Homeopathic Medicines For Pelvic Inflammatory Disease

Consult Us:

Dr Vandana Patni

Dr Ravindra Singh Mann

Consultant Homeopathic Physician

Shikhar Homeopathic Clinic

Kapil Complex,

Mukhani, Haldwani

Uttrakhand

Contact: 9897271337

Pelvic Inflammatory disease is very common among young and sexually active women. It defines inflammation of ovaries, fallopian tubes, uterus and clinically presents as Pain in lower part of abdomen, Tenderness(Pain on touch), Back pain, Foul smelling copious vaginal discharge, Bleeding per vagina- on and off, Painful coition, Pain after sex and  Pain during urination.

Read Pelvic Inflammatory disease here.

Pelvic Inflammatory disease is curable by homeopathic medicines. In acute cases it takes few weeks and in chronic cases of PID it needs few months of continuous medication to cure PID. More than 200 Homeopathic medicines are indicated for PID. Most common and frequently used medicines are described here.

1. Aconite :-  Violent fever with inflammation of ovaries or uterus, caused by checked perspiration or from sudden checking of menstrual flow, from fright, during confinement or during menstruation, from riding in cold winds or from getting wet when overheated . Accompanied by bitter vomiting and cold sweat, painful urging to urinate; hard rapid pulse; hot dry skin; intense thirst; sharp shooting pain in abdomen with tenderness, great restlessness; fear of death and predicting even the hour of death.

2. Apis :-  Increased sexual desire with stinging pain in ovaries after sexual intercourse; burning, stinging as after a sting of a bee; sharp, stinging, periodic pains in ovaries. Right ovarian manifestations are more specific to this medicine. Pain from right ovary extending down to thigh. Bearing down in uterine region, thirstlessness and intolerance of heat. Apis holds the same relation to the right ovary that LACHESIS does to left ovary. Apis is indicated in ovaritis with extreme soreness in right ovarian region, together with burning or stinging sensations. Aggravation(<) on right side, < while stretching, < raising arms, < from touch and Heat but Amelioration(>) by lying on it, > lying on right side.

3. Arsenicum Album :- Inflammation of ovaries and uterus when there is burning, lancinating pains as if hot coals were burning the part, accompanied by throbbing. Amelioration(>) by hot applications and aggravation(<) by cold.Restlessness is important indication for arsenic with these complaints. 

4. Belladona :- Abdomen swollen, very sensitive to touch, pain in ovaries on appearance of menses, throbbing pains, pains come suddenly and disappear suddenly, < least movement, < pressure; Great bearing down as if everything would come out of vagina. 

5. Lachesis :- Inflammation of ovaries and uterus, can not bear any pressure, not even of the clothes, Lachesis specially favour left ovary, sensation as if pains were ascending towards the chest; < after sleep, Pains >(ameliorate) by a flow of blood from the vagina. Menses scanty, feeble, blood lumpy, black and very offensive; pains in the hips, bearing down in the region of the left ovary- all better when the flow is established.

6. Palladium :- Induration and swelling of right ovary, soreness and shooting pains from navel to pelvis. < from exertion and standing. > lying on left side, < mental agitation, < from being in society, < music, after stool. Palladium develops an egotism which manifests itself in the patient’s concern for the good opinion of others, consequently her pride is often injured.

7. Platina :-  Platina patient is rather haughty and proud; egotistical. She seems to look down upon everybody and everything as beneath her. Pain in ovaries are cramping and cause numbness  and tingling there. Pains increase gradually and decrease just as gradually as they came, unlike Belladona. Menses are too early, too profuse and consist of dark, stringy, clotted blood.  Sexual passion altogether too strong; paroxysmal burning pains in ovary.

8. Conium :- Burning, sore, aching sensation in uterine region with induration and enlargement of uterus or ovaries, pains extending through whole lower part of abdomen, hip and back. Burning, sore, aching pains; ovarian affections with amenorrhea and ill effects of suppressed sexual instinct; sterility.    


There is a long list of homeopathic medicines in PID. A few are only described here to give a insight in Homeopathic medicines.

For effective homeopathic treatment of your issues consult us here.  

Homeopathic Medicines for Dysfunctional Uterine Bleeding

Consult Us:

Dr Vandana Patni

Dr R S Mann

@9897271337

Some commonly indicated homeopathic medicines for Dysfunctional Uterine Bleeding are following.

1. Sepia:- Bearing down sensation as if everything would escape through vulva;must cross limbs to prevent protrusion or press against vulva.

Menses too late and scanty, irregular; exceptionally menses may be early and profuse; sharp clutching pains. Violent stitches upward in the vagina from uterus to umbilicus. Vagina painful, especially on coition.

Hot Flashes at menopause with weakness and perspiration.

