Menopause Sx Help

[Patti Mount]

I am assisting with research on a female's case... she has been treated for several years and was started as Sil then Staph and then
she was moved to Nat-m... currently she is entering into "menopause" and is experiencing one very troublesome symptom - lack of
vaginal moisture thus causing painful sexual experience for the first time in her life - apparently her Allopath Rx'd Estrogen &
Progesterone replacement but she does not wish to use allopathic Rx - so she purchased a phytoestrogen cream and is now (after the
fact) asking for our help and also wondering if she should be using progesterone cream as well - anyone with experience treating
this situation have any advice to offer us please - obviously the preference is to remain Homeopathic but I think the patient was
initially embarrassed to tell her male homeopath what was happening to her... thanks in advance for any suggestions.

Respectfully yours,

Patti Mount, President IANTD World Headquarters
Patti@iantd.com http://www.iantd.com
Shogun's Webpage http://www.iantd.com/Shogun/Puppy.html
Ariel's Webpage & Pedigree http://www.iantd.com/Ariel/Ariel.htm

[andyh]

Patti Mount wrote:
Dear Patti,
Hope you are well. Don't have much to offer except a mathematical gig here, and dont know the rest of the case. Embarrassment in this case may be too understandable in this scenario to use as sx, but tried it and "Vanity" just to see what would come up. Otherwise, nat-m lines up, but if it didnt work, maybe look here or provide further sx.

Best to all,
Andy
(Complete Repertory)
added
FEMALE; CLIMACTERIC period, ailments in: aesc., agar., aloe, aml-n., anan., ange., apis, apoc., aquil., arg., arist-cl., aur., aur-m., bar-c., bell., berb., bor-ac., buth-aust., cact., calc., calc-ar., camph., caps., carb-ac., carb-an., carc., card-m., caul., chen-a., cimic., cocc., coch., con., corp-l., cot., croc., crot-h., cycl., eucal., ferr., ferr-i., ferr-p., gels., glon., graph., helon., hydr., hydr-ac., jab., kali-bi., kali-br., kali-c., Lach., laur., led., lyc., manc., mang., med., merc., mez., murx., nat-c., nat-m., nicc-s., onos., orch., ov., ph-ac., phys., plb.,
polyg., prun., psor., puls., rhus-t., rumx., ruta, sabin., sal-ac., sang., sarr., sars., sec., senec., sep., stann., stront-c., stront-n., sul-ac., sulph., sumb., tab., tarent., tell., ter., ther., thlaspi, thuj., trif-r., tril., ust., vinc., vip., visc., x-ray, xan., zinc.

subtracted
FEMALE; DRYNESS; general; vagina (K717, G612): achy., acon., apis, ars., bell., berb., bond., bros-g., cent., ferr., ferr-p., foll., graph., helo., iod., jab., lyc., lycps., lyss., murx., Nat-m., nit-ac., pitu-a., puls., sac-alb., sep., spira., tarent., thuj., zinc-chr.

=======
Elimination: apis, bell., berb., ferr., ferr-p., graph., jab., lyc., murx., Nat-m., puls., sep., tarent., thuj.
=======

if subtract
MIND; VANITY (SRI-1055): bell., hydr-ac., lap-mar-c., lil-t., lyc., merc., nux-v., plat., puls., sulph., verat.

======
Elimination: bell., lyc., puls.
=====

if *instead* subtracted
MIND; EMBARRASSMENT; general (K39): ambr., bar-c., carb-v., chin., dig., ferr., gels., germ., hydrog., hyos., ign., kali-br., lac-eq., merc., op., phos., sulph., tarent.

======
Elimination: ferr., tarent.
======

[andyh]

Patti Mount wrote:
=============================================
oops Patti, forgot to check Referenceworks. Heres results of the following search:

dryness in the same sentence as vagina in the same remedy as climacteric or menopause in the same remedy as embarrassment:
acon., alum., Apis, arg., arn., ars., bell., berb., cimic., ferr., gels., graph., iod., jab., kreos., lyc., lycps., mez., Murx., nat-c., nat-m., Nat-mar., nit-ac., nux-m., nux-v., phos., plat., puls., sep., Sulph., Tarent., thuj.
note Murex, Nat-mar as especially interesting results:

(both these remedies are in the rubric (complete repertory): FEMALE; DRYNESS; general; vagina (K717, G612): achy., acon., apis, ars., bell., berb., bond., bros-g., cent., ferr., ferr-p., foll., graph., helo., iod., jab., lyc., lycps., lyss., murx., Nat-m., nit-ac., pitu-a., puls., sac-alb., sep., spira., tarent., thuj., zinc-chr.

