METRORRHAGIA : Indicated Homeopathic Medicines

This Article originally published in “The Torch of Homoeopathy”, Vol. 4, No. 4, October 1962.

METRORRHAGIA

( Haemorrhage from the Uterus)

By

Dr. (Mrs.) S. Kamthan, B.M.S., 9 Kaiserbagh, Lucknow

Sabina 3X – 30 : When the flow is of paroxysmal nature (Bell., Cham., China., Erig., Nux.V., Puls., Ust., Psor.), the blood being bright red mixed with little clots, associated with pain from sacrum to pubes (Viscum). The cause is abortion or parturition, < by least motion.

Ipecacuanha 1X – 3X : When the flow is associated with nausea, oppressed breathing and faintness, the blood being bright-red mixed with clots.

Nitric Acid 6 – 30 : Prolonged flow after abortion or parturition when mucus lining of uterus is injured, causing sticking pain, blood being bright-red.

Viscum Album Q – 1X : Flow of climacteric period with pain from sacrum to pelvis downward, the blood being red and clotted and sometimes dark and clotted.

Belladona 6 – 30 : When the flow is hot and associated with frontal headache, the blood being bright-red.

Millefolium Officinale Q – 1X (5 Drop Doses) : When the flow is non-coagulable, caused by fall (Arn. Abortion or parturition, the blood being red.)

Note :- Red bleeding caused by fall or injury is easily controlled by

Arnica Montana 3 – 30. (Also Cinamonum Q)

Erigeron Canadense Q – 3X : When the flow comes in a sudden gush and stops and restarts often associated with painful micturition (Mitchel., Thlaspi, Tereb., Acon., Canth.), the blood being bright-red; caused by parturition or abortion.

Note :- If Erigeron fails, Mitchel proves effective.

Trillium Pendulum Q – 3X : The flow is gushing and accompanied by exhaustion, faintness and a feeling as if hips and back were falling to pieces, caused by abortion or appearing at climacteric period (Arg. Nit., Aloes, Erig., Lach., Sec.C., Sang., Sul., Ust., Vinc.M., Viscum) and < by least movement; the blood being bright-red, sometimes dark and clotted.

Ustilago Maydis 6 : The flow follows abortion or parturition, the blood is bright-red – partly fluid and partly clotted. Oozing of dark clotted blood often follows and < by least exertion.

Cinnamomum Zeylanicum Q – 3X : The flow appears often after abortion or parturition, the blood being bright-red and < by least exertion, mis-step, over lifting.

Bovista 30 – The flow takes place between the menstrual period (Ambra., Sab., Sec.C.) often at night, the blood being bright-red, < from exertion.

Hamamelis Virginiana Q – 1X : Hemorrhage from any cause, the blood being fluid (non-Coagulable), dark and painless.

China Officinalis 3 – 30 : The flow is associated with prostration and faintness, the bleeding is painless, dark and clotted.

Note :- If the thick, dark, clotted flow is accompanied by feeling of great burning in the affected part, Anthrax is the remedy.

Secale Cornutum 30 – 200 : The flow is associated with feeing of heat – desires uncovering, caused by abortion or parturition, the blood being fluid, painless, dark and offensive,

Thlaspi Bursa-Pastoris Q – 1X or 6 : The flow is associated with uterine colic (labour-like – Cham., Vib. Op., Cimic., Xanth), aching in back and bruised (sore) feeling in general, the blood being dark, clotted, caused by abortion or parturition, sometimes uric acid is present in urine.

Chamomilla 6 – 30 : The flow is attended by severe labour-like pain,  the blood being dark, clotted sometimes offensive, caused by abortion or parturition. Pains going upwards.

Crocus Sativus 3X : When the flow is stringy, the colour being dark and clotted, caused by abortion or parturition, < by slightest movement.

Caulophyllum Thalictroides 6 – 30 : Long lasting flow owing to the relaxed condition of blood vessels and atonic condition of the uterus, the blood being fluid and dark and of oozing nature (Sec.C., Carbo V., Am.C., Sul. Ac., Elaps., Crot.H., Kali C., Hamm., Ars.A., Ust., Nit.Ac., Vinc. M.)

