Abstract
Background Ovarian masses may be either physiological or pathological. Physiological ovarian
masses are non-neoplastic. Pathological masses grow more than 7 cm and persist beyond
3 months; they do not resolve spontaneously, and invasive surgery with removal of
reproductive organs is the conventional treatment. It usually results in further co-morbidities
and hampers the quality of life of the patient.
Objectives This case series of pathological left ovarian masses demonstrates the role of homeopathic
treatment in each of two multiparous women where the right ovary was surgically removed
previously for similar pathology and in an adolescent girl with increased tumor marker
CA-125.
Methods Three cases of women with pathological ovarian masses in the left ovary, and advised
invasive surgery by attending gynecologists, were treated with homeopathic medicines
at the outpatient department of the National Homeopathy Research Institute in Mental
Health, Kottayam, Kerala, from 2017 to 2020. Each case was followed up with clinical
and ultrasonographic evidence and reported according to the criteria set out in the
HOM-CASE guidelines.
Result Complete resolution of the ovarian masses was observed in all three cases, evidenced
by ultrasonography, with normalizing CA-125 values also observed in the case of endometrial
cyst. The patients improved within 4 to 15 months of treatment using Thuja and other individualized homeopathic medicines. The MONARCH score was calculated
as +7/13, +9/13, and +9/13 for the three cases, respectively, indicating a positive
causal attribution of homeopathy in the resolution of these pathological ovarian masses.
Conclusion This case series suggests that individualized homeopathy, and notably Thuja, can be useful in the treatment of pathological ovarian masses.
Keywords
ovarian mass - benign epithelial tumor - endometriotic cyst - homeopathy - case series
