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Female Diseases

Amenorrhea (Stoppage of menstruation)
What is amenorrhea?
Amenorrhea is the medical term for the absence of menstrual periods, either on a permanent or temporary basis. Amenorrhea can be classified as primary or secondary. In primary amenorrhea, menstrual periods have never begun (by age 16), whereas secondary amenorrhea is defined as the absence of menstrual periods for three consecutive.

Primary amenorrhea is most of the time idiopathic (without any perceptable cause) or the cause is most of the time limited to some obstruction or surgical reasons. But in secondary amenorrhea, there are different causes due to the amenorrhea like Pregnancy and Lactation (physiological cause), hypothalamic amenorrhea in this there are different hormonal deficiencies are responsible. Other causes include, extreme weight loss, emotional or physcial stress, rigorous exercise and severe illness. Pre-mature meopause, elevated levels of androgen, and hypo-thyroidism are among the other causes. When a woman would stop taking the oral contraceptive pills, might be without periods for the next 3 months.

Complications if mal-treated or un-treated :-
Infertility is a significant complication of amenorrhea for women who desire to become pregnant. Osteopenia (a reduction in bone density) or osteoporosis is a complication of low estrogen levels, which may occur with prolonged amenorrhea. Other than this, amenorrhea due to elevated levels of androgen and hypothyroidism is having its own potent chance of complications.

Present-day conventional treatments are very much limited for the treatment of amenorrhea. For the Primary amenorrhea, there is absolutely no treatment if there is no surgical factor involved. For secondary amenorrhea, the conventional treatment is limited with hormonal replacement therapy or suporting treatment for the underlying disorder that is present. This medications are having only temporary result and is having long-lasting complications.

Management of Amenorrhea in Homeopathy Health Centre :-
We at Homeopathy Health Centre treat the diseases in a rapid, gentle and permanent manner with the help of Homoeopathic medication, combining with dietary guideline and Yoga by Dr. Pancholi's Team of expert Homoeopathic Doctors.

Homoeopathy : Primary amenorrhea is most of the time idiopathic, although few of the primary amenorrhea which is related with the hormonal dysfunction of the body can be treated with with the help of homoeopathic medications.In homoeopathy, we go to the root of the disease and understand the cause of the disease and the disease is treated accordingly. In Homeopathy Health Centre we have seen continuous and regular intake of Dr. Pancholi's Formulated Homoeopathic Medications can cure the different health conditions which causes the secondary amenorrhea. Not only this Homoeopathic medication are very simple and does not lead to any sort of side-effects and continuous intake of medication does not case any sort of addiction to the particular medication.

Yoga : Even by the modern day science admits that regular Yoga is very helpful in improving the patients innate immunity and proper functioning of all the endocrine glands of the body resulting in appropriate secretion all the hormones of the body causing rapid recovery of secondary amenorrhea.

Diet : Smoking, intake of oral contraceptive pills for long continued time, repeated D&C procedure can cause secondary amenorrhea because of irregularity of certain important hormones in the body. Not only this, Now-a-days young ladies are more cocerned about their looks doing heavy exercises, crash dieting, not taking the nutritious foods causing the secondary amenorrhea, which can be rectified by giving proper couselling and dietary instructions, which Dr. Pancholi's Team of expert Homoeopathic Doctors can guide effectively.
Dysmenorrhea
What is Dysmenorrhea?
Menstrual cramps, dysmenorrhea, or premenstrual syndrome are pains in the abdominal and pelvic areas that are experienced by a woman as a result of her menstrual period. Severe menstrual cramps can be so painful that they interfere with a woman's regular activities for several days. Menstrual cramps without some particular underlying gynecological problem called Primary dysmenorrhea and when it is related to some specific gynecological cause is known as Secondary dysmenorrhea.

The menstrual cramps happen because the shading of endometrial lining, secretion of prostaglandin and leukotrines. As the endometrial tissues passes through the narrow cervix, it causes pain. Menstrual cramps may be associated with nausea, vomiting, headache, anorexia, sometimes constipation or diarrhea or even low-grad fever.

