This paper had been presented in following conferences:-
7th National Conference of Homeopathy organized by I.H.O –7TH April 2003
Calcutta Homeopathic Conference in HAYAT regency – May 2003
Female Infertility and Homeopathic Cure in Kanpur by IHO – January 2004
12th National Homeopathic conference organized by Research Society of Homeopathy- 14th Feb 2004

It is one of the many common diseases found in middle aged females. The disease in which surgery is thought to be a common solution. But indiscriminate and hasty decision of removal of uterus and ovaries in cases of fibroid or cyst in them had done more harms than good .It had got both short term and along term implications. Hence removal of uterus in cases of benign uterine fibroid is a decision, which should be taken after thorough assessment of the case.
Uterine fibroid is a benign i.e. non -cancerous growth from the muscle layer of uterus and is medically referred as uterine fibromyomas. It is commonly called uterine fibroid. It is generally formed of a mixture of muscle tissues containing fibrous tissues. The cause of its formation is not definitely known. Infertility and endometrial hyperplasia is considered to be associated factors. The development of fibroid during reproductive age appears to be due to a hormone called oesterogen and increased supply of blood in uterus. Hereditary factor also plays an important role.

It is generally found in women between the ages of 35-45 years of age. It can be found in any age between the first start of menses to the menopausal state but its incidences are rare.
They are generally of three types based on the location.

Interstitial type:
In this type the fibroid grows in the substance of uterine wall and remains as such when small or subserous. It is the commonest type of uterine fibroids and is found in 60%of cases. Posterior wall of the uterus is the commonest site for tumor formation.

The second type is subserous type:
In this type the tumor is formed underneath the peritoneum and may be sessile or pedunculated.

The third type is submucous type:
In this case tumor grows inside the mucous membrane of uterus and projects inside the uterus cavity. They are usually single It may be sessile or pedunculated. The expulsive power of the uterus makes sessile fibroids pedunculated.

Generally they are symptom less. But, profuse bleeding is one of the most common features attached to it. This is present in about three fourth of the cases and the passage of clots make the situation worse. The excessive bleeding is caused due to many factors. They include the increase in Endometrial surface, increase in vascularity of uterus etc. times there are other menstrual disorders may also be the cause of increase bleeding.There is a feeling of lump in the lower abdomen in some cases in which women seeks treatment. For this uterus size reaches 14 weeks pregnancy and above.

It is an astonishing fact that about 80%of women with fibroids are also suffering from infertility so; it is one of the major causes of infertility. At times there is frequent and urgency to urinate due to pressure of bladder. The pain in case of fibroid is a rare symptom. The symptoms of anemia are present where there is excess of bleeding.

On examination per abdomen it is found that a firm irregular lump can be palpated arising out of pelvis .The surface of the lump may be smooth and the lump shows dullness on percussion. Investigations by means of pelvic examination can diagnose uterine fibroid in most of the situations. Examination under anesthesia confirms the diagnosis. But, these days pelvic ultrasound is of much help. Laproscopy can identify a few small subserous fibroids while hysteroscope can visualize submucous fibroids.

For large tumors of pelvic IVP is done to identify pelvic positions of uterus. Cervical scrape PAP stain cytology is mandatory.

Now comes the most essential part i.e. the treatment of uterine fibroid. In allopathic the conservative treatment by means of hormones but it is hardly of any use. And the advice, which is given after a few weeks of antibiotic treatment to the patient are of, is generally myomectomy or the removal of tumor from the uterus. Generally hysterectomy is advised. It is the removal of the uterus and tumor along with the bilateral salphingooophorectomy

But this is not the right choice to make as it had got the problems of its own.

In most of the cases in the allopathic hands they either advice hysterectomy in the first stage or they will ask the patient to undergo hormone treatment followed by the advice of operation.

The major draw back which is involved is that it takes away the natures pride of a women of child bearing .The reason are very obvious that myomectomy is not successful and abdominal hysterectomy is the only option left.

In most of the cases total removal of uterus is done if the women is not in the childbearing age. Operation itself is a complicated procedure and it had got its own risk factors. It is just said by the physicians that surgical procedure is just a matter of two to three hours and you can walk down to the house after your stitches gets cut of after a week. But In reality the things are not as simple as they are said. The operation is done under general anesthesia. The operation it self is a painful process and after operation also the patient is not free from the pain. There is intense pain after the operation, which is suppressed by heavy antibiotics. These antibiotics fell heavy both on the patient s digestive system as well as on his pocket. They disturb the gastro- intestinal system of the patient. After operation also the patient is advised complete bed rest for one week or fifteen days. During this period the patient had to take large amount of allopathic drugs and there are fair amount of chances of infection in the operated area. Slightest exertion can cause the rupture of the effected area along with pain, which may require re stitching. The problem does not end here also. The patient is also advised diet restrictions. He suffers from intense weakness.