Sepia patient dreads to alone, weeps when telling her complaint, irritable, very sad and Indifferent to those loved most.

2. Lachesis :- Lachesis has hemorrhagic tendency. Very important during the climacteric. Cannot bear anything tight anywhere.

Climacteric troubles, palpitation, flashes of heat, hemorrhages, vertex headache, fainting spells worse pressure of clothes.

Menses too short, too feeble; pains all relieved by the flow. Left ovary very painful and swollen, indurated.

Great loquacity.Jealous.

3. Phosphorus:- Hemorrhage from uterus between periods. Menses too early and scanty- not profuse but last too long.Weeps before menses.

Frequent and profuse hemorrhages from uterus caused by cancerous affection.

Weakness, blue circles around eyes and anxiety after menses.

Infertility.

4. Calcarea Carbonica:- Menses too early, too profuse, too long with vertigo, toothache and cold,damp feet. Least excitement causes hemorrhage from uterus.Cutting pains in uterus during menstruation.

Before menses, headache, colic, chilliness and leucorrhea.

Infertility with copious menses.

Increased menstruation about external genitals.

5. Pulsatilla:- Menses too late, scanty, thick, dark, clotted, changeable, intermittent.Menses suppressed from wet feet, nervous debility or anemia.

Chilliness, nausea, downward pressure, painful with intermittent menstrual flow.

Weeps when telling complaints, changeable, contradictory. Patient seeks the open air and always feel better there. Symptoms ever changing. Thirstless, peevish and chilly.

6. Ammonium Carb:- Menses too frequent, profuse, early, copious, clotted, black.Menses preceded by gripping colic, black and acrid blood.

Cholera like symptoms at the commencement of menstruation.

7.Lycopodium:- Menses too late, last too long, too profuse. Coition painful, dry vagina. Right ovarian pain. Discharge of blood from genitals during stool.

Melancholy; afraid to be alone.Little things annoy. Headstrong and haughty when sick.

8.Ambra Grisea:- Thin, scrawny women. Adapted to hysterical subjects. Anemic and sleepless. Weakness,coldness and numbness,usually of single parts, fingers, arms etc. Music aggravates symptoms.

Menses too early. Discharge of blood between periods, bleeding at every little accident. Profuse,bluish leucorrhea.

Itching of pudendum with soreness and swelling. Worse at night.

9.Arsenicum Album:- Arsenic is useful in persistent hemorrhages i.e. metrorrhagia or menorrhagia, of a low type depending upon some degeneration in the organ affected. Burning pains with hemorrhage.

Metrorrhagia of dark blood and increased sexual desire. Main affection in right ovary with marked burning, tensive pains and restlessness which is somewhat relieved by constantly moving the feet. Menstrual colic better from warm applications.

10. Belladona:- Menses are early,copious, bright red and attended with cramp-like tearing pain in the back, arms etc; throbbing headache; most intensely painful congestive dysmenorrhea; bearing down; cutting pain from behind forward or vice versa; menstrual flow offensive; lochia offensive. Uterine hemorrhage; blood pours out and feels hot; uterine hemorrhage with bearing down in the back.

11. Bovista:- Menses too early and profuse; worse at night. Diarrhea before and during menses. Cannot wear tight clothing around the waist. Traces of blood between menses. Soreness of pubis during menses. Metrorrhagia.

Leucorrhea acrid, thick, tough, greenish follows menses.

Uterine hemorrhage when the uterus is engorged, particularly when there is bleeding between menses from any little over-exertion. Here it is exactly like Ambra Grisea, but menstrual flow of Bovista occurs chiefly or only at night or early in the morning.

12. Cantharides:- Puerperal metritis with inflammation of bladder. Menses too early and too profuse; black swelling of vulva with irritation.

Constant discharge from uterus; worse false step. Burning pain in ovaries.

Retained placenta with painful urination.

13. Carbo Animalis:- Menses too early, frequent, long lasting, followed by great exhaustion, so weak can hardly speak. Menstrual flow only in morning. Burning in vagina and labia.

Cancer of uterus.

14. carbo Veg.:- Premature, too copious menses, pale blood. Continuous dark hemorrhage. Patient wants to be fanned, anemic, skin cool and bluish, pulse rapid and weak.

Burning pains across the sacrum and lower portion of the spine with hemorrhage.Carbo veg is torpid, sluggish.

15. Cinchona Officinalis:- Menses too early, profuse with pain. Leucorrhea bloody. Bleeding is dark and clotted. Hemorrhage is so profuse it produce condition of collapse, cool face, gasping for breath, patient demands to be fanned.

16. Erigeron Canadensis:- Hemorrhage from uterus with painful micturition. Profuse bright red blood. Pain in left ovary and hip.

