Effectiveness of Individualised Homoeopathic Medicines versus Conventional Treatment in the Management of Primary Dysmenorrhoea in Young Unmarried Females: A Randomised, Open-Label, Clinical Study

Lily Jain; C. Nayak; M. B. Sharma; Kushal Gehlot

doi:10.1055/s-0040-1714380

Homœopathic Links, Inhaltsverzeichnis

Homœopathic Links 2021; 34(02): 093-099
DOI: 10.1055/s-0040-1714380

Original Article

Effectiveness of Individualised Homoeopathic Medicines versus Conventional Treatment in the Management of Primary Dysmenorrhoea in Young Unmarried Females: A Randomised, Open-Label, Clinical Study

Lily Jain

¹Rajasthan Vidyapeeth Homoeopathic Medical College & Hospital, Udaipur, Rajasthan, India

,

C. Nayak

²Homoeopathy University, Jaipur, Rajasthan, India

,

M. B. Sharma

¹Rajasthan Vidyapeeth Homoeopathic Medical College & Hospital, Udaipur, Rajasthan, India

,

Kushal Gehlot

³Radio Diagnosis, Ravindra Nath Tagore Medical College, Udaipur, Rajasthan, India

› Institutsangaben

Abstract

Background Primary dysmenorrhoea (PD) is painful menstruation without any identifiable pelvic pathology. More than 70% of teenagers suffer from varying degrees of discomfort during menstruation. Effective conventional treatment of PD includes non-steroidal anti-inflammatory drugs or oral contraceptive pills that usually have adverse effects.

Objective The objective of the present study was to compare the effectiveness of individualised homoeopathic medicines with symptomatic conventional treatment in management of PD in young unmarried females by using Visual Analogue Scale (VAS) for assessing intensity of pain and World Health Organization Quality of Life: Brief Version (WHOQOL-BREF) scale for assessing the quality of life (QoL).

Materials and Methods In this randomised, open-label, clinical study, 80 patients were randomly allocated in two groups: one with indicated homoeopathic medicines (Group I; N = 40) and the other with conventional treatment (Group II; N = 40). The selection of homoeopathic medicines was based on individualisation, and follow-up of cases was done every month for six cycles. VAS score was used to assess pain intensity and WHOQOL-BREF scale was used for assessing QoL, at 3 and 6 months of treatment.

Results In Group I, out of 40 patients, 14 (35%) cases reported moderate pain and 26 (65%) reported severe pain before treatment, out of whom 29 (72.5%) patients had mild pain, 8 (20%) cases moderate pain and 3 (7.5%) cases severe pain, after homoeopathic treatment. In Group II, out of 40 patients, 11 (27.5%) reported moderate pain and 29 (72.5%) had severe pain before treatment, whereas 12 (30%) patients reported mild, 16 (40%) moderate pain and 12 (30%) severe pain, after conventional treatment. The t-value was –4.186 (p < 0.0001) for VAS and 3.988 (p < 0.0001) for overall domain WHOQOL-BREF mean transformed score.

Conclusion It was concluded that intensity of pain during menses was reduced and QoL improved in patients with PD in homoeopathic intervention group, which proved the effectiveness of individualised homoeopathic medicines.

Keywords

primary dysmenorrhoea - individualised homoeopathic medicines - conventional treatment - WHOQOL-BREF - Visual Analogue Scale (VAS)

