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*Dr. Tushita Thakur B.H.M.S., MD (HOM.)


Primary dysmenorrhoea is period pain that cannot be explained by structural gynaecological pathology. It is highly prevalent in adolescence and starts six to twelve months after painless periods of menarche. This pain is spasmodic and is often superimposed over background of constant lower abdominal pain, and may radiate to the back or thigh. Malaise, fatigue, nausea, vomiting, diarrhea, or headache is often concomitant. Increased production of endometrial prostaglandin has been reported in suffering women which results in increased uterine tone and stronger, more frequent uterine contractions that induce pain[1, 2 & 3]. Nearly 5 to 15% of women suffering with primary dysmenorrhea, report interference with daily activities[4, 5 & 6] and absence from school or work due to severity of symptoms[7, 8 & 9]. In conventional system, analgesics (NSAIDs) are used to manage primary dysmenorrhoea and if they are ineffective, suppression of ovulation with a low-dose estrogen/progestogen oral contraceptive is tried. However, about 10 percent of affected women do not respond to these measures[3, 4 & 8]. A case reported was a 23 year old female suffering from severe primary dysmenorrhoea. Homoeopathic medicine Sepia 200C was prescribed on basis of totality of symptoms and repertorization. Her symptoms were much reduced within first cycle and by the third month she was completely relieved of her suffering. This case provides documentary evidence about the effectiveness of homoeopathic treatment in severe primary dysmenorrhoea.

Keywords: Case Report, Homoeopathy, Primary Dysmenorrhoea, Sepia.

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