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| Case study: polycystic ovarian disease (PCOD) |
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Name |
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Mrs. (JM) |
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Age |
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34 Years |
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Sex |
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Female |
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Marital Status |
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Married |
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Religion |
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Hindu |
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Food Habits |
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Vegetarian |
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Spouse |
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35 Years/Service |
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Father |
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70 Years/Retired |
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Siblings |
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One brother
26 Years (Computer),
One sister
29 Years (Married) |
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Children |
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One daughter - 4½ Years |
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Occupation |
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Housewife |
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| Click below to view details. |
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| Chief Complaints |
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Polycystic ovaries |
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Weight |
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Increased |
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Hirsutism |
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Chin hair |
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Voice |
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Normal |
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Origin |
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Since 92- irregular menses every 6 months/ 3 months |
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| Other Complaints |
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Backpain |
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(L) Leg 3 Months |
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Heel pain |
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3 Months |
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General |
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Obese pt. |
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Skin |
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Cracks in winter with pain |
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Hair |
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Dandruff with itching |
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Perspiration |
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Moderate Palms++ |
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Appetite |
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Good |
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Craving |
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Salt, pickles, sweets |
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| Past Menstrual History |
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FMP |
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13 Years |
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LMP |
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7 March 98 |
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Regular before marriage |
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Flow |
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Scanty |
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No Complaints during Sexual functions |
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No Complaints during Use of condoms |
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Sleep |
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Good |
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Dreams |
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Anxious about daughter, Death–of relative/parents |
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| Family History |
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Father |
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HT |
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Mother |
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Menstrual irregularity |
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Aunt |
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Uterine fibroma |
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| Life - Space |
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| Patient (pt) is a dark, obese, sensitive South-Indian, married lady. She lives with her husband & 1 daughter. Civil engineer by profession she works for a firm in the same city. Her husband is a calm/ cool sensitive person who is unable to understand pt’s irritable nature and variations in mood. |
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| Pt is very disturbed and guilty because she keeps her daughter in crèche. She feels her daughter will feel very unloved and neglected. Though there are no indications to support this, which pt herself admits pt. can’t help feeling this? At office her boss is a nice person. They share good IPRS (inter personal relationships). She understands pt’s problems and gives freedom and flexibility at work. Hence the job is not strenuous or problematic. |
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| Pt’s F(father) was a cool & calm person and geophysicists by profession. He often had to go to remote places for excavations & study. Hence he and his wife thought it better to put pt. into boarding school in order to enable her to study well. She had no brother at that time but 1 sis who was very young.
Pt. at that time did not say anything but she felt very lovely. She resented her parents for doing this to her. At the convent, she would take up issues to rebel against. At the mess the food was not good. Patient took this up and started revolting. Her parents when informed did not understand her & advised her not to be a bad girl. |
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| But in the 8th std she met a teacher who tried to understand her rebellious nature & explained to her many things. Patient realized many things. Also by this time she started staying with her parents. But the type of bond pt. craved was lacking. She did her Engineering & got a job. Somebody advised her to come to Mumbai. She came & stayed with some relatives here. She met her husband and fell in love. Initially there was some resistance from both sides (due to caste) but later OK. She has never stayed with her in-laws. |
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| Social interactions are very limited. Her in-laws & parents come to their house rarely. Relations with neighbours & friends in cordial. |
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| Treatment |
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| She was given constitutional medicine in lower potency repeatedly in order to restore regular menses.
Treatment was started on 23/5/98 with Thuja I m and Calc-c 200 once weekly. Within 7 months of this medication her menstrual pattern was normal and she did not want to conceive so treatment was discontinued after orienting the patient about PCOD and the benefits of weight control and regular health monitoring. |
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