Volltext

Referenzen

References
1 Dutta DC. Textbook of Gynecology: Including Contraception. 7th ed. Kolkata, India: Jaypee Brothers Medical Publishers (P) Ltd; 2016: 178-182
2 Fielding JR, Brown DL, Thurmond AS. Gynecologic Imaging – E-Book: Expert Radiology Series. [Internet]. . Philadelphia: Elsevier Health Sciences; 2011 Chapter 8, Approach to Pelvic Pain and the Role of Imaging. Accessed October 12, 2018 http://books.google.co.in/books?id=NnVFi9WcT0IC&pg=PA145&dq=primary+dysmenorrhea+Berek+and+novak+gynecology&hl=en&sa=X&ved=0ahUKEwjgx_XUtqTjAh#v=onepage&q=primary%20dysmenorrhea%20Berek%20and%20novak%20gynecology&f=false
3 Padubidri VG, Daftary SN. Howkins and Bourne Shaw's Textbook of Gynaecology. 15th ed. New Delhi: Elsevier, A division of Reed Elsevier India Private Limited; 2013
4 Sehar N, Ahmad T, Ahmad V, Sajwan S. Diagnostic and Management of Dysmenorrhea in Unani (Greeko-Arab) System of Medicine. International Journal of Advanced Ayurveda, Yoga, Unani, Siddha and Homeopathy. Accessed October 2, 2018 2015; 4 (01) 252-261 http://medical.cloud-journals.com/index.php/IJ%20AAYUSH/article/view/Med-243
5 Vincenzo De S, Soliman A, Bernasconi S, Bianchin L, Bona G, Bozzola M. et al. Primary dysmenorrhea in adolescents: prevalence, impact and recent knowledge. Pediatric Endocrinology Reviews (PER) 2015; 13 (02) 512-20
6 Kural M, Noor NN, Pandit D, Joshi T, Patil A. Menstrual characteristics and prevalence of dysmenorrhea in college going girls. J Family Med Prim Care 2015; 4 (03) 426-431 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4535108/ Accessed December 12, 2018
7 Mythri Speaks. Menstruation: rhetoric, research, reality. Accessed December 31, 2018 2016 http://mythrispeaks.wordpress.com/2016/06/13/menstruation-rhetoric-research-reality/
8 Sarkar BK. Hahnemann's Organon of Medicine. New Delhi: Birla Publications; 2005
9 Kaur J. Menstrual cramps or pain and its cure with homoeopathy. 2018 https://www.lybrate.com/topic/menstrual-cramps-or-pain-and-its-cure-with-homoeopathy/9c640342922c05b411822947ac942a7e . Accessed December 31, 2018
10 Witt CM, Lüdtke R, Willich SN. Homeopathic treatment of patients with dysmenorrhea: a prospective observational study with 2 years follow-up. Arch Gynecol Obstet 2009; 280 (04) 603-611 https://link.springer.com/article/10.1007/s00404-009-0988-1 Accessed February 16, 2018
11 Charandabi SM, Biglu MH, Rad KY. Effects of homoeopathy on pain intensity and quality of life of students with primary dysmenorrhea: a randomized controlled trial. Iran Red Crescent Med J 2016; 18 (09)
12 Shah J. Hompath Firefly version 1.0. Mumbai, India: Mind Technologies Pvt. Ltd; 2002
13 Visual Analogue Scale. Physiopedia. Accessed January 2, 2017 http://www.physio-pedia.com/Visual_Analogue_Scale
14 WHOQOL. Introduction, administration, scoring and generic version of the assessment. WHO, Accessed January 2, 2017 1996 https://www.who.int/mental_health/media/en/76.pdf
15 Singh T, Sharma S, Nagesh S. Socio-economic status scales updated for 2017. Int. J Res Med Sci 2017; 5 (07) 3264-3267 ; Doi: 10.18203/2320-6012.ijrms20173029
16 Hailemeskel S, Demissie A, Assefa N. Primary dysmenorrhea magnitude, associated risk factors, and its effect on academic performance: evidence from female university students in Ethiopia. Int J Women's Health 2016; 8: 489-496
17 Ju H, Jones M, Mishra G. The prevalence and risk factors of dysmenorrhea. Epidemiol Rev 2014; 36 (01) 104-113
18 Klein JR, Litt IF. Epidemiology of adolescent dysmenorrhea. Pediatrics 1981; 68 (05) 661-664
19 Chhabra S, Gokhale S, Yadav S. Premenarche information and dysmenorrhea in young girls. Insights Reprod Med 2017; 1 (02) 6
20 Yakir M, Kreitler S, Bzizinsky A, Vithoulkas G, Oberbaum M, Bentwich Z. Homeopathic treatment of premenstrual syndrome. Br Homeopath J 1995; 84 (03) 182-183
21 De TK, Chakravarty NR. Statistical evaluation of the effect of Xanthoxylum americanum and Viburnum on the symptoms complex of dysmenorrhea. . Central Council for Research in Homoeopathy. Quarterly Bulletin. 1981; 3 (3&4): 4-6