Metrorrhagia with violent irritation of rectum and bladder; and prolapse of uterus. Menorrhagia. Bloody lochia returns after least motion, comes in gushes; between periods, leucorrhea with urinary irritation; pregnant women with “weak uterus”, a bloody discharge on slight exertion.

Erigeron is indicated in hemorrhages from uterus with painful urination. Hemorrhage comes in fits and starts; it comes with a sudden gush and then stops again.

17. Ferrum Metallicum:- Anemic women with fiery red face whose menses remit a day or two and then return.

Menses too early, too profuse, last too long; pale , watery. Sensitive vagina.

Discharge of long pieces from uterus.

Tendency to abortion. Prolapse of vagina.

Flow of bright red blood often mixed with coagula, associated with great deal of flushing.

18. Hamamelis Viriginica:- Menses dark, profuse, with soreness in abdomen. Bruised soreness of affected parts.Metrorrhagia occurring midway between menstrual periods. Inter menstrual pain.Vicarious menstruation.

Ovarian congestion with neuralgia; feel very sore.Uterine hemorrhage, bearing down pain in back.

Vagina very tender. Profuse leucorrhea. Vaginismus, ovaritis, soreness over whole abdomen.

The flow is dark and rather passive and there is a feeling of soreness in the affected area.

19.Ipecacuanha:- Hemorrhage bright red and profuse.

Uterine hemorrhage profuse, bright red, gushing with nausea. Pain from naval to uterus.

Menses too early and too profuse.

20. Millefolium:- Invaluable remedy for various types of hemorrhages; blood bright red.

Menses early, profuse, protracted. Hemorrhage bright red, fluid.

Millefolium is suited for a profuse, bright red flow , unattended with pain.

21.Nux Vomica:- Menses too early, lasts too long; always irregular, blood black with faint spells.

Prolpase of uterus. Dysmenorrea with pain in sacrum and constant urging to stool.

Metrorrhagia with sensation as if bowels wanted to move.

22. Sabina:- Menses bright red, clotted and worse from any motion. Hemorrhage is attended with pain extending from the pubes through to the sacrum and with pains in the legs. Uterine pains extend to thighs.

Discharge of blood between periods with sexual excitement.

Retained placenta; intense after pains.

Menorrhagia in women who aborted readily. Inflammation of ovaries and uterus after abortion.

Pain from sacrum to pubis and from below upwards shooting up in the vagina.

23. Sanguinaria Can:- Metrorrhagia occurring at the climacteric age. Bleeding is of bright red, clotted and frequently offensive. Metrorrhagia with flushes of heat and with sick headache.

24.Secale Cornutum:- Hemorrhages; continued oozing; thin, fetid, watery black blood. Whole body is pervaded by a sense of great heat so all the Secale patients are better from cold.

Menses irregular, copious, dark; continuous oozing of watery blood until next period.

The flow of blood is passive; it is attended with tingling in the limbs.

Although the surface of the body is cold, the patient persistently expresses her desire to be uncovered.

25. Trillium Pendulum:- A general hemorrhagic medicine with great faintness and dizziness.

Uterine hemorrhage with sensation as though hips and back were falling to pieces; better by tight bandages.

Gushing of bright blood on least movement.

Metrorrhagia at climacteric. Hemorrhage from fibroids.

Prolapse with great bearing down.

Blood is bright red, profuse and is attended by a faint feeling in the epigastrium, pain in back, coldness of extremities, prostration and rapid, feeble pulse.

26. Ustilago Maydis:- Vicarious menstruation. Profuse menstruation after miscarriage; discharge of blood from slightest provocation; bright red; partly clotted.

Menorrhagia at climacteric.

Oozing of dark blood, clotted, forming long black strings. Cervix bleed easily.

Ovaries burn, painful and swelled.

Uterine hemorrhage is partly fluid and partly clotted, bright red.

Read Dysfunctional Uterine Bleeding

Bibiliography:

1. Clinical Materia Medica- E.A.Farrington

2. Pocket Manual of Homeopathic Materia Medica and Repertory- W. Boericke

3. Homeopathic Drug Picture- M.L.Tyler

4. Allen’s Keynotes- H.C.Allen

Polycystic Ovarian Syndrome

Polycystic Ovarian Syndrome(PCOS)

Also known as Polycystic Ovarian Disease(PCOD)
Polycystic Ovarian Syndrome - PCOS is a disorder which affect a woman's menstrual cycle, hormonal levels, fertility, insulin level, heart, blood vessels and general features. PCOS is the most common hormonal problem in women of reproductive age.It is very common cause of infertility in women( infertility means fail to conceive pregnancy). Near about 7 to 10% of women have PCOS.

PolyCystic Ovarian Syndrome ( PCOS) and Pelvic Inflammatory Disease (PID) are most common causes of Infertility in females.


