View the Fibroid success story View the DUB success story View the Asthma success story       Case Study: polycystic ovarian disease (PCOD 1)   Name : Mrs. P. K. Age : 36 Years Sex : Female Marital Status : Married for 13 years Religion : Hindu, Maharashtrian,  Brahmin Food Habits : Vegetarian Occupation : Housewife Spouse : 40 years, Service Children : One Daughter (adopted) 4 years Educational Qualification : MSc (Zoo),  Dip (French), Dip (Business mngt.)   Click below to view details. Chief Complaints Generals Family History Chief Complaints Irregular Menses (Sometimes 40 days or sometimes 5 days) Diagnosed (sonography) PCOD : 6 months   Obesity   Depression since 6 months : Mood swings loss of interest, anxiety, irritability, crying spells.         Skin : Heavy undiagnosed rashes, freckles and marks acne Generals Appetite : Good         Craving : Sweets+++, Chilies, Cheese         Aversion : Eggs         Aggravations : food, peanuts, milk         Besan = acidity : Sour eructations         Constipation : Stool-hard, H/O blood also         Fan : S-full W= 2-3         Bath : S- cold W- warm Hot pt.         Prefers : cold bath         Sun : Prefers not to go         Sleep : Disturbed ( since 2 ½ years) Wakes up at 3-3.30 am for 1 hr.         Dreams : Recurrent Of going on journey by bus/train and not reaching the destination. Seeing terrorists but they don’t harm their car. Menstrual history & Sexual history.         Menarche : 11 years         Irregular menses : Chief complaint         Perspiration : Normal         Past History : Chicken pox, Jaundice, Measles Family History Father : Ca of lungs X         Mother : Hypothyroid, Spondylosis- Osteoporosis, Hyperplasia of uterus.         Life - Space The patient was anxious about her health and wanted treatment. She was irritable and depressed. In spite of good education she was just a house-wife which seems to be the cause of concern. Being the only child of elderly parents after her education working did not become possible due to ill health of her parents. Does not remember much about childhood. Parents were conservative, did not have much friends. After her graduation she did many courses. She was active in the rotary just before she got married. After her marriage her mother –in-law was sick and she had to be taken care of. Hence she could not work. There were problems with conceiving and the various procedures (artificial) were frustrating so they mutually decided to adopt a baby. Patient is anxious by nature and unable to deal with the day to day functioning also. They are just 3 of them but she finds it difficult to cope. She gets angry, irritable, frustrated and depressed. She is morally responsible for her mother who stays in Nagpur and has arthritis. Husband is cooperative and understanding by nature.   Primary Sterility - Hence adopted a daughter Treatment The Patient was treated for irregular menses. Though the long- term objective was that patient should conceive. During the course of interview feed-back was given in terms of the things she could do on part-time interests and was encouraged to pursue her interests and deal with her day in an efficient manner. Patient’s treatment was started with Kali-bi 200 single dose per week. Since there was no response differential diagnosis of Calc-c 200 was given. It was also noted that pt made no attempts to take feed-back given .There was no response. Hence pt was given Pituitrin 3X (given to stimulate menses) was introduced alternatively. By 5 months the combined medication of Calc-c and Pituitrin brought the menses to normal, depression had reduced considerably, mood swings had improved and rashes were better. Overall patient was much better except the weight (for which dietary advise was not followed neither was exercise) Pt has not decided about a child and is using contraceptive now. The treatment is now only for observation basis.