Yet another idea if sx fit ) folliculinum (synthetic estrogen) like a sepia but more of a doormat and quite a climacteric remedy:

FEMALE; DRYNESS; general; vagina; climacteric period, during: foll.
==============================
FOLLICULINUM
REGION
Female organs.
-
LEADING SYMPTOMS
M Control.
"She feels she is controlled by another. She is out of sorts with her rhythms. She is living out someone else's expectations. She loses her will. She over-estimates her energy reserves. She is full of self-denial. She becomes a rescuer, addicted to rescuing people. She becomes drained. She has become a doormat. She has forgotten who she is. She has no individuality." [Assilem]
"There is a very strong link here with Carcinosinum, and it is not surprising that Folliculinum works well when Carc. is indicated but does not act." [Assilem]
M Patients [under extreme pressure] not responding to homoeopathy.
c Pressure of a personality or group on an individual; a dominant or possessive parent, friend or marriage partner; and certainly where there is intolerant religious dominance.
c Pressure of circumstance or work, such as that suffered by people who have worked to exhaustion point over a period of time, and seem to be incapable of recuperation, or even responding to the indicated homoeopathic medicine.
c Pressure in adults of continued ill health or slow recovery after recurrent or severe infection. This covers, especially in my experience, young men after glandular fever or presenting with what is becoming identified as 'post viral syndrome'. In these cases I always start by using Carcinosinum, but add Folliculinum if the Carcinosinum does not achieve a lasting response. The same applies to patients not responding after cortisone treatment.
[Dorothy Cooper, British Homoeopathic Journal, April 1990]
M Excitability # depression.
Worse Before menses.
G Clinical situations:
History of abuse whether, sexual, physical or psychological.
Fibroids.
Raynaud's disease.
Cardiovascular problems.
Eating disorders.
Post-natal problems. Difficulty bonding with the baby and children unable to separate from their mother.
Mammary affections. [a leading indication, according to the French gynaecologist Léa de Mattos]
G CANDIDA ALBICANS:
Cravings especially for sugar and wheat.
Rumblings, bloating, weight gain and itching.
G SYMPTOMS from OVULATION to MENSES:
All symptoms better menses except specific menstrual symptoms.
Worse Heat; noise; touch; resting.
Better Fresh air.
Drawing, burning, griping pains.
Spotting.
Ovarian cysts.
Lumbar pains worse ovulation. [Julian]
Recurrent cystitis which returns at this time.
G PREMENSTRUAL SYMPTOMS:
Breasts swollen and painful worse touch [Lac-c.].
Migraines [Nat-m.].
Nausea and vomiting.
Diarrhoea # constipation [Puls.].
Diarrhoea ten days before menses.
Very low or high libido.
Weepy and depressed.
Hyperactive.
Indecisive, with
Panic attacks, with
Huge mood swings from aggression to
Apathy, and
Unable to tolerate noise, touch or heat.
"Abdominal meteorism, < 3 or 4 days before menses." [Julian]
G MENSTRUAL PROBLEMS:
Painful periods centred in ovaries.
Prolonged and heavy bleeding with
Bright red blood and dark clots.
All sorts of cycle problems, either too short, too long, or none at all.
G MENOPAUSE.
"Folliculinum is a really brilliant remedy around menopause. It pretty well covers the whole range of physical and mental symptoms we might find at this time." [Assilem]
Cycle irregularities.
Flooding.
Hot flushes.
Hyperactive worse rest [hot and bothered].
Night sweats.
Air hunger.
Dizziness and faintness.
Abdominal heaviness.
Fibroids.
Vaginal dryness.
Slow movement and spacey thinking.
Hypersensitive to noise, heat and touch.
G Contra-indication.
Foubister advised against the use of Foll. whenever a skin complaint was present.
-
* See also: O.A. Julian, Dictionary of Homoeopathic Materia Medica, pg. 117-119.
-
RUBRICS
MIND: Ailments from a long history of domination by others [1; Carc., Lyc., Sep.]. Anguish in evening [1]. Excitement # sadness [1]. Sensitive to noise [1]; to touch [1].
FEMALE: Leucorrhoea, brown [1]; between menses [1]. Menses painful at beginning [1].
CHEST: Pain in mammae before menses [1]. Swelling of mammae before menses [1].
GENERALITIES: Ovulation, at [1; Granit.].
-
FOOD
Desire: Sweets [2]; farinaceous food [1].