Common Features in females with PCOS

1.Irregular or no menstrual cycle(Periods).

2.Increased level of Male hormones (androgen) in females.

3.May be small cysts in ovaries. Cyst is a sac full of fluids.

Causes of PCOS

No exact cause is yet known.

1. Females with PCOS have frequently a mother or sister with same disorder. But evidence for genetic link are not yet clearly available.

2.Many patients with PCOS have extra Weight .So researchers are searching for some disorder of production of Insulin hormone in body.Insulin regulates the sugar,starch and other energy needs of body.

3.Level of male hormones(Androgen) increased in blood that causes hairs growth,male pattern baldness. But not exact source of male hormones is yet known.

Symptoms of PCOS

1.Irregular Menstruation or absence of menstruation or irregular bleeding(periods).

2.Infertility - inability to get pregnant.

3.Acne( Acne are not only caused by PCOS),oily skin.

4.Excessive Hairs on face,chest,back and all over the body.

5.Weight Gain or obesity.

6.Pain in pelvic region.

7.High Blood pressure.

8.Baldness of male pattern due to excessive male hormones.

Diagnostic Tests

1.Ultrasonography-Vaginal ultrasonography for finding cysts in ovaries.

2.Hormone tests for male and female hormones.

3.Level of glucose,cholesterol in blood.

4.Insulin Level in Blood.


How Cysts form in Ovaries?

Females have two ovaries,one in each side of uterus. Each ovaries have follicles, filled with liquid and eggs. These follicles may be called cysts. Every month about 20 follicles start to mature but only one follicle success every month,and every month one ovum is excreted in uterus for pregnancy. When every month follicle mature it breaks and release egg.Remaining part of follicle start to produce progesterone.This is normal physiological process and controlled by hormones.

In cases of PCOS secretions of female hormones is insufficient. Not any egg matures. So fluid filled follicles(cysts) does not mature and breaks. Some of them remain as cysts. And they are collected in ovaries month after month. These cysts produce Male hormones(Androgen), and further increase the problem. Because no follicle matures and breaks, so production of progesterone hormone does not start which regulate the menstrual cycle. Defected production of hormone is main cause of irregular menstrual cycle in cases pf PCOS.

Treatment of PCOS

Conventional Treatment

There is no cure for PCOS.Treatment is based on symptoms and problems of every individual patient.

1. In patients who does not want pregnancy

Birth control pills can

-regulate menstrual cycles(periods)

- control extra hair growth by reducing male
hormones.

-control Acne.

But all these effects are only temporary until birth control pills are continue. These pills can not cure PCOS. Only Progesterone pills can also be used for menstrual regulation but these pills can not control Acne and Hair growth.

2.In patients who want Pregnancy

Release of Egg from follicles is necessary for Pregnancy . Hormones as FSH(follicular stimulating hormone), LH(leutinizing hormone) and GnRH(Gonadotropin Release Hormone) are used. 

Clomiphene Citrate is another drug of choice in these cases.

Earlier , wedge resection of ovary(partial oophrectomy) by surgery was done.But this surgical process may cause post operative adhesion's and infertility. These days a new surgical procedure- Laser puncture of cysts- is used with more or less desirable effects.

Outcomes are not much favorable by either medicinal or surgical procedures.


Homeopathic Treatment of PCOS

Homeopathy system of medicine treat patients on basis of complete history, detail sign and symptoms, personality trait, behavioral pattern, mental make up, physical appearance, emotional indulgence and environmental modalities.

 Only removal of cysts from ovaries by surgery or prescribing antagonist hormones for increased Male hormones does not solve the problem, as experience shows with conventional prescribing.

Goal of Homeopathic prescription is to stop the process which cause all these irregularities. Long term treatment is advised for cases of PCOS. After 2-3 month's treatment, most of cases start normal regular periods, ovulatory cycles, reduction in hair growth, acne and normal glucose metabolism.

Patient's suffering from infertility easily gain pregnancy, after few month's treatment.

Homeopathy advises 1 to 3 years of continue treatment for cases of PCOS for permanent cure.


PolyCystic Ovarian Syndrome ( PCOS) and Pelvic Inflammatory Disease (PID) are most common causes of Infertility in females.

Dysfunctional Uterine Bleeding(DUB)

© Dr Vandana Patni 2008

There may be many causes of abnormal vaginal bleeding in reproductive age(16 years to 45 years) of woman's life.When there is no other organic or structural cause of this vaginal bleeding is detected, then it is known as Dysfunctional Uterine Bleeding(DUB) . DUB is most common cause of abnormal vaginal bleeding . DUB is an abnormal uterine bleeding caused by hormonal imbalance. In most cases of Dysfunctional Uterine Bleeding menstrual cycles remain anovulatory-it means egg does not develop or released from ovaries .