The causes of secondary dysmenorrhea are, - endometriosis (cells from the uterine lining tare located in other areas of the body), uterine fibroid, adenomyosis (condition in which the uterine cells invade its muscular wall), Pelvic inflammatory disease etc.

What happens if un-treated or mal-treated?
Primary dysmenorrhea or menstrual cramps is the problem which is very common and most of the adolescent girls experience the similar kind of problem and it is self-limiting and depends upon the subjective feeling of patient to patient.

In case of secondary dysmenorrhea it is very important to rule out the cause for the dysmenorrhea. If the cause is not ruled out properly or treated properly then it might cause long time problems like endometriosis can cause infertility, dysfunction uterine bleeding (excessive bleeding or irregular bleeding), and pelvic inflammatory disease might cause might cause fever, general malaise, weakness, chronic and major ill health.

Present-day conventional treatment for dysmenorrhea or painful menstruation is very much limited. For primary dysmenorrhea there are only analgesics or pain killers and NSAID medications are there, which give only temporary relieve and continuous consumption of the same medication might cause long lasting Renal or Gastro-intestinal complications. Some doctors also prescribe the oral contraceptive pills, which might reduce the pain but un-necessary intake of oral contraceptive pills is harmful for the body and it can cause permanent hormonal misbalance. Even some surgical procedures are there for the treatment of dysmenorrhea like D&C (dilatation and curettage), endometrial ablation or even hysterectomy (removal of the uterus).

Management of Dysmenorrhea at Homeopathy Health Centre :-
We at Homeopathy Health Centre treat the diseases in a rapid, gentle and permanent manner with the help of Homoeopathic medication, combining with dietary guideline and Yoga by Dr. Pancholi's Team of expert Homoeopathic Doctors.

Homoeopathy : Primary dysmenorrhea is most effectively treated by homoeopathic medications, as with the help of homoeopathic medication, hormonal dysfunction of the body can be treated. In homoeopathy, we go to the root of the disease and understand the cause of the disease and the disease is treated accordingly. In Homeopathy Health Centre we have seen continuous and regular intake of Dr. Pancholi's Formulated Homoeopathic Medications can cure the different health conditions which causes the secondary dysmenorrhea. Not only this, Homoeopathic medication are very simple and does not lead to any sort of side-effects and continuous intake of medication does not cause any sort of addiction to the particular medication.

Yoga : Even by the modern day science admits that regular Yoga is very helpful in improving the patients' innate immunity and proper functioning of all the endocrine glands of the body resulting in appropriate secretion all the hormones of the body causing rapid recovery of secondary amenorrhea.

Deit : Smoking, intake of oral contraceptive pills for long continued time, repeated D&C procedure can cause secondary dysmenorrhea. Not only this, Now-a-days young ladies are refrain from the regular exercises which is required for the proper muscular effectivity of the pelvic region. Emotional stress is another very important reason for having the primary dysmenorrhea, which young ladies suffer most at the present time. Dr. Pancholi's Team of expert Homoeopathic Doctors are efficient for guiding the patients a proper nutritious diet chart recommended for having the proper muscular functioning and regular counseling.
Menorrhegia or Metrorrhegia(Heavy or irregular- menstruation)
What is Abnormal menstruation ?
Abnormal menstruation is a flow of blood from vagina that occurs either at the wrong time during the month or in inappropriate amounts. Irregular menstrual bleeding (metrorrhegia), excessive menstrual bleeding (menorrhegia) and scanty or very less menstrual bleeding (oligomenorrhea), these three types of abnormal menstrual bleedings are there.

Causes of different types of abnormal menstruation :-
Menorrhegia (excessive vaginal bleeding): The common causes of metrorrhegia are uterine fibroid, endometrial polyps, adenomyosis, intrauterine devices (IUD's), and hypothyroidism. Certain conventional medicines are there which can cause excessive of blood clotting that might cause metrorrhegia.

