Modern Homoeopathy

Monthly Newsletter October 2007

HOMOEOPATHIC MANAGEMENT OF INFERTILITY

Dr.Saji.K MD(Hom)

'Preethi',Perambra(P.O), Kozhikode(Dt), Kerala : 673525 India

Email: dr.saji@yahoo.com

 APPROACH

-ASSESSMENT OF THE SITUATION

-SYMPTOMATIC EVALUATION OF THE COUPLE

   •LAB INVESTIGATIONS

   •MEDICINAL EVALUATION

-COUNSELLING TO REDUCE PSYCHOLOGICAL STRESS

LAB INVESTIGATIONS - MALE:

-SEMEN ANALYSIS

-COLOUR DOPPLER STUDY OF SCROTUM TO RULE OUT VARICOCELE

-SERUM — FSH,LH,TESTOSTERONE,TSH

-SEX CEIROMATIN STUDY

-TESTICULAR BIOPSY

SEMEN ANALYSIS

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

LAB ERRORS

-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

OLIGOSPERMIA

-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

• MODERATE5- MILLION/ML

• SEVERS BELOW 5 MILLION/ML

RUBRICS RELATED:

Volume : Ejaculation,copious & short.

-Pus Cells : Ejaculation-purulent

-Viscocity : Ejaculation,thick

Ejacuiation,failing during sex,though the orgasm is present

RUBRICS OF RELATED PATHOLOGY

-Atrophy,testes

-Cysts, genitalia,( Sil,Thuj ) Hydrocele, scrotum

-Injuries to,genitalia

-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. J.H.Clarke

-Dr.A.T.Bryant

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.

SYNTHETIC REPERTORY

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.

Dr.K,B.KNERR.

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.

Sexual Impulse:

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

TOTAL MEDICINES:

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,

Infertility

Agn ARG.M, Bac. 7, Bufo, Chins, COBALT.NITR, Con, Dam, FERR , lod, Lepr, Nat-m, Phos, RAUW.SERP, Se Stych, SULFA,

X-RAY,

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.

MANAGEMENT, GENERAL.

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

•DIAGNO5TIC LAPAROSCOPY

  POST COITAL TEST

‘ ASA

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.

© Copyright with Dr. Saji