Indicated Homeopathic Medicines for Dysfunctional Uterine Bleeding.

Causes of dysfunctional uterine bleeding



Causes Related To Hormone Producing Glands (Endocrine)
A.Cushing's disease - A disease of Adrenal Gland
B.Immature hypothalamin-pituitary axis
C.Hyperprolacinemia
D.Hypothyroidism
E.Menopause
F.Obesity
G.Polycystic ovary disease
H.Premature ovarian failure

Causes Related to Organs

A. Adenomyosis -tumor of muscles of uterus.
B. Coagulopathies -(disorder of blood coagulation process) - in cases of serious Liver Diseases.
C. Condyloma acuminata
D. Cancer of the cervix or vagina (dysplastic or malignant lesion )
E. Endometriosis
F. Endometrial cancer (endometrium is innermost layer of uterus)
G. Uterine or cervical polyps
H. Uterine leiomyomata
I. Trauma- injury

Causes Related to Infections

A. Chlamydia
B. Gonorrhea
C. Pelvic Inflammatory Disease(PID)

Causes Related to Medications

A. Hormonal agents
B. Medicines Used as birth control method(for Contraception)


1.Low-dose oral contraceptive pills (OCPs)
2.Nonprogestin-containing IUDs -IUD means Intra Uterine Device like Copper-T.
3.Norplant System
4.Progestin-only contraceptive (the "mini pill")


C. Nonsteroidal anti-inflammatory drugs (NSAIDS) - like Brufen.
D.Tamoxifen
E.Warfarin

Other Causes

A.Incomplete abortion
B.Pregnancy complications
C.High Blood Pressure(Hypertension)
D.Diabetes Mellitus
E.Leukemia-blood cancer


How Patient may Present


Abnormal vaginal bleeding has several patterns:- 
• Menorrhagia - Prolonged (>7 day) or excessive (>80 mL daily) uterine bleeding occurring at regular intervals.
• Metrorrhagia - Uterine bleeding occurring at irregular and more frequent than normal intervals.
• Menometrorrhagia - Prolonged or excessive uterine bleeding occurring at irregular and more frequent than normal intervals.
• Inter menstrual bleeding (spotting) - Uterine bleeding of variable amounts occurring between regular menstrual periods .
• Polymenorrhea - Uterine bleeding occurring at regular intervals of less than 21 days.
• Oligomenorrhea - Uterine bleeding occurring at intervals of 35 days to 6 months.
• Amenorrhea - No uterine bleeding for 6 months or longer.

Laboratory Tests

Testing should be individualized based on each patient's history and physical findings. Not all the following tests are necessary for every patient of DUB.


Urine pregnancy test
CBC -Complete Blood Count
PT/PTT
Pap smear
FSH -Follicular Stimulating hormone
Liver function tests
TSH - Thyroid Stimulating Hormone
Prolactin level
DHEAS


Diagnostic Test

1.Endometrial Biopsy
2.Uterine Ultrasound
3.Dilatation and curettage (D&C)
4.Hysteroscopy

Treatment



Conventional Treatment

Medication, surgical procedures and mixture of both used in different cases according the severity and need of patient.


1.Medical Part- Estrogen,Progesterone hormones and Non-Steroidal Anti inflammatory Drugs(NSAIDs) are used.
2.Surgical Part- Dilatation and Curettage(D&C), Hysteroscopic Resection of Endometrium, Hysterectomy(removal of Uterus) are few procedures which are used according the need of each case.



Homeopathic Treatment

Homeopathy has more than 200 medicines for different pattern of vaginal bleeding. Homeopathic medicines are prescribed according individual case history and sign/symptoms of patient. All the different pattern of abnormal hemorrhage can be treated successfully by using homeopathic medicines. Acute cases of vaginal hemorrhage can be treated successfully by these medicines.


Homeopathic Medicines not only check bleeding but also eradicate the actual cause of dysfunctional uterine bleeding. Most of the cases of DUB can be cured permanently by regular homeopathic treatment. Opting homeopathy is a better alternate to surgery and hormonal treatments.

Pelvic Inflammatory Disease( PID)

Pelvic Inflammatory Disease (PID)

© Dr Vandana Patni 2008

Pelvic Inflammatory disease is a disease of young women who are sexually active and in child born age. Pelvic inflammatory disease is Inflammation of woman's upper genital tract or reproductive organs (cervix, uterus, fallopian tubes,ovaries and surrounding tissues), main victims are fallopian tubes and ovaries. Bacterial infection is most common cause of PID.

Read Homeopathic medicines for PID here.

How Nature Protect Reproductive Organs:

There are many natural barriers which prevent entry of bacteria from cervix to upward.

