Hahneman Ki AAwaz posted on 13.08.2019
Pelvic inflammatory disease (PID) is an infection-caused inflammatory continuum from the cervix to the peritoneal cavity. Most importantly, it is associated with fallopian tube inflammation, which can lead to infertility, ectopic pregnancy, and chronic pelvic pain. The microbial etiology is linked to sexually transmitted microorganisms, including Chlamydia trachomatis, Neisseria gonorrhoea, Mycoplasma genitalium, and bacterial vaginosis-associated microorganisms, predominantly anaerobes.
Keywords : PID, Homoeopathy, Vaginosis, inflammation.
Introduction: Pelvic inflammatory disease is a polymicrobial infection of the upper genital tract. It primarily affects young, sexually active women. Pelvic pain and fever are commonly absent in women with confirmed PID. Clinicians should consider milder symptoms such as abnormal vaginal discharge, metrorrhagia, postcoital bleeding, and urinary frequency as potential symptoms associated with the disease, particularly in women at risk of sexually transmitted infection. The diagnosis of PID is based on the findings of lower genital tract inflammation associated with pelvic organ tenderness. 1,2 The diagnosis is made clinically; no single test or study is sensitive or specific enough for a definitive diagnosis. Pelvic inflammatory disease should be suspected in at-risk patients who present with pelvic or lower abdominal pain with no identified etiology, and who have cervical motion, uterine, or adnexal tenderness. Chlamydia trachomatis and Neisseria gonorrhoeae are the most commonly implicated microorganisms; however, other microorganisms may be involved. A crude marker of PID in developing countries can be obtained from the reported hospital admission rates. It accounts for 3-10 % in India .The spectrum of disease ranges from asymptomatic to life-threatening tubo-ovarian abscess. 1,2
Homoeopathic Remedies for PID:
1. Aurum muriaticum : Constant running from vulva. Burning stitching of vulva. Heat and itching in vagina. Haemorrhage at and subsequent to the climacteric. Leucorrhoea acrid, excoriating thighs, with itching of genitals. Gonorrhoeal discharge with swellings in each groin. 3,4
2. Apis mel : Metritis, peritonitis, with stinging, thrusting pains. Pressing-down pain in the uterus. Bearing-down, with sensation as before menses. Dropsy of the ovaries (right); dropsy of the uterus. Ulceration and engorgement of os uteri. Large and painful swelling of the labia, with heat and stinging pains. 4
3. Cantharis Vasicatoria: Constant discharge from uterus; worse false step. Burning pain in ovaries; extremely sensitive. Pain in os coccyx, lancinating and tearing. Swelling of the cervix uteri. Burning in vagina and labia. 3,4
4. Carbo Animalis: Burning in vagina and labia. Cancer of uterus, burning pain down thighs. Uterine haemorrhages where there is much affection of the glands. 3,4
5. Caulophyllum Talictroides: Extraordinary rigidity of os. Spasmodic and severe pains, which fly in all directions; shivering, without progress; false pains. Needle-like pains. Dysmenorrhoea, with pains flying to other parts of body. 4
6. Lac Caninum : Sharp, lancinating pains like knives cutting upward from os uteri, and as these were being relieved, sensation as of needles darting upwards in uterus. Pressure on anterior part of vulva, entire > by sitting; sensation as if everything were coming out at vulva; with frequent Passive haemorrhages in feeble, cachectic women, desire to urinate and smarting in urethra. Itching in left side of labia, with rough eruptive condition on left side of vagina. 5
7. Lyssinum : Uterine sensitiveness; conscious of womb. Feels prolapsed. Vagina sensitive, rendering coition painful. Uterine displacements. Any change of position that would tilt or rotate os uterus would cause much pain. Severe leucorrhea with pains in back and lower part of bowels, sore vagina. 3,4
8. Medorrhinum : Menses offensive, profuse, dark, clotted, stains difficult to wash out, urinates frequently at that time. Sensitive spot near os uterus. Os uterus, ulcerated. Intense itching, vagina better rubbing and by bathing with tepid water. Sycotic infertility. Infertility. Metorrhagia. Intense menstrual colic. 5
9. Sabina: Atony of uterus. Uterine hemorrhage, partly clotted, worse from, least motion. Inflammation of ovaries and uterus after childbirth. Dysmenorrhea. Menses too profuse too early, gushing of hot, watery, bright, blood, mixed with dark clots. Uterine pains extend into thighs. Pain from sacrum to pubis and from below upwards. Shooting pain up the vagina. Bleeding between periods with sexual excitement. Promotes expulsion of moles from uterus. Bleeding fibroids. Vaginitis. 5
10. Secale Cor.: Passive haemorrhages in feeble, cachectic women. Burning pains in uterus. Puerperal fever, putrid discharges, tympanitis, coldness, suppressed urine. Weak uterus or bearing down pain with coldness. Contracted uterus, hour-glass labor contractions. Burning pains in uterus. Never well since miscarriage or abortion. Puerperal fever and putrid discharges. 3,4
11. Terebinthinae Oleum: Metritis and puerperal peritonitis. Metrorrhagia with burning in uterus. Uterine diseases after wearing pessaries. Uterus and ovaries very painful. Terrible burning in uterus, with great bearing-down pain; caused great heat all over; craves drink; inward heat. Burning and bearing down in uterus during urination. Metritis, burning in uterus. 5
1. Soper,David E.Pelvic Inflammatory Disease. Obs & Gyn.2010:116(2).Available
2. Ross CDJ. Pelvic Inflammatory Disease.BMJ Clin Evid.2008.Available
3. Clarke JH.A Dictionary of Practical Material Medica.3 rd ed.NewDelhi:B Jain (P)Ltd;volume 3,2005.
4. Boericke W. Pocket Manual of Homoeopathic Materia Medica & Repertory.9 th ed. New Delhi:B Jain
5. Murphy R.Lotus Material Medica.3 rd ed.Noida: B Jain (P)Ltd;6 th impression,2017.