Platinum Metallicum Q – 1X : The flow is attended by spasms, feeling of chilliness, sensitiveness of parts and feeling of constriction and numbness, the blood being dark and clotted.

Elaps Corallinus 6 : The flow is attended by cold feeling in stomach causing nausea – vomiting and paralytic condition of limbs (Right side) and feeling of weight in the uterus, the blood being dark fluid or dark clotted.

Nux Vomica 3 – 6 : Dark and profuse bleeding with feeling of chilliness and frequent desire for stool.

Aloes Socotrina 6 – 30 : When the flow is attended by feeling of heaviness and fullness in pelvic region and rectum, the blood being red.

Kalium Carbonicum 30 – 200 : The flow is of oozing nature and is attended by lumbago (ameliorated by sitting and pressure) and stitching pain in uterine region, the blood being red or black, often < after mid-night, caused by abortion or parturition.

Pyrogenium 200 : Dark and offensive haemorrhage in septic conditions of the uterus.

Geranium Maculatum Q (30 drop doses) : When the flow is due to the ulcerated condition of the uterus ( Kreos., Pyrog., Nit.Ac., Carb.V., Arn., Phos., Ars.A.), caused by parturition, the blood being red.

Vinca Minor 3X : When the flow is continuous and attended by weakness, the blood being red, appearing at climacteric period.

Calendula Officinalis 200 : I have used the 200^th in some cases of bleeding both vaginal and rectal – Dr. Stevens.

Repertory for Ready Reference

Bleeding due to cancerous or fibroid – Calc. C.,Hydr., Nit.Ac.,Phos., Sab., Sec.C., Sil., Sul.Ac., Led.,Kali I., Lach., Tereb., Thlasp., Trill., Vinc., Ust., Med., Kreos.

From Injury – Arn.,Ambr., Cinnam., Ham., Mill., Ac.Sul.

Parturition or Abortion – Arn.M., Bell., Caul., Cham., China., Cinnam.,Croc., Geran., Erig., Ham., Ipeac., Mill., Nit.Ac., Sab., Sec.C., Thlasp., Trill., Ust., Kali.C.

At Climacteric – Aloes, Calc.C., Carbo Veg., Croc., Kali.C., Erig., Lach., Med., Nux.V., Psor., Puls., Sab., Sang., Sec.C.,Sep.,Sul., Trill., Ust., Arg.M., Vinc.,Viscum., Arg. N.

From Retained Placenta – Bell., Canth., Carbo Veg., Puls., Sab., Sec. C., Sep.,Stram., Also Arnica, Pyro.

In Septic Fever – Pyrog., Sec.C., Anthr.

With Convulsions – Bell., Caul., Hyos., Sec.C., Cimic., Mag. M.

From Atonic Condition of Uterus – China., Alet., Helon., Caul., Sec.C., Kali.C.

With Painful Micturition – Mitchel.,Thlasp., Erig., Tereb., Acon., Canth.

With Labour-Like Pains – Caul., Chamm., Sab., Thlaspi, Vib Op., Viscum., Bell., Puls., Sep., Xanth.

From Hard Stool – Ambr., Lyc.

Flow Continuous – Apoc., Arn., Carb.V., Caul., Erig., Cham., Ipec., Kali.C., Kreos., Mill., Phos., Sec.C., Sul., Ust., Ham., Psor., Vinc. M.,Nit.Ac.

Flow Paroxysmal – Bell.,Cham., China., Erig., Nux.V., Puls., Sab., Ust., Psor., Trill., Cinnam., Bov., Mill., Thlasp., Croc.  

  For Treatment:-

Dr Vandana Patni

Consultant Homeopathic Physician

Shikhar Homeopathic Clinic

Kapil Complex,

Mukhani, Haldwani

Uttrakhand

Contact: 9897271337

  

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

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.