======================================
NAT MAR (sea salt)

The remedy was proved by the Proving circle of the Guild of Homoeopaths on 7th March 1997. The 200th potency was taken. The proving was undertaken because so many homoeopaths had found that Natrum Muriaticum was no longer able to achieve the deep healing effects that it had always hitherto been renowned for: it was felt that it was time to make a new version of an old friend. Sea Salt is not the same as the rock salt used to make Nat-m. not least as it has so many features of the other sea remedies. However, it has always been the case that Nat-m. has been linked to the sea
remedies even though it was made from a very land locked substance - the essential connection between salt as a remedy and the other marine remedies has always been there so it is not so much of a leap to take in thinking of Sea Salt as a potential successor to Nat-m. esp. in this age of phenomenally increased pollution both effluent and radioactive.
Perhaps one of the first ways to use it should be as a remedy to consider if Nat-m. is indicated and fails to hold.

characteristics:
Dryness and dehydration are marked: water balances are out esp. during life changes such as pregnancy and the menopause (in men as well as women!): kidneys and lungs affected. Drainage and support remedy for the kidneys. Due to poor irrigation in the system there is poor conductivity in the nervous tissue: the special senses are affected. Fluid imbalances also lead to poor elimination with resultant toxicity which has an inevitable connection with cancerous states: poor tissue regeneration. Hypersensitivity of the nerves.
Tingling and pins and needles: numbness. Carpal tunnel syndrome: feeling shaky and trembly. Endocrine glands: Thyroid problems (Thyrotoxicosis): Pituitary malfunction esp. at the menopause.
Rebalances the chemistry of the body. Allergies and Hay fever.
Discharges which itch and burn: soreness of skin and membranes at the orifices. Very strong link with radiation miasm which is characterised by tiredness and lethargy: tissue changes esp. on the skin (skin cancers, changes in warts, moles and birth marks): changeability of symptoms. One significant difference from Nat-m is how easily the patient is 'knocked off balance by insignificant events': easily upset by trifles. This is mostly apparent in the emotional sphere but is also manifest physically as well. Skin conditions which stubbornly refuse to heal esp. eczema: the
patient seems almost wilfully to hold on to the condition - as if it were a mask for them to hide behind.
They also tend, at least in the young and old patients, to run out of energy more readily than Nat-m even though both remedies have the well known stoicism: nevertheless there is greater resolve and determination (not to say hardness) during the middle years. Very difficult to get a sense of seeing the 'whole canvas' of the patient's picture - which is another feature of the radiation miasm as well as being a typical symptom of salt. Can also be used as an acute remedy in colds and 'flus. As is expected, there is much albuminous mucous: sneezing: itching and burning.
Herpetic eruptions: simplex and Zoster.
Arthritis: nodosities on small joints: ankles and feet, knees and hips affected. Affected by the Moon's phases: aware of the change of biorhythms in the body. Strong need to be near the sea or water.
Reactions to the Sun's rays: sunburn, blistering: skin dries out.

Mind
Feelings of being alone and sad: feels like crying but cannot: tears will not come. Very unsettled and as if thoroughly 'rattled' or 'out of sorts'. Bitterness and holds grudges.
As if left 'high and dry'. Feels unworthy of love and attention. Self blame and guilt. Sense of great sadness that something had been stolen from her a long time ago and that it was irreplaceable. Sense of separation - not within, as a divided self, but from others. If this state is left for any length of time then there is a chameleon quality: in order to feel emotionally stable he/she will begin to hold the opinions of those closest who are strong not because he/she lacks any character but because it is a way of forging a link with another, however tenuous, that
nevertheless is one that does not make emotional demands. If this continues long then the patient begins to lose their strength of purpose, they become more easily swayed or influenced by others and they tend to let things drift. (This loss of direction is conducive to malignant pathology.) Embarrassed at receiving anything special: it enables people to understand that they are worthy to receive as well as to give. Wants to go off and hide in order to take stock and think of how they feel. Constantly self analyses. If asked if he likes his own company he will agree and mean it:
he/she needs space and privacy: there is still, though, a need to communicate and this is hard to satisfy as emotions tend to well up to the surface and this causes the feeling of being vulnerable. Aloof. Full of expectation and anticipation: exhilaration. Feels something very special could be about to happen but this is soon followed by feeling tired and sleepy. Very industrious: on the go often in the service of others. Others may find him/her boring and lacking in any interest: going into retreat or withdrawal = losing interest and becoming less interesting. Can be pigheaded
and independent: do not want to listen to reason.

