity, and disrhythamic contractions –ischemia and hypoxia – pain
Role of prostaglandins –progesterone is a strong vasoconstrictor, which causes ischemia of the myometrium
Other-endothelins and leukotriene are vasoconstrictors and stimulate myometrium contractions

CINICAL FEATURES

Pain begins a few hours before or just with the onset with menstruation
The severity of pain usually lasts for few hours, may extends to 24 hrs but seldom persists beyond 48 hrs
The pain is spasmodic and confined to lower abdomen, may radiates to the back and medial aspect of thighs
Systemic discomforts like nausea, vomiting, fatigue, diarrhea, and headache may be associated
Pallor, cold sweat and occasional fainting
Syncope and collapse in severe cases

SECONDARY DYSMENORRHOEA

Secondary dysmenorrhea is normally considered to be menstruation – associated pain occurring in the presence of pelvic pathology

CAUSES OF PAIN

Chronic pelvic infection,
pelvic endometriosis,
pelvic adhesions, adenomyosis,
uterine fibroid,
endometrial polyp,
IUCD in utero and pelvic congestion

CLINICAL FEATURES

Pain is dull, situated in the back and in front without any radiation.
Patient may have got some discomfort even in between periods

MEMBRANEOUS DYSMENORRHOEA

It is one variety of primary dysmenorrhoea but is rare. There is shedding of big endometrial casts during period.it is probably due to the deficiency in the tryptic ferment normally secreted in the endometrium.

OVARIAN DYSMENORRHOEA

The pain usually appears 2-3 days before menstruation. The pain is continuous and dull, it is distributed to either one or both quadrants innervated by T10 to l1 segments

HOMOEOPATHIC MANAGEMENT

Homoeopathic system has got wide varieties of medicines for dysmenorrhoea; the severity of pain will differ from patient to patient in this system of medicine the importance is given to the patient and their sufferings. Initially a detail investigation is advised for the patient and the cause of pain is found out and the treatment will be based on it. These medicines are very safe and do not have any side effects. Usually two sets of medicines are given, one acute to take during the periods to control and decrease pain and associated complaints and the second regular medicine which is given to reduce the pain, correct the underlying disease condition and in turn reduce the pain for forthcoming periods.

POLYCYSTIC OVARIAN SYNDROME

Polycystic ovarian syndrome was originally described in 1935 by stein and eventual as a syndrome manifested by amenorrhea [absent menses], hirsutism [excessive hair growth on face and other parts of body], obesity associated with enlarged polycystic ovaries.

This heterogeneous disorder is characterized by excessive androgen [testosteron] production by the ovaries mainly, which interferes with the reproductive, endocrine and metabolic functions.PCOS is a multifactorial and polygenic condition

SYMPTOMS

Lichen planus occurs when the immune system attacks cells of skin or mucous membrane, but the exact cause is not known. The condition is not contagious.

Obesity
Menstrual abnormality-oligomenorrhoea or scanty menses, amenorrhoea [absent menses], DUB and infertility
Hirsutism and acne, virilism is rare
Acanthosis nigricans-by specific skin changes due to insulin resistance. The skin is thickened and pigmented. Commonly affected sites are nape of neck, inner thigh and axilla
Hair an syndrome – in patients with PCOS characterized by hyperandrogenism,insulin resistance and acanthosis nigricans

INVESTIGATIONS

Sonography

Transvaginal sonography specially in obese patient

Serum values

LH is elevated and or the ratio LH: FSH is > 3:1
Raised level of oestradiol and oestrone, the oestrone level is markedly elevated
SHBG level is reduced
Androstenedione is elevated
Raised serum testosterone and DHEA-s may be marginally elevated
Insulin resistance-raised fasting insulin level >25 Iu/ml and levels of serum insulin
Laparoscopy-bilateral polycystic ovaries are characteristic of PCOS

HOMOEOPATHIC MANAGEMENT

PCOS is very common disease seen now adays. The medicines given will help the patient in attain their regular menses and the patient should follow the strict diet and exercise advised by the physician. Initial scanning will be advised for the patient and a regular monitoring is done in every 4 months. Homoeopathic medicine will help u in regularizing the menses and correcting the polycystic ovaries.

