Abstract
Chocolate cysts of the ovary come under the subgroup of endometriosis. The prevalence of chocolate cyst in the reproductive age group is 8% and in the postmenopausal age group, 18%. Its defining symptoms include dyspareunia, pelvic pain, irregular periods and menstrual pain. A cyst size of more than 4 cm indicates the need for surgical treatment. The typical therapies for this condition include hormone therapy and operations like hysterectomy. In this case report, we have shown a positive curative role of homeopathic medicine in the management of chocolate cyst of the ovary. A 31-year-old woman complaining of weakness came to the OPD, painful irregular menses with large clots and stitching pain in the right inguinal region. She was diagnosed with chocolate cyst of the ovary. She had been on hormonal therapy for a year without any relief, and the USG report showed that the cyst had grown bigger. The patient was treated successfully with individualised homoeopathic medicine Lachesis in centesimal potency, which showed significant improvement in patient – and post-treatment outcome was corroborated with follow-up and laboratory investigation which showed complete regression of cyst. Causal attribution for changes in the condition of patient after homoeopathic medication was assessed by modified Naranjo criteria.
Keywords
chocolate cyst - constitutional medicine - homoeopathy - modified Naranjo criteria
