Monthly Newsletter October 2007
'Preethi',Perambra(P.O), Kozhikode(Dt), Kerala : 673525 India
-ASSESSMENT OF THE SITUATION
-SYMPTOMATIC EVALUATION OF THE COUPLE
-COUNSELLING TO REDUCE PSYCHOLOGICAL STRESS
LAB INVESTIGATIONS - MALE:
-COLOUR DOPPLER STUDY OF SCROTUM TO RULE OUT VARICOCELE
-SERUM — FSH,LH,TESTOSTERONE,TSH
-SEX CEIROMATIN STUDY
ABSTINENCE: 3-7 DAYS COLLECTION: COITUS INTERRUPTUS SUBMISSION DELAY : LESS THAN 30 MINUTES VOLUME : 2-6 ML.
-LIQUIFACTION: FULL — WITHIN 60 MINUTES
-COUNT : 40-250 MILLION/ML
-MOTILITY: ACTIVE :20-30% TOTAL: >60%
-VITALITY : MORE THAN 65 %
-MORPHOLOGY : MORE THAN 60% NORMAL CELLS
-FRUCTOSE: 150-600 MG/ML
-COUNT -TOTAL COUNT
Aspermia - Absence of semen
Azoospermia – Absence of sperm in semen
Asthenospennia- Motility deficiency
Oligospermia- Reduced sperm count
Teratospermia- More malformed sperms.
Necrospermia- Dead or motionless sperms
Polyspermia-Count more than normal.
Globozoospermia – Round headed sperm
Haematospermia-Blood cells in semen
-DEFINITION- SPERM DENSITIES OF LESS THAN 20 MILLION SPERMS PER ML OF SEMEN OR A TOTAL COUNT OF LESS THAN 50 M SPERM.
CLASSIFICATION OF OLIGOSPERMIA
MILD 10-20 MILLION/ML
SEVERS BELOW 5 MILLION/ML
Volume : Ejaculation,copious & short.
-Pus Cells : Ejaculation-purulent
-Viscocity : Ejaculation,thick
Ejacuiation,failing during sex,though the orgasm is present
RUBRICS OF RELATED PATHOLOGY
-Cysts, genitalia,( Sil,Thuj ) Hydrocele, scrotum
-Kryptorchism (Aur, Psor, Syph, Thyr, Tub)
-Small, testes ( Bar-c,tod,Puts,Sil,Spong,Tub)
-Varicocele, spermatic cord
RUBRIC - MALE INFERTILITY
SYNTHESIS Male, Sterility:
Agn, Alet, Aur.m, Bairn., Bers.I, Bor Caul, Cissu.c, Con, Darn, Erios.co, Fil, Form, Goss, Grew.oc, Gunn.p, ilelon, lad, Lapp, Mill, Hats Na Nat.p, Phos, Pyren.sc, Royc.l, Rub.c, Sabal., Sol.so, Sul.ac, ‘Iher, Triurn.r, \‘ern.co, Wics, X-ray.
These medicines are taken from three authors
Dr.Jhar, and Dr.Stephenson
-Dr.J,H.Clarke (c2): From ‘ A Clinical Repertory to the Dictionary of Materia Medica’,
Agn, Alet, Aur.m, Bar.m, Borx, Caul, Con, Dam, Fil, Form, Goss, Helon, lod, Lapp, Mill, Nate, Nat.m, Nat.p, Phos, Sabal, Sul.ac, Ther, Wies..
-These medicines are mentioned under the rubric sterility in Clinical repertory. But whether it is male or female is not specified.
-The medicines seems more deviated to the female side on reference.
-In Synthesis these medicines are seen added to the rubric - sterility in both the chapters, Male and Female.
-So, medicines under the rubric are to be further studied clinically to anive at a conclusion whether they are to be
considered as valuable and reliable for the treatment of male sterility.
Male Sterility : Sulfa, X-ray.
Here the author reference for ‘Sulfa’ is mentioned as Dr.O.A.Julian.
REPERTORY TO THE HERING’S GUIDING SYMPTOMS OF OUR MATERIA MEDICA.
Male sexual Organs : Testicles : Sterility: Ferr.
