Management of leiomyoma and ovarian cyst with homoeopathic medicine Thuja occidentalis

Abstract

Introduction: Leiomyoma (Uterine Fibroid [UF]) is the most prevalent benign solid tumour arising from the neoplastic transformation of smooth muscle cells of myometrium in the reproductive age of females. Fibroids are rare before puberty, increase in prevalence during the reproductive years, and usually reduce in size after menopause. Case Summary: A 34-year-old woman presented with a complaint of hypogastric pain, and heavy bleeding during her menstrual periods since 3–4 months. Her menstrual cycle was irregular. She was diagnosed with an intramural UF and a right ovarian cyst on ultrasonography. Thuja occidentalis (in different potencies) was prescribed based on individualisation, repertorial totality, and miasmatic analysis. Within seven months of homoeopathic treatment, there was a complete regression in the size of the UF and ovarian cyst, with amelioration of all the associated symptoms. The VAS score also reduced from 6 to 0. The Modified Naranjo Criteria for Homeopathy was used, and a score of +9 indicated a strong causal attribution between clinical outcome and the homoeopathic intervention. The case was followed up with a symptomatic assessment reported by the patient, the Visual Analogue Scale, and laboratory investigations.