1.In Virgin girls intact Hymen prevents ascending infections.
2.Acidity of Vagina inhibits the bacterial growth.
3. Cervical canal has relatively small lumen and it is filled with a plug of alkaline mucus.
4.There are fimbrias in uterus and cervical canal which constantly move downwards
and so they discourage the spread of non-motile organisms further upward.

But this natural protective mechanism breaks during menstruation(periods), after abortion and delivery. During these events cervical canals dilates, fimbrial layer of uterus and cervical canal damages . Vaginal pH increases ( means vagina become more basic) and give favorable environment to germinal growth.

Manipulation like curettage for evacuation in abortion and manual removal of placenta give chance to entry of bacteria.
Intrauterine contraceptive device (inserting Copper T and other devices) may also be a source of infection.

Causes of PID

A- Multiple sex partner and frequent change of sex partner

B- Anemia- Which reduces the immune capacity to fight infections

C- In developing and poor countries most of the deliveries are conducted at home by untrained personals in aseptic environment. Criminal abortions are continue.

Infections Which causes PID

More than 40 type of organisms causes PID but most common infections are Chlamydia and Gonorrhea, both these organisms are transmitted sexually . More than 50% cases are infected by these 2 type of organisms.

What Happen in PID

Bacteria infects the fallopian tubes and cause inflammation. When this happens, normal tissue can become scarred and block the normal passage of an egg(block fallopian tube-either partial or full blockage). Fallopian tubes may damage.You may become infertile (unable to become pregnant). But if your tubes are partially blocked, an egg may implant outside the uterus and cause a dangerous condition called an ectopic pregnancy.In this way the worst outcome of PID could be Infertility in women.

PID has two main complications

1. Infertility (unable to become pregnant)
2. Ectopic Pregnancy( Implantation of Fetus outside the uterus) it may be a dangerous condition.
An ectopic pregnancy can cause internal bleeding leading to death.

Outlook of PID

1. According to US studies --Following a single episode of PID, 8% of women were infertile; after 2 episodes, 19.5% of women were infertile; and after 3 or more episodes, 40% of women were infertile.Tubal damage and scarring can result in infertility. PID is the most common cause of infertility in women.
2. Ectopic pregnancy is 6 times more common in women who have had PID at least once.
3.Chronic pelvic pain is present in up to 18% of women with PID.
4.Ovarian abscesses can occur after an episode of PID.Chronic infection may cause TOA. A TOA(tubo-ovarian mass) is a collection of bacteria, pus, and fluid that occurs in the fallopian tube. It is most often seen in teens. A TOA is also more likely to occur in teens or adult women who use intrauterine devices (IUDs) as birth control.
5.In Developing countries like India Criminal abortions are common. Many deliveries are conducted at home by untrained professionals which causes Pelvic Inflammatory Disease later on. It is estimated that 50 % pf al PID cases of developing countries are caused in this manner.

Symptoms of PID

1.Pain- Lower abdominal pain and Tenderness( pain on touch) which get worse before menstruation.
2. Back Pain
3. Heavy/foul smelling Vaginal Discharge
4.Abnormal Uterine Bleeding( Metrorrhagia)
5.Painful Sexual Intercourse (Dyspareunia)
6.Painful Urination

In Acute Condition

1.Fever
2. Nausea and Vomiting may coexist with PID.


Laboratory Tests

1. Complete Blood count.
2. Complete Urine test
3. Culture for gonorrhea and chlamydia
4. Test for other STD's and HIV.

Imaging

1.Pelvic Ultrasound
2.Laproscopy if indicated.

Treatment of PID

1. Bacterial samples are hard to collect from upper genital tract. So two type of Wide range Antibiotics can be used either orally or intravenously as indicated on intensity of symptoms.
2. Hospitalization may be necessary in severe cases or if PID occur during pregnancy(Although it is very rare).
3. Stop sexual activity until treatment is not completed. Sexual partner should also be treated to stop recurrence.

Complications Of PID

1.Infertility(unable to pregnant)
2.Ectopic pregnancy( Fertilized egg means embryo can implant outside the uterus it may be dangerous.)
3.Chronic PID -if acute infections not treated properly then chronic PID can develop.

Prevention Of PID

Follow few steps to remain healthy:-

1. Wipe from front to back after stool to prevent bacterial entery to vagina.
2.In case of vaginal itching,do not scratch ,just wash with water.
3.Frequent Vaginal douching may push bacteria to inside. So try to escape from frequent use of Vaginal douching.
4. Multiple sex partner is a potential risk of PID. Use barrier devices as latex condoms. Intrauterine Device (copper-T) does not prevent from Sexually transmitted diseases. Limit your sex partners and specially high risk partners.

Homeopathic Treatment

Either in Acute or in Chronic cases of PID homeopathy is equally indicated.