Female
Amenorrhoea. Difficulty in conceiving. Dryness of the vagina.
Herpetic eruptions with blisters and itching.
===========================================================
MUREX

Characteristics
The symptoms of the female sexual organs are most prominent, and have been clinically verified. Esp. adapted to nervous, lively, affectionate women. Patient weak and run down. [2] Like Sepia, the juice of the Purple Fish affects the FEMALE SEXUAL ORGANS prominently. Must lie down, from weakness, which worse. Pains are diagonal; ovary to opposite breast. Climacteric sufferings. [10] "Highly-sexed Sepia."

clinical
[1] Nervous, lively, affectionate women; [2] who are very weak and run down. [11] Melancholic or sanguine lymphatic temperament.

mind
Great sadness, anxiety, and dread. [2] Great depression of spirits; a sort of deep hypochondriacal state. Anxious, apprehensive; better leucorrhoea. Memory weak, can't find correct word to express herself. [8] Conscious of uterus. Imagines herself sick. Nymphomania; from suppressed menses; during metrorrhagia. Sadness before menses; [11] all her symptoms gave her great concern; seemed to her she was hopelessly ill; she gave up everything. Unconsciousness before menses. [11] Impatient at herself and others, during pain [dysmenorrhoea]. Wants to die, from intense abdominal pain
during menses.

Female
Sensations: As if something was pressing on a sore spot in pelvis; worse [[2better] ] sitting. Of protrusion. [2] As if bones of pelvis were getting loose; [11] in beginning of pregnancy. [11] As if internal genitals were being pushed out, with great nausea and faintness. Uterus sore, as if wounded by cutting instruments. Of dryness and constriction of uterus. Of heaviness in vagina during [menstrual] colic. Of heaviness and enlargement of labia majora.
Pains: From right side of uterus c right or left breast. Dysmenorrhoea and chronic endometritis, with uterine displacement. In mammae during menses. [2] Stitching, in genitals, c abdomen; c mammae. [11] Violent stitches in left side of uterus, from below upwards, in evening.
Observed: Pulsation in neck of uterus. Desire easily excited. Least contact of parts causes violent sexual excitement. Menses irregular, profuse, frequent, large clots. Prolapse; enlargement of uterus, with pelvic tenesmus and sharp pains, c mammae; worse lying down. Must keep legs tightly crossed; [2] from bearing-down pains. Leucorrhoea green or bloody, alternating with mental symptoms and aching in sacrum. Benign tumours in breasts. [5] Chronic inflammations following miscarriages or even normal labour, with soreness over right ovary, c right chest. [11] Watery, greenish,
irritating leucorrhoea. Leucorrhoea worse during day; none during night. Leucorrhoea with itching. Leucorrhoea in pregnancy. Interval of periods ten days; climaxis. Menses every two weeks, very scanty and lasting but two days; preceded by severe labour-like pains, and with severe headache and great painfulness of mammae.

[Patti Mount]

> Dear Patti,
this case may be too understandable in this scenario to use as sx, but tried it and "Vanity" just to see what would come up.
Otherwise, nat-m lines up, but if it didnt work, maybe look here or provide further sx.
foll., graph., helo., iod., jab., lyc., lycps., lyss., murx., Nat-m., nit-ac., pitu-a., puls., sac-alb., sep., spira., tarent.,
thuj., zinc-chr.

Hey Andy Lollipops!

Thanks for this... I am the *one* who thinks the Pt may have been too embarrassed... those are not her words... I have not spoken to
her... she may have been *just* annoyed at the discomfort & willing to try *anything* when she purchased the *natural* for of
estrogen-replacement creams... I am not even sure IF Nat-m was Rx'd prior to this problem or after it began... I don't know if that
matters at this point because IF it were an aggravation it *should* be long ago passed...

well hopefully some others might have some ideas and/or experience treating this problem in conjunction with menopause and offer
some more ideas for us to review... Thank you!

Vitally yours, }·.¸.·´¯`·...¸}`·.¸¸.·

Patti Mount

[bgwest]

Hi Andy
Could you elaborate on that process you use to sort the repertory; or is it generated by a software routine
Regards Barry

[andyh]

bgwest@runbox.com wrote:
Dear Barry,
They call it an "elimination" in Macrepertory software, which allows adding (union) or subtracting (intersection) rubrics.
I like the method (obviously) but it is not nearly as useful as might be apparent because (as you know)

-the repertory is very incomplete (this can be helped by adding rubrics from searches in EH or referenceworks)

-some cases are one rubric cases

-some cases arent helped by repertory analysis, and its helpful to be aware of this instead of risking limiting the field to just repertory.
best to all,
Andy

[isali]

Are you able to furnish a more complete picture of the pt.? What was the
picture of the pt. when Sil. was administered, then Staph and then Nat.-M?
What potencies were administered? What do you think would be the
consequences of these remedies respecting the current c.c.? And a direct
question to the pt. of whether she was in fact withholding info from the
physician regarding her c.c.?