Dr,K.N.MATIHUR DIABETES MELLITUS, ITS DIAGNOSIS AND TREATMENT,
In the therapeutic part: Concomitants (of Diabetes
Sterility : Aur.m.n, Aurm, Borx, Con, Graph, Helon, lod,
Med, Nate, Nat.m, Phos, Thyr.
(No specification- whether Male or Female)
Dr.BERKELEY SQUIRE: A REPERTORY OF NOSODES AND SARCODES.
Male Genital : Aspermatogenesis, Oligospermia : Lepr.
Male Genital, Male Sterility , Impotence : Ambr, Bae.7,
çortico, Lac.d, Lepr, Med, Psor, RNA, Syco, ThaI, X-ray.
Dr.C.M.BOGER: SYNOPTIC KEY.
Sterility: Aur, Bor, Mere, NaLm, Phos.
(No specification- whether Male or Female)
Dr.RAUE.C.G. : SPECIAL PATHOLOGY AND DIAGNOSTICS WITH THERAPEUTIC HINTS.
Under the section Impotence and Sterility, the medicines
mentioned in therapeutic hints are
Agar, Agn, Baryl, Calad, Eup.pur, Gels, Hamam, Helon, ,Lyco, Nat.m, Nit.ac, Phos, Phytol, Selen, Stilling.
CLARKE.J.H.: A CLINICAL REPERTORY
Sterility : Agn, Alet, A.r.lp, Aur.m, Bar.m, Bor Caul, Con,
Fil, ( For), Gos, HIon, Jod, Mu, nate, Na Nat.p, Pho, Sbl,
Su.x, (Ther ), Tur, Wis.
RAI BAHADUR Dr. BISHAMBAR DAS SELECT YOUR REMEDY
Azoospermism : ( Absence or diseased condition of spermatozoa in the semen)
Chininum suiph, Conium, Damiana, lodium, Strychmnum.
KAMAL KANSAL Dr. HAND BOOK OF HOMOFOPATHIC MOTHER TINCTURES
Sterility, males: Turnera.
Dr : DICTIONARY OF HOMOEOPATHIC MATERIA MEDICA.
Clinical Repertroy part by P Freche and M flaffen
Sterility : Argrn, Cobait.niIr, Foil, Mandr of Nep, Rauw serp, Sulfanil, Thyr.
Dr.SAYEED AHMAD : STERILITY IN FEMALE AND MALE
Chin su Con.mac, Damiana, Iodium, Strychninum.
Dr.J.N.SHINGHAL: QUICK BEDSIDE PRESCRIBER Sterility male : Agnus, Bufo, Nat.m, Phosphorus, Sel
Agar, Agn, Alet, Ambr, Arg.m, Aur, Aurm, Aur.m.n, Bac.7, Bare,, Bers.I, Bor, Bufo, Calad, Caul, Chin.s, Cissuc, Cobalt.nitr, Con, Cortico, Dam, Erios.co, Eup.pur, Ferr, FiI, Foil, Form, Gels, Goss, Graph, Grew.oc, Gunn.p, Hamam, Helon, lod, Lacd, Lapp, Lepr, Lyc. Mandr.of, Med, Mere, Mill, Nat.c, Nat.m, Nat.p, Nep, Nit.ac, Phos, Phyt, Psor, Pyren.c, Rauw.serp, RNA, Roye.l, Rub.c, Sabal, Selen., Sol.so, Still, Strych, Sul.ac, Sulfa, Syco, Thai, Ther,Thyr, Trium.r, Vern.co, Wies, X-ray.
EVALUATION OF REMEDIES:
Among this medicines.,
Aga, Arg.m, Bac,7, Bufo, Chins, Cobalt.nitr, Con, Dam, Pen lod, Lepr, Nat-m, Phos , Rauw.serp, Sel, Strych, Sulfa, X-Ray.
Could be taken as confirmed medicines as they are mentioned under the heading male sterility or a synonymous term.
All the additions from J.H.Clarke’s Repertory which are found to be of female part on reference to the Materia Medica maybe removed from the list. They are Agn, Alet, Bar.m, Bor, Caul, Fil, Goss, Helon, Nate, Nat.m, Sui.ac, and Wies.
Those medicines which are found under the ‘clinical’ section of Clarke but not under female may be included as medicines for male sterility, but with less marks.
They are : Aur.m, Lapp, Mill, Nat.p., Sabal.