Metrorrhegia(irregular vaginal bleeding): The common causes of metrorrhegia are growths in the cervix, such as cervical polyps, infections of the uterus (endometritis) and use of birth control pills (oral contraceptives). Ladies at the perimenopausal age may develop irregular vaginal bleeding.

Perimenopause is the time period approaching the menopausal transition. It is often characterized by irregular menstrual cycles, including menstrual periods at irregular intervals and variations in the amount of blood flow. Menstrual irregularities may precede the onset of true menopause (defined as the absence of periods for one year) by several years. Every woman who thinks she has an irregular menstrual bleeding pattern should think carefully about the specific characteristics of her vaginal bleeding in order to help her doctor evaluate her particular situation. Her doctor will require the details of her menstrual history. Each category of menstrual disturbance has a particular list of causes, necessary testing, and treatment. Each type of abnormality is discussed individually below.

Excessively heavy menstrual bleeding (menorrhagia)
Excessively heavy menstrual bleeding, called menorrhagia, is menstrual bleeding of greater than 5 tablespoons per month. This condition occurs in about 10% of women. The most common pattern of menorrhagia is excessive bleeding that occurs in regular menstrual cycles and with normal ovulation.

There are several important reasons that menorrhagia should be evaluated by a doctor. First, menorrhagia can cause a woman substantial emotional distress and physical symptoms, such as severe cramping . Second, the blood loss can be so severe that it causes a dangerously lowered blood count (anemia), which can lead to medical complications and symptoms such as dizziness and fainting. Third, there can be dangerous causes of menorrhagia that require more urgent treatment.

Benign (noncancerous) causes of menorrhagia include :
Though not common, menorrhagia can be a sign of endometrial cancer. A potentially precancerous condition known as endometrial hyperplasia can also result in abnormal vaginal bleeding. This situation is more frequent in women who are over the age of 40. Although there are many causes of menorrhagia, in most women, the specific cause of menorrhagia is not found even after a full medical evaluation. These women are said to have dysfunctional uterine bleeding. Although no specific cause of the abnormal vaginal bleeding is found in women with dysfunctional uterine bleeding, there are treatments available to reduce the severity of the condition.

Irregular vaginal bleeding; menstrual periods that are too frequent (polymenorrhea)
Menstrual periods that are abnormally frequent (polymenorrhea) can be caused by certain sexually transmitted diseases (STDs) (such as chlamydia or gonorrhea) that cause inflammation in the uterus. This condition is called pelvic inflammatory disease. Endometriosis is a condition of unknown cause that can lead to pelvic pain and polymenorrhea. Sometimes, the cause of polymenorrhea is unclear, in which case the woman is said to have dysfunctional uterine bleeding.

Menstrual periods at irregular intervals (metrorrhagia)
Irregular menstrual periods (metrorrhagia) can be due to benign growths in the cervix, such as cervical polyps. The cause of these growths is usually not known. Metrorrhagia can also be caused by infections of the uterus (endometritis) and use of birth control pills (oral contraceptives). Sometimes after an evaluation, a woman's doctor might determine that her metrorrhagia does not have an identifiable cause and that further evaluation is not necessary at that time.

Perimenopause is the time period approaching the menopausal transition. It is often characterized by irregular menstrual cycles, including menstrual periods at irregular intervals and variations in the amount of blood flow. Menstrual irregularities may precede the onset of true menopause (defined as the absence of periods for one year) by several years.

Decreased amount or duration of menstrual flow (hypomenorrhea)
An overactive thyroid function (hyperthyroidism) or certain kidney diseases can both cause hypomenorrhea. Oral contraceptive pills can also cause hypomenorrhea. It is important for women to know that lighter, shorter, or even absent menstrual periods as a result of taking oral contraceptive pills does not indicate that the contraceptive effect of the oral contraceptive pills is inadequate. In fact, many women appreciate this "side effect" of oral contraceptives.

