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