Once the patient is discharged from the hospital he is advised to take complete rest for three months. Patient himself is not in the position to move around much for a period of one month. The lady is advised not to climb stairs for three months or to lift any heavy load. If she is a teacher or office goers it is advised for her not to take extra strain. The patient is also advised to have a protein rich diet. The complete recovery of the patient takes around five to six months.

On the other hand homoeopathic treatment is hassle free and cost effective. But it is the drawback of this society that when a patient comes to us after her mind being polluted to get the hysterectomy i.e. removal of uterus and to get rid of the problem forever. Without knowing its implications. Then she wants that she should get rid of the slightest pain in minutes. The patient will be very eager to get her menstrual bleeding normal in days. Then it is the duty of the homoeopathic physician to make her understand the problems which she is facing and the problems which she will face .He should put all the facts in front of her. He should be very clear about what homoeopathy can offer to her and what are the pros and cones of surgery.

We personally ask the patient to give us time for three months to show her what we can to in the particular case of her. We tell the patient about the full procedure of operation. Then we ask her to take the decision. Many times in our daily practice we encounter that the patient is misguided that if the operation is not done it many turn cancerous. Which is not the case in most of the patients. There are many effective medicines in homoeopathy, which help control the excessive bleeding and pain in the due course of time. They also subsequently reduce the size of the fibroid and finally dissolve it. After the first Ultrasound and the repeated ultrasound after three months the reduction in size clearly indicates the response of homoeopathic medicines. Then we can also tell the patient that if in three months tumor had reduced to a certain size then in the next three to four months it will totally get irradiated.

So, if your mother, sister, wife or friend comes across with case of fibroid in the uterus ask her to consult a proper homoeopath and to get into a regular treatment of three to four months followed closely by the ultrasounds before going for the surgical removal .As surgical removal is not safe and cost effective also. If homoeopathy is not able to live up to your expectations you can get it remove any time even after 6 to 8 months of homoeopathic treatment. We can very well assure you that you will not be at a loss. The women will be saved from the hardships and the loss of vital organ from the body.

Here I will put forth to you two points:

1] NARRATE CASES OF UTERINE Fibroid and ovarian cysts CURED BY US IN OUR RESEARCH CENTRE.
2] WHAT ONE SHOULD KEEP IN MIND WHILE CURING THESE TYPES OF CASES?

Statistical Data of patients cured by us:1996-2001
No. Of Patients entered- 123
No. Of patients who followed the protocol-100
No. Of patients which improved-85
No. Of patients with complete removal of fibroid 48
NO. Of patients whose size reduced but no complete removal-20

Success rate Cure-48%
Rate of Response to Homoeopathy- 85%

The cases we had selected for presentation covers the various modes of prescribing according to the laws of homoeopathy.
Miasmatic Approach- Generally fibroids and cysts are sycotic in nature.

Case 1
NAME OF THE PATIENT: -Mrs. Wasifa Bano
AGE-40 years
Status –Married
Sex- female
The patient came to our research center on 5.1.1997 with the U.S.G report-showing Uterus mildly enlarged. There is a mass of 3.7*4.2 cm hyper echoic in the uterus.

Symptoms: -
No issue. There was one abortion and one daughter died 10 days after birth .She was severely grieved due to that.
There was pain in the middle and lower abdomen, which extended to lower limbs. It began two days before the start of menses CONTINUES THE WHOLE OF MENSES >menses after.
Pain> pressure, cold application. Red blood with small and dark clots.
She does not feel week even after profuse bleeding also.
She had tetanus in childhood.
Her mind was very irritable since childhood with weeping tendency.

The medicine was given Erigeron 200single dose for one week followed by Pulsatilla 200 the next week. After that Pulsatilla 200 was given weekly for three months and the second USG was done which showed normal result.
Now I will narrate to you two cases of ovarian cyst cured by us.

Case:1
Name of the patient:-Mrs. Mamta
Age-34 years
Status Married

USG on 7.9.1999 show Left ovary -A hyper echoic mass extending in the P.O.D Size 7.1*3.3*3.2 cm.
This was a very strange case, which came to our research center. In this case the patient came to us after many allopathic hands. The patient came to us with the problem that she had become insane. She use to hit every one uses abusive language. Once she had struck her husband with a sharp Knife. Her family members had kept her in lock and Key. She had consulted a large no. Of gynecologists which advised her to consult a psychiatrist.
After taking the full case history of hers we found that she had not menstruated for the past one year.

The symptoms were that there was only the heaviness in the lower abdomen at the time of menses .No flow, leucorrhoea profuse, heat of head. Intense thirst for> Cold bathing large quantity of cold water even in winters.
The medicine was selected to be Phosphorus 200 one dose weekly for fifteen days. When the time of next menses came she showed small amount of bleeding for two days. It led to substantial change in her mental state.
When the next menses came there was profuse bleeding with dark red clots and the patient became totally normal.
Finally the USG.was done on 24.2.2001 shows a normal scan. And the complete cure for the patient.

