A CASE OF MENOPAUSAL DYSFUNCTIONAL UTERINE BLEEDING

Mrs. U P            47yrs   female   hindu          married     vegetarian

Lecturer (Hindi)

Diagnosis – Menopausal dysfunctional  uterine bleeding since 4 yrs. Migraine from 35 yrs.

The patient had excessive (copious) and protracted uterine bleeding at every menstrual cycle from last four years. It persisted 15 – 20 days every time. Usually the menses was regular but sometimes it was delayed for 2 or 3 months still the bleeding pattern was unchanged. The patient first reported on 14/08/10, it was 2^nd day after the menses appeared and bleeding was profuse.

Weakness and vertigo.          

Desire sweet after meal, averses milk specially in morning. Dreams of falling from height, being thrown by someone, frightful –shrieks from dream.

Fears ghost at cross of roads. Mild and gentle.

14/08/10    
              Rx      
                            1.  Sepia       1M                    two doses at 10 minute interval

                             2. Thuja         30                    twice a day for 3 days.

17/08/10  Bleeding less copious first time in last four yrs.

              Rx      
                               1. S.L.        1M                   two doses at 10 minute interval

                         2. Nihilinum     30                  twice a day for 3 days.

21/08/10     Bleeding stopped on 20^th  August.

              Rx      
                              1. S.L.         1M                  two doses at 10 minute interval

                        2.Nihilinum    30                   twice a day for 14 days.

07/09/10    Head pain continued day and night, needed  analgesics. Vertigo 
                  morning after rising from bed, better  in day time.

              R_x    
                             1. Natrum mur.   30             two doses at 10 minute interval.

                             2. Nihilinum        30             twice a day for 7 days                                                    


28/09/10    Head pain 0, but vertigo were continued, aggravated in
                  morning due to hasty morning schedule.

              R_x    
                            1. Sepia              1M              two doses at 10 minute interval.

                            2. Nihilinum          30              twice a day for 14 days.

23/10/10     Menses absent since 13^th  August. No head pain, no vertigo.

                   Lumber back pain aggravated after exertion, sitting cross leg, 
                   squatting. Knees pain aggravated sitting cross leg, squatting.                                                       

              R_x         
                            1. Calcarea carb.       200           two doses at 10 minute interval
                                                                               every week.

                            2. Nihilinum                30             twice a day for 14 days.

Dr. M. K. Tyagi

D.H.M.S., Dip. N.I.H.

Research Officer 

Sewa Mandir

Mobile" 09829157926

Email: 1.sewamandir@usa.net, 2.manju_mkt2003@yahoo.co.in