In Acute PID - severe pelvic pains, backaches, fever,vomiting, uterine bleeding can be permanently relieved without leaving any complications. In cases where woman is pregnant along with PID , of course homeopathy provide safe and effective alternative to conventional treatment.

Chronic cases equally treated successfully for pelvic pains and disturbed menstrual cycles.In cases of painful sexual intercourse homeopathy has provides good medication.

Homeopathy has more than 200 medicines for these different group of symptoms. Prescription of medicines vary from case to case on individual symptom group in particular case.Some common medicines for these conditions are-

Platina, Mercuris Sol, Belladona, Pulsatilla, Lachesis, Phosophorus, Sepia, Cantharis, Conium, Arsenic alb, Lycopodium etc. Medicines are prescribed on basis of similarity of patient's symptoms with medicine. Always consult to a Homeopath for correct medication.

Consult Us:

Dr Vandana Patni

Dr R S Mann

Consultant Homeopathic Physician

Call@ 9897271337

Erectile Dysfunction And Impotency

© Dr Vandana Patni 2008

Word 'Impotency ' is used more commonly when actually there is problem with erections. Erectile dysfunction is the repeated inability to get or keep an erection firm enough for sexual intercourse.

Impotency is a wide term which describes some other complex concept which interfere with sexual intercourse and reproduction, such as lack of sexual desire and problems with ejaculation and orgasm. 

Erectile dysfunction or ED can be total inability to achieve erection, an inconsistent ability to do so or a tendency to sustain only brief erections.
It is impossible to know actual incidence of ED but it is estimated that 10% of male population face this problem in younger age and in later age over 60 years of age more than 20% males have this problem.

Causes of Erectile Dysfunction

Erection of penis is a sequential event. And any disruption in this sequence can cause ED.The sequence includes nerve impulse in brain,spinal column, area around penis and response in muscles,fibrous tissue,veins and arteries in and around corpora cavernosa.

Damage to nerves,arteries,smooth muscles,fibrous tissue often as a result of disease is the most common cause of ED.

Physical Causes:
Most cases (70-80% cases)have some underlying pathology behind ED. In older men, ED usually has a physical cause. Incidence increases with age.

A. Diseases

1. Diabetes- Between 35 and 50 percent of men with diabetes experience ED.
2. Kidney disease
3. Multiple sclerosis
4. Atherosclerosis
5. Vascular disease
6. Neurological disease
7.Hypothyroidism
8. Parkinson's disease
9.Anemia.
10.Arthritis.
11. Cardiovascular system diseases.
All these disease account for about 70 percent of ED cases.

B. Medicines

1. High blood pressure drugs(Anti hypertensives)
2. Antihistamines
3. Antidepressants
4. Tranquilizers
5. Appetite suppressants
6. Cimetidine (an ulcer drug)
7. Some illegal drugs are used in various parts of world which causes ED.
Drug effects account for 25 percent of ED cases.

C. Other Causes

1.Smoking- smoking reduces blood flow in veins and arteries of penis.
2.Chronic Alcoholism- Long time alcoholism cause ED.
3. Hormonal Abnormalities- low level of Testosterone hormone.
4. Obesity- overweight person who avoid exercise have higher incidence.
5. Injury- surgery (especially radical prostate and bladder surgery for cancer) can injure nerves and arteries near the penis, causing ED. Injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to ED by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa.


Psychological Causes

It is believed that 10-20% cases has Psychological Causes of ED.
1. Stress
2. Anxiety
3. Depression
4. Guilt
5. Low Self Esteem
6. Fear Of Sexual Failure
7.Interpersonal conflicts with a sexual partner

Searching for cause of Erection Dysfunction

1. Sleep erections-
Monitoring erections that occur during sleep (nocturnal penile tumescence) can help rule out certain psychological causes of ED. Healthy men have involuntary erections during sleep. If nocturnal erections do not occur, then ED is likely to have a physical rather than psychological cause. Tests of nocturnal erections are not completely reliable.

2.Clinical tests used to diagnose ED

A:Duplex ultrasound
Duplex ultrasound is used to evaluate blood flow, venous leak, signs of atherosclerosis, and scarring or calcification of erectile tissue. Injecting prostaglandin, a hormone-like stimulator produced in the body, induces erection. Ultrasound is then used to see vascular dilation and measure penile blood pressure. Measurements are compared to those taken when the penis is flaccid.

B:Penile nerve function
Tests such as the bulbocavernosus reflex test are used to determine if there is sufficient nerve sensation in the penis. The physician squeezes the glans (head) of the penis, which immediately causes the anus to contract if nerve function is normal. A physician measures the latency between squeeze and contraction by observing the anal sphincter or by feeling it with a gloved finger inserted past the anus. Specific nerve tests are used in patients with suspected nerve damage as a result of diabetes or nerve disease.