Case:3
Name of the patient: - Mrs. Gazala Parveen
Age-36 years
Status - Married

U.S.G on 31.1.1997 shows Bulky Uterus with Right Ovary two follicles of 10mm and 12mm. Left ovary is larger in size and cystic in consistency with few internal echoes. Size 5.2*4.8*3.2 cm. Large cystic left ovary.

Symptoms: -
The patient came to us with profuse menses. Blood dark in colour, clotted.
Pain in the uterine region.
Frequent urge to urinate.
Leucorrhea thins acrid foul smelling.
Intense pain, which is worse thinking of it.
Pain> pressure and cold application.
The husband of the patient had the history of suppressed syphilis.
The medicine, which came out to be, was Medorrhinum 200 two doses at fifteen minutes interval once a week followed by Sulphur 200 the next week. The process was continued for 4 to 5 months and the next USG was done which showed normal results.

Homoeopathic approach to the treatment of Uterine Fibroid and Ovarian cyst:
1] Individualistic.
2] Symptomatic
3] Rare uncommon Peculiar Symptoms
4] Reportorial
5] Causative

How to take case of the Patient:
Case taking is the most important part in the prescription for the case. The case should be taken by the unprudigist mind. No medicine or a group of medicine should be presumed to be given on just the name of disease.

Points on which the emphasis should be given while case taking:

1] Character of pain is most important of they are there. Like weather it comes suddenly, or gradually. How does it subsides or decreases.
2] other thing which has to paid heeds to is that how one gets relief in pain. Here along with the physical modalities thermal modalities are most important. According to whein and Tyler.
3] Character of bleeding and color and texture of blood and clots.
4] Mental state of the patient. Especially if there is prolonged mental stress they act as obstacles of cure.
5] Past history of the patient. It helps us to clear the case in many ways.
6] Family history of the patient Generally of –Tuberculosis, Cancer, Arthritis, Asthma, Diabetes. Etc.

How to select a Remedy:

1] by assessing which symptom to be given importance when
In homeopathy, much emphasis is given on mind. So, some doctors who try to collect tiniest o f the tiny mental symptoms. For them Dr.Kent had given a warning – Just because the homeopathic physician knows that mental symptoms are most important he should not hunt for it in the hay sack for a tiny mental to open up his case. All the symptoms should have same importance as assigned to them as symptoms.

2] Elimination of useless symptoms
Many a times it happens that the remedy that we select after complete repertorisation or after assessing the rare uncommon peculiar symptoms does not match all the symptoms recorded in a particular case.
Here also one should keep in mind Dr.Kent’s saying –
Do not expect the remedy that has the generals should have all the little symptoms. If the remedy has the generals it is sufficient to prescribe for a case.
Kent says nothing disturbs me much as the long letters I get from the doctors showing me how they had wasted time on useless particulars. Common particulars are generally worthless.

3] Elimination of Medicines after Repertorisation-
On the basis of thermal modalities

The British school of Homeopathy headed by Tyler and Sir John Weir advocated to first taking most characteristic symptoms carefully followed by separating medicines in hot and chilly type.
In chilly patients medicines<warmth are eliminated
In hot patients medicines < cold are eliminated.
Hence resulting in the similimum.

4] Selecting Remedy without repertorisation on the basis rare uncommon peculiar symptom
This is one of the many modes of prescribing for a particular case. In this Allen’s Keynotes are of great help. Here two or three rare uncommon peculiar symptoms are sufficient are enough to prescribe for a case. Here patient should verify the rare uncommon and peculiar symptom again and again before prescribing on it.

5] Selecting intercurrent remedy on the basis of past history of patient
At times it happens that a well-selected remedy after complete repertorisation fails to provide complete cure to the patient. When the patient is also adhering to the diet and regime advised by us. This is because there are few obstacles in cure. Many learned physicians had described these obstacles. In case of fibroid and ovarian cyst it is found that past history, family history and causative factors acts as obstacles of cure.

Few tips in dealing with these kinds of cases.
In dealing with these kinds of cases there are two things, which had to be brought into control first. They are the pain and profuse bleeding.
The pain is generally controlled by medicines like Belladonna, Magnesia Phos etc. as required according to the case.
The second thing, which has to be controlled, is profuse bleeding. If the bleeding is of bright red blood medicines like, Millifolium, Erigeron when accompanied by violent irritation of bladder and rectum can be thought of. If the blood is dark red medicines like Thalaspi B.P when accompanied by violent uterine pain, Hammamilis when pain in abdomen <warmth application, Trillium P when there is a sensation that hips and back will fall into pieces> tight bandage can be thought of according to the symptoms.
It is also found in our clinical experience that if every medicine fails to control the bleeding medicines like Medorrhinum, Thuja plays a vital role.
In dissolving the cyst or the fibroid Aurum Mur Natronatum in lower potency help dissolve them