Bleeding between menstrual periods (intermenstrual bleeding)
Women who are ovulating normally can experience light bleeding (sometimes referred to as "spotting") between menstrual periods. Hormonal birth control methods (oral contraceptive pills or patches) as well as IUD use for contraception may sometimes lead to light bleeding between periods. Psychological stress, certain medications such as anticoagulant drugs, and fluctuations in hormone levels may all be causes of light bleeding between periods. Other conditions that cause abnormal menstrual bleeding, or bleeding in women who are not ovulating regularly (see below) can also be the cause of intermenstrual bleeding.

What conditions cause abnormal vaginal bleeding in women who are NOT ovulating regularly or vaginal bleeding after menopause?
Many conditions can interfere with the proper function of female hormones that are necessary for ovulation.

What causes vaginal bleeding during or after sexual intercourse?
Vaginal bleeding may occur during or after sexual intercourse for a number of reasons including:
  • Injuries to the vaginal wall or introitus (opening to the vagina) during intercourse
  • Infections (for example, gonorrhea, chlamydia, yeast infections) can be a cause of vaginal bleeding after intercourse.
  • Lowered estrogen levels in peri-menopausal or postmenopausal women may cause the lining of the vagina to become thinned and easily inflamed or infected, and these changes can be associated with vaginal bleeding after intercourse.
  • Anatomical lesions, such as tumors or polyps on the cervix or vaginal wall may lead to vaginal bleeding during or after intercourse.
Women who experience vaginal bleeding during or following sexual intercourse should always visit their doctor to determine the cause of the bleeding.

What causes abnormal vaginal bleeding during pregnancy?
Many women have some amount of vaginal bleeding during pregnancy. Some studies show that up to 30% of pregnant women will experience some degree of vaginal bleeding while they are pregnant. Vaginal bleeding during pregnancy is more common with twins and other multiple gestations than with singleton pregnancies (pregnancy with one fetus).

Sometimes women experience a very scant amount of bleeding in the first two weeks of pregnancy, usually around the time of the expected menstrual period. This slight bleeding is sometimes referred to as "implantation bleeding." Doctors do not know for certain what causes this bleeding, but it may occur as a result of the fertilized egg implanting in the uterine wall. The amount of the bleeding, the stage of pregnancy, and any associated symptoms can all help determine the cause of vaginal bleeding in pregnancy. While vaginal bleeding in pregnancy does not signify a problem with the pregnancy, women who experience bleeding during pregnancy should always be evaluated by a doctor.

Causes of vaginal bleeding in pregnancy include miscarriage, an abnormal location of the placenta, ectopic pregnancy, cervical infection or polyp, and premature labor. Chronic medical conditions and medication use can also be related to vaginal bleeding during pregnancy.

What diagnostic tests are used to evaluate abnormal vaginal bleeding?
  • A woman who has irregular menstrual periods requires a physical examination with a special emphasis on the thyroid, breast, and pelvic area. During the pelvic examination, the physician attempts to detect cervical polyps or any unusual masses in the uterus or ovaries.
  • A Pap smear is also done to rule out cervical cancer. While the Pap smear is being obtained, samples might be taken from the cervix to test for the presence of infections such as chlamydia or gonorrhea.
  • A pregnancy test is routine if the woman is premenopausal.
  • A blood count may be done to rule out a low blood count (anemia) resulting from excessive blood loss.
  • If something in the patient's (or her family's) medical background or physical examination raises a doctor's suspicion, tests to rule out certain blood clotting disorders may be done.
  • Sometimes, a blood sample will be tested to evaluate thyroid function, liver function, or kidney function abnormalities.
  • A blood test for progesterone levels or daily body temperature charting may be recommended to verify that the woman ovulates.
  • If the doctor suspects that the ovaries are failing, such as with menopause, blood levels of follicle-stimulating hormone (FSH) may be tested.
  • Additional blood hormone tests are done if the doctor suspects polycystic ovary, or if excessive hair growth is present.
  • A pelvic ultrasound is often performed based on the woman's medical history and pelvic examination.
  • If a woman does not adequately respond to medical treatment, if she is over age 40, or if she has persistent vaginal bleeding between her periods, a sampling of the lining of her uterus (termed endometrial sampling or endometrial biopsy) is often analyzed. Endometrial sampling helps to rule out cancer or precancer in the uterus, or it can confirm a suspicion that a woman is not ovulating.
Ovarian Cyst (PCOS)
What is polycystic ovarian syndrome (PCOS)?
The ovary is one of a pair of reproductive glands in women that are located in the pelvis, one on each side of the uterus. Ovarian cysts are closed, sac-like structures within an ovary that contain a liquid, gaseous, or semisolid substance. The common type of cyst in the ovary is the follicular cyst. Follicle is the normal fluid-filled sac that contains egg, which suggests that the ovum has not got access to go out from ovary to uterus. It had developed in the ovary itself and formed the cyst. In the same manner when several follicles accummulated in the ovary form poly-cystic ovary(PCO). This pathology causes deviation of he normal secretion of the ovarian hormones,which causes different symptoms which is known as Poly-Cystic Ovarian Syndrome (PCOS).