Among the additions from Raue’s Pathology, as the medicines are given under the combined heading — impotence and sterility, we should find out which of them actually cover the condition - sterility.
On studying the symptomatology, among them,
Agn, Baryt, Calad, Lyco, Nat.m, Nit.ac, Eup.pur, Gelsem, Helon, and Phyt covers only impotency.
Some symptoms which may be related to infertility are found under Agar ( scanty emission. Varicocele)
Stillingia is found not to cover impotence and sterility.
Medicines mentioned in Synoptic Key are for female sterility only.
Those medicines under the rubric Impotence in Berkeley squire’s Repertory could be taken as medicines for sterility because, Male sterility is cross referred to this rubric and more over separate rubrics erection absent and incomplete is found in the male chapter with a different group of medicines.
From the list, Syc.co can be avoided as no Materia Medica gives the symptom sterility for Syc.co. It is indicated in Impotency. Bac.No.7 is also half correct as the symptom found under it is ‘loss of sexual function’ and premature senility’ (under genitalia)
Those medicines mentioned by Dr.K.N.Mathur ( Diabetes Mellitus its Diagnosis & Treatment ) are mainly for infertility in female. The doubtful ones are Aur.m & Con in which sterility is mentioned under the heading ‘clinical’. The term male sterility was not found under the medicines Medorrhinum and Thyrioidinum.
THE FINAL RUBRIC INFERTILITY:
Medicines graded on the basis that medicine which is mentioned by a reliable authority in the very same term ‘sterility’ or ‘infertility’ gets the highest mark,
Agn ARG.M, Bac. 7, Bufo, Chins, COBALT.NITR, Con, Dam, FERR , lod, Lepr, Nat-m, Phos, RAUW.SERP, Se Stych, SULFA,
Agar, Aur, Aur.m, Ham ,Lapp, Mill, Nat.p, Sabal, Still, Thyr
( Bers.l, Cissu.c, Cortico, Eriosco, Grew.oc, Gunn.p, Lac.d, pyren.sc, Rube, Sol.so, Trium.r, vern.co. )
Azoospermia : COBALT. NITR, Chins,Con, Dam, lod, Strych.
Oligospermia : Lepr., Sulfa.
I Avoidance of tight undergarments.
2.Avoidance of working in high temperatures.
3,Avoidance sitting long in warm rooms,
4.Avoidance of smoking or tobacco in any form.
5.Avoidance of Alcohol,
6.Stoppage of narcotic habit if any.
7.Avoidance of the intake of cytotoxic drugs.
8.Control of the occupational exposure to toxic substances
9.Avoidance of Nutritional supplements which have an
adverse effect on spermatogenesis.
LAB INVESTIGATIONS - FEMALE
• USG, GENERAL & OVULATION STUDY. ‘HORMONE EVALUATION
• TUBAL PATENCY TEST F
POST COITAL TEST
RUBRIC - FEMALE INFERTILITY
•Mind,Depression sadness,infertility, from Aur, Nat-m
Breasts,Atrophy, of,and ovaries with infertility lod
•Female,Dysmenorrhea painful menses,infertility in Nat-m, Phyt, Sep
•Female,Menses, general,frequent, too early, too soon, infertility in Canth, Sulph
•Female,Menses, general,late, too,infertility in Phos
•Female,Menses, general,profuse,infertility, in Canth, Mill, Pho.s, Sulph
•Female,Menses, general,scanty,infertility, in Canth
•Pregnancy, Miscarriage spontaneous, abortion,tendency, to.frequent and early, ovum expelled at every menstrual period causing infertility Vib
•Female,Infertility,non retention of semen from Nat-c
•Female,lnfertitity,ovarian atony from Eup-pur
•Feniale,Infertility, profuse menstrual flow from Calc,Merc,Mill,Nat-m,Phos,Sul-ac.Sulph
•Female,lnfertility,sexul desire,excesses with Cann-i,Kali-br,Orig,Phos,Plat
•Female,lnfertility,sexul desire,without Agn
•Female infertility sycotic Med,Thuj
•Female,lnfertility discharge,acid, from Nat-p
•Female,lnfertility,vagina discharge,with Caul,Kreos,Nat-c
•Female infertility,weakness, from Caul,Merc, Sil
•Hair, general, mustache,women, in Cortico,Nat-m,Sep,Thuj,Thyr.
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