MENORRHAGIA

It Is Defined As Cyclic Bleeding At Normal Intervals, The Bleeding Is Either Excessive In Amount (>80ml) Or Duration Or Both.

CAUSES

Menorrhagia is a symptom of some underlying pathology

ORGANIC
FUNCTIONAL

ORGANIC CAUSES

Pelvic pathology
Fibroid Uterus
Adenomyosis
Pelvic Endometriosis
IUCD
Chronic Tubo-Ovarian Mass
Tubercular Endometritis (Early Cases)
Retroverted Uterus- Due to Congestion
Granulosa Cell Tumour of the Ovary

Systemic

liver dysfunction
Congestive cardiac failure
Severe hypertension

Endocrinal

Hypothyroidism
Hyperthyroidism

Blood dyscrasias

idiopathic thrombocytopenic purpura
Leukemia

Von willebrands disease

Emotional upset

FUNCTIONAL CAUSE

Dysfunctional uterine bleeding

Fibroid uterus

Adenomyosis
chronic tubo-ovarian mass
Severe hypertension

HOMOEOPATHIC MANAGEMENT

Homoeopathic system is a holistic system. The medicines given will help in reducing the pain and reduce the bleeding. Once when the medicines act on the body it will reduce the uterine bleeding. These medicines will help in improving the immunity of the patient and correct the diseased uterus. These medicines are very safe and do not have any side effects.

LEUCORRHOEA

It Is Defined As An Excessive Normal Vaginal Discharge.

The term leucorrhoea should fulfill the following criteria

The excess secretion is evident from persistent vulva moistness or staining of the undergarments (brownish yellow on drying) or need to wear a vulval pad
It is non- purulent and non-offensive
It is non-irritant and never causes pruritis

CAUSES

The excessive secretion is due to
Physiologic excess
Cervical cause (cervical leucorrhoea)
Vaginal cause (vaginal leucorrhoea)

PHYSIOLOGIC EXCESS

The normal secretion is expected to increase in condition when the estrogen level become high such conditions are
During puberty-increase levels of endogenous estrogen lead to marked over- growth of the endocervical epithelium which may encroach onto the ectocervix producing congenial ectopy –increased secretion.
During menstrual cycle-around ovulation, peak rise of estrogen, increase in secretory activity of the cervical glands.
Premenstrual pelvic congestion and increased mucus secretion from the hypertrophied endometrial glands.
During sexual excitement, when there is abundant secretion from the bartholins gland

CERVICAL CAUSE

Non- infective cervical lesion may produce excessive secretion which pours out at the vulva. Such lesions are –cervical ectopy, chronic cervicitis, mucous polyp and ectropion.

VAGINAL CAUSE

Increased vaginal transudation occurs in conditions associated with increased pelvic congestion. The conditions are uterine prolapse, acquired retroverted uterus, chronic pelvic inflammation, pill use and vaginal adenosis.

DIAGNOSIS

General examination may reveal ill health. The patient often states the discharge as the cause of ill health but in reality, the reverse is true, the ill health producing leucorrhoea

HOMOEOPATHIC MANAGEMENT

Homoeopathy has good role in treatment of cases like leucorrhoea. There are wide set of homoeopathic medicines which help in overcome the back pain and irritation during the time of discharge. Homoeopathic medicines may help to remove leucorrhoea and allow the patient to lead a normal life. Homoeopathic medicines have action on the uterus which reduces the excess mucus production. Homoeopathic medicine help to build up immunity and thus preventing the recurrence of the disease.effects.

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Clinic Locations

Indian Clinic

TC 20/916, Karamana,
Trivandrum-695002, Kerala

Adelaide Clinic

Anthony Gray, BHSc (Comp Med),
Adv. Dip. Homeopathy
33 Jenkins Ave, Rostrevor SA 5073
Adelaide, South Australia