Homeopathic Management of Pelvic Inflammatory Disease with Ovarian Cysts and Cervical Erosion

Homeopathic Management of Pelvic Inflammatory Disease with Ovarian Cysts and Cervical Erosion

Case Summary

Patient: Mrs. N.D. (Name withheld for privacy)
Age: 32 Years
Gender: Female
Occupation: Housewife
Date of Consultation: 14 March 2006

Chief Complaints

The patient presented with:

• Persistent pain in the lower abdomen for the last 3 years.
• Sensation of a ball moving inside the lower abdomen.
• Feeling of pulsation in the pelvic region.
• Pain aggravated before menstruation and during summer season.
• Associated complaints of nausea, vertigo, and loss of appetite.

Detailed Case History

The patient was apparently healthy until three years prior to consultation, when she gradually developed a constant aching pain in the hypogastric (lower abdominal) region.

Characteristics of Pain

• Gradual onset.
• Located in the lower abdomen.
• Constant aching sensation.
• Sensation as if a ball was moving in the pelvis.
• Associated feeling of pulsation.
• Worse before menses.
• Worse during summer months.

Associated Symptoms

• Nausea
• Vertigo
• Poor appetite

Gynecological History

• Menarche at 11 years of age.
• Menstrual cycle: 28–30 days.
• Duration: 3 days.
• Blood: Bright red, offensive, with clots.
• Dysmenorrhea (painful menstruation) present.

Leucorrhoea

• Moderate quantity.
• Milky white discharge.
• Acrid in nature.
• Non-offensive.
• More pronounced before menstruation.

Obstetric History

G3 P1 A2 L0

Pregnancy History

1. 2000: Full-term male child delivered vaginally; child survived only one day.
2. 2004: Spontaneous abortion during the first month of pregnancy.
3. 2005: Spontaneous abortion during the third month of pregnancy.

Physical Generals

Appetite

• Decreased appetite.
• Feels hungry but has little desire to eat.

Thirst

• Markedly reduced.
• Approximately two glasses of water per day.
• Dryness and bitter taste in mouth.

Food Preferences

Desires:

• Sweets
• Highly seasoned food
• Ice creams

Aversion:

• Cabbage

Bowel Habits

• Constipation.
• Hard, unsatisfactory stools.

Sleep

• Sound and refreshing.
• 5–6 hours daily.

Thermal State

• Ambithermal.

Mental and Emotional Characteristics

The patient exhibited several characteristic mental symptoms:

• Strong desire for solitude.
• Fear of serious diseases.
• Avoided medical check-ups for a long time due to fear of diagnosis.
• Preference for peace and quiet surroundings.
• Gentle and yielding disposition.

Clinical Examination

General Examination

• Poorly nourished.
• Mild pallor present.
• Dry, white-coated tongue.

Gynecological Findings

Per Speculum Examination

• Hypertrophied cervix.
• Slight erosion of upper cervical lip.

Per Vaginal Examination

• Cervix mobile and tilted to the left.
• Cervical tenderness present.
• Tenderness in fornices.

Abdominal Examination

• Deep tenderness in hypogastric region.
• No palpable abdominal mass.
• Liver, spleen, and kidneys not enlarged.

Investigations

Blood Examination

Investigation	Result
Hemoglobin	9.4 gm%
TLC	6800/cu mm
ESR	32 mm/hr

Urine Examination

• Within normal limits.

Ultrasound Findings

Right ovary enlarged (41 cc) with multiple cysts of varying sizes.

Diagnosis

Provisional Diagnosis

• Pelvic Inflammatory Disease (PID)
• Cervical Erosion
• Polycystic/Cystic Right Ovary

Differential Diagnosis

• Acute Appendicitis
• Ectopic Pregnancy
• Twisted Ovarian Cyst

Homeopathic Analysis

The following characteristic symptoms guided remedy selection:

• Bearing-down sensation in lower abdomen.
• Sensation of a ball moving in pelvis.
• Complaints aggravated before menstruation.
• Worse during summer season.
• Offensive menstrual flow with clots.
• Acrid leucorrhoea before menses.
• Fear of diseases.
• Desire for solitude.
• Mild and yielding temperament.

Homeopathic Prescription

Lilium tigrinum 200C

Prescribed based on the totality of symptoms and characteristic gynecological indications.

Supporting Measures

• Patient counselling and reassurance.
• Nutritious diet rich in iron and calcium.
• Regular open-air exercise.
• Lifestyle modification and stress reduction.

Remedy Selection: Why Lilium Tigrinum?

Lilium tigrinum is one of the leading homeopathic remedies for female pelvic disorders characterized by:

• Bearing-down sensations in pelvic organs.
• Ovarian and uterine complaints.
• Menstrual irregularities with offensive discharge.
• Acrid leucorrhoea.
• Anxiety and fear regarding health.
• Pelvic congestion aggravated before menses.

The patient’s symptom picture corresponded closely with the classical indications of Lilium tigrinum.

Educational Note

This case illustrates the individualized approach of classical homeopathy in managing chronic gynecological conditions. Remedy selection was based on the patient’s unique physical, emotional, and characteristic symptoms rather than the diagnosis alone.

Disclaimer: This case is presented for educational purposes only. Individual results may vary. Patients should seek professional medical advice for diagnosis and treatment of any health condition.

• admin |
• June 17, 2026