Individualized Homoeopathic Approach in the Management of Polyendocrine Metabolic Ovarian Syndrome (PMOS): A Case Report

Abstract

Polyendocrine Metabolic Ovarian Syndrome (PMOS) is a common endocrine disorder among adolescent females, characterized by menstrual irregularities, hyperandrogenism, and polycystic ovarian morphology. Early diagnosis and individualized management are essential to prevent long-term complications. A 15-year-old unmarried girl presented with irregular menstruation for 1.5 years. Her menstrual cycles occurred every 35–40 days, with scanty bleeding lasting 1–2 days and severe abdominal pain, nausea, and occasional passage of blood clots. She also reported abnormal facial hair growth and acne for 5–6 years. She had previously received allopathic treatment for 4–6 months without significant improvement. General examination revealed an overweight, flabby constitution, ravenous appetite, craving for sour and non-vegetarian foods, and irregular bowel habits. Mentally, she was mild, shy, emotional, and forgetful, with amelioration from consolation. Pelvic ultrasonography revealed bilaterally bulky ovaries with multiple small peripheral follicles and increased stromal density, confirming PMOS. A detailed case-taking and repertorization using Zomeo software with Complete Repertory and Kent’s Repertory indicated Pulsatilla and Sulphur. Based on the totality of symptoms and Materia Medica, Pulsatilla was selected and prescribed in the LM potency, along with advice regarding regular exercise and a balanced diet. Progressive improvement was observed monthly. After 9 months, ultrasonography showed resolution of cystic changes, reduction in ovarian size, and normalization of the menstrual cycle. At the final follow-up, she reported no complaints. This case highlights the potential role of individualized homoeopathic management in addressing menstrual irregularities and associated systemic symptoms in adolescents.