C:Nocturnal penile tumescence (NPT)
It is normal for a man to have five to six erections during sleep, especially during rapid eye movement (REM). Their absence may indicate a problem with nerve function or blood supply in the penis. There are two methods for measuring changes in penile rigidity and circumference during nocturnal erection: snap gauge and strain gauge.

D:Penile biothesiometry
This test uses electromagnetic vibration to evaluate sensitivity and nerve function in the glans and shaft of the penis. A decreased perception of vibration may indicate nerve damage in the pelvic area, which can lead to impotence.

E:Penile Angiogram
Invasive test - allows visualization of the circulation in the penis and is used during the repair of a priapism.

F:Dynamic Infusion Cavernosometry (DICC)
Technique in which fluid is pumped into the penis at a known rate and pressure. It gives a measurement of the vascular pressure in the corpus cavernosum during an erection. To do this test, a vasodilator like prostaglandin E-1 is injected to measure the rate of infusion required to get a rigid erection and to help find how severe the venous leak is.

G:Corpus Cavernosometry
Cavernosography is an adjunct to Dynamic Infusion Cavernosometry, where a contrast material is injected and then it is x-rayed to visualize any leakage.

H:Digital Subtration Angiography (DSA)
In DSA, the images are acquired digitally. The computer crates a mask from lower-contrast x-rays of the same area and digitally isolates the blood vessels (this is done manually through darkroom masking with traditional angiography).

I:Magnetic resonance angiography (MRA)
This is similar to magnetic resonance imaging. Magnetic resonance angiography uses magnetic fields and radio waves to provide detailed images of the blood vessels. Doctors may inject a "contrast agent" into the patient's bloodstream that causes vascular tissues to stand out against other tissues. The contrast agent provides for enhanced information regarding blood supply and vascular anomalies. Aside from the IV used to introduce the contrast material into the bloodstream, magnetic resonance angiography is noninvasive and painless


Treatment

Treatment proceed from least to most invasive. For some men, making a few healthy lifestyle changes may solve the problem. Quitting smoking, losing excess weight, and increasing physical activity may help some men regain sexual function.
Psychotherapy and behavior modifications in selected patients are considered next if indicated, followed by oral or locally injected drugs, vacuum devices, and surgically implanted devices. In rare cases, surgery involving veins or arteries may be considered. Psychotherapy often treats psychologically based ED using techniques that decrease the anxiety associated with intercourse. The patient's partner can help with the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety when ED from physical causes is being treated.
A small percentage of men undergo vascular re constructive surgery to improve blood flow to the penis. Revascularization involves bypassing blocked veins or arteries by transferring a vein from the leg and attaching it so that it creates a path to the penis that bypasses the area of blockage. Penile implants involve surgical insertion of malleable or inflatable rods or tubes into the penis.

General tips to overcome ED

1. Consuming herbal preparations to rejuvenate the reproductive organs.
2. Massaging the body with a herbal oil which gives a relief from physical exertion and also acts as aphrodisiac.
3. Practicing Yoga and Meditation to overcome mental exertion and to cope up with stress.
4. Sleep at least for 8 hours a day.
5. Avoiding the consumption of alcohol, tobacco, heroin etc.
6. Exercise regularly.
7. Avoid hot, spicy and bitter foods.
8. Favor sweets, milk products, nuts and urad dal.
9. Add little ghee in your diet.
10. Give a gap of four days between two consecutive intercourses.

Homeopathic Treatment

Homeopathy offers almost 421 remedies for men suffering from erectile dysfunction .Unlike conventional medicines, homeopathic remedies are non-toxic and not addictive. Homeopaths frequently treat patients suffering from anxiety, fear of failure to do sex, ED associated with stress and high blood pressure.

Pressure of work, mid-life crisis and other issues affect men’s health in various ways. Men facing the challenges of aging, retirement and finding new identities for themselves, find a particularly appropriate therapy in homeopathy, which addresses them on mental, emotional and physical levels. When combined with the benefits of good nutrition, exercise and relaxation, homeopathy can provide optimum support for such patients.

Where the cause of ED is with other system diseases and due to drug effects, there also homeopathy provides better option to start homeopathic therapy for those diseases to stop side effects.



Most Common Homeopathic Medicine:


Agnus Castus, Anacardium, Antim Crud, Argentum Nitricum, 
Aurum Met, Caladium, Causticum, Coccus Cacti, Digitalis, Fluoric Acid, Ginseng, Ignatia, Kali Brom, Kali Phos, Lycopodium, Merc Sol, Moschus, Nuphar Luteum, Nux Vom, Onosmodium, Phosphoric Acid, Picric Acid, Pulsatilla, Rhus Tox, Selenium, Staph, Thuja etc.