The principal signs and symptoms of PCOS are related to menstrual disturbances and elevated levels of male hormones (androgens).

Symptoms due to menstrual disturbances :-
Delay of normal menstruation-- Primary amenorrhea.
Absence of menstruation for more than 3 months--Secondary amenorrhea.
Presence of fewer than normal menstrual periods—Oligomenorrhea.
Menstrual cycles may not be associated with ovulation -- Anovulatory cycles and may result in heavy bleeding.

Symptoms related to elevated androgen levels :-
Acne, excess hair growth on the body --hirsutism, and pattern hair loss.

Other signs and symptoms of PCOS include :-
Obesiy and weight gain, increased insulin level, oily skin, dandruff, infertility, high cholesterol level, and elevated blood pressure.
PCOD
Definition :-
When a women exhibits 2 of 3 criteria mentioned below, she can be considered as one who is suffering from PCOD.
  • Very less or No Ovulation.
  • Growth of hair on face / Male pattern baldness,
  • Increase in sexual desire and or Multiple cysts in Ovaries.

Signs & Symptoms :-
  • Menses are Irregular, few, or completely absent.
  • Primary Infertility: resulting from chronic lack of ovulation.
Other associated symptoms which may or may not be present.
  • Apple shaped" obesity which is centered on the lower half of the torso.
  • Obesity with fault in Insulin metabolism is present in many cases. Therefore these women are susceptible to develop Diabetes Mellitus.
  • Pain during sexual intercourse
  • Prolonged periods of bloating,
  • Mood swings, Pelvic pain, Backaches etc.
  • Waking from sleep due to shortness of breath.
  • Skin :
    • Acne
    • Acanthosis Nigricans — Dark patches of skin, which is a sign of insulin resistance status.
    • Skin tags: Tiny flaps of skin

Test :
  • Gynecological Ultrasound confirming cysts in Ovaries.
  • Laparoscopic examination.
  • Abnormal levels of Testosterone level, TSH Level, Prolactin, 17-Hydroxyprogesterone, DHEAS and Androstenedione in blood.

Role of Homeopathy :-
  • By giving a constitutional treatment, which improves fundamental tissue functions across various organs.
  • By employing organ remedy, I stimulate specific organ and detox yet another which ultimately improves total Hormonal levels in body.
  • By attending to ongoing mental and emotional stress as emotional stress is one of the major recognized factor which influences hormone levels unfavorably. I achieved this by recognizing them during case taking and point it out to them and treat it by counseling and use of appropriate Homeopathic remedies.
  • I also work towards reducing weight and improving glucose metabolism. As faulty Glucose metabolism is common with PCOD; specially in overweight girls.
  • To achieve this I give them an insight on various foods and how to eat intelligently? A simple advice of walking 40 minutes 5 times a week as it increases BMR.
  • In some cases I recommend uses of Allopathic medicine to lower absorption of glucose from intestine and Continuing Thyroxine supplement in associated cases of Hypothyroidism.