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endometriosis case

Posted: Sun Nov 20, 2005 9:57 pm
by VR VR
The patient is a 45 year-old-woman. She came because of endometriosis – she had extensive surgery several months ago and has been feeling unwell ever since. She has a history of suppression – cysts on the bikini line on the left hand side were removed and returned 8 times. When they went, an ovarian cyst appeared, also on the left side. This was removed and returned several times. Then she experienced severe abdominal pain, she felt she had endometriosis as her sister has it, the doctors wouldn’t consider it as an option, and thought she had cancer. In operation they discovered the endometriosis. They removed the adhesions, but she feels it is now coming back. In addition, since the operation she has very severe pain during menses, very heavy menses, and general weakness to the degree of prostration. She is usually a very active woman, and finds the weakness very frustrating. She will often persist in what she’s doing even if she should stop. She also suffers from leg
cramps.
She is very family oriented and lives far from her siblings who she misses greatly She still feels “homeless” in the larger sense, that she’s not in her extended home. There was much in the case that pointed towards Mag Phos (which has been used in cases of endometriosis) and Mag Mur. However, there seemed to be a stronger emphasis on the Mag Mur in terms of the mentals and most of the physicals. Another remedy which presented high was Coloc, and Thuj and Carc are there also. Many times the abdominal pain appears when she has a run-in with her in-laws. I think there is also a great dissonance for her to have any complaints about family, as she was brought up in such a family oriented environment and close knit community.
There are no clear thermals. I gave her Mag Mur very low (6C) as there is no room for aggravation here. But she aggravated anyway. Although one dose helped greatly to ease the leg pain, and a subsequent dose relieved bad pain during a period, there have not been changes in vitality, sleep hasn't been particularly good, and a dose taken recently during menses did not make any difference to pain levels. However, some other modalities appeared - a sense of vertigo and of "slow-motion" after taking the remedy, worse for going down stairs, worse for walking as with each step she takes as she puts her foot down she feels the jar to her body. She has a sensation of pulling down, dragging down, in legs and abdomen, and heaviness in the whole body, must sit down. BP goes down drastically during menses, very cold extremities. She has also mentioned fear of insanity - which she attributes to the endometriosis and said she did not feel before the whole thing started. She's very
impatient with her weakness, tends to push herself to do more when she should be resting.
Any suggestions welcome!
Regards,
Vera
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Re: endometriosis case

Posted: Sun Nov 20, 2005 10:18 pm
by Rochelle Marsden
>
Have you looked at Sepia??

Murex is a good Rx for heavy prolonged menses.

The other thought I had was that sometimes a low potency can agg more than a
higher one and if you want to work on the M and E's you need to look at at
least a 30 C potency.

Rochelle
Registered Homeopath, EFT(Advanced)Practitioner
www.southporthomeopathy.co.uk

Re: endometriosis case

Posted: Mon Nov 21, 2005 10:27 am
by Joy Lucas
Very briefly, I was interested in the 'coldness during menses' as well
as the possibility of the uterine prolapse, or sensation of, the
weakness, fear of insanity, leg cramps and thought about Secale.

Personally I would be ranking the physicals much higher in this case
(from what you write anyway). a great deal c an be done even with 6c
but if she is sensitive then I would opt for LMs or low potency in
water.

All that suppression could possibly come into the case analysis as well.

Best wishes, Joy
http://www.homeopathicmateriamedica.com
http://www.homeopathicmateriamedica.blogspot.com
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Re: endometriosis case

Posted: Mon Nov 21, 2005 3:53 pm
by VR VR
I hesitate to use "coldness during menses" as there is some logic to heavy blood loss causing coldness, so I'm not sure how valuable it can be to the individualisation.
Another mind symptom which probably "trumps" them all has been coming out much more strongly since she started treatment - company amel. Even if she's feeling really bad, when there are people around she's likely to feel better.
Thanks,
Vera

Joy Lucas wrote:
Very briefly, I was interested in the 'coldness during menses' as well
as the possibility of the uterine prolapse, or sensation of, the
weakness, fear of insanity, leg cramps and thought about Secale.

Personally I would be ranking the physicals much higher in this case
(from what you write anyway). a great deal c an be done even with 6c
but if she is sensitive then I would opt for LMs or low potency in
water.

All that suppression could possibly come into the case analysis as well.

Best wishes, Joy
http://www.homeopathicmateriamedica.com
http://www.homeopathicmateriamedica.blogspot.com
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Re: endometriosis case

Posted: Mon Nov 21, 2005 8:09 pm
by Joy Lucas
I can only say again that I think it to be a very useful sx whether it
is logical or not. If it is particular to her then I would include it.
Having had so many clients who want treating for really heavy menstrual
bleeding I can't say that being cold due to this is to always to be
expected.

Another interesting sx about Secale is that it has a issue about
'abandoning her relatives' (and you wrote something along those lines)
- this is often connected with the sense of insanity with this remedy
but you did mention that she has a fear of insanity connected with the
endometriosis and I think this might link in with so called puerperal
fever that is well known with this rx.

If there are new sx arising since a prescription this has to out into
an accurate context. Joy
http://www.homeopathicmateriamedica.com
http://www.homeopathicmateriamedica.blogspot.com