International Journal of Homoeopathic Sciences

Background: "Heterogeneous" refers to the cyst having an irregular or mixed internal structure. The term "chocolate cyst" are commonly associated with endometriosis. This patient presented at the outpatient department (OPD) with a history of irregular menstruation for 6 months, accompanied by discomfort characterized by pain and a sensation of heaviness in the lower abdomen. Upon ultrasound examination (USG), the patient was diagnosed with a heterogeneous cyst localized within the right ovary.

Method: Following an extensive case analysis, repertorization, and consultation of reliable materia medica sources, the initial prescription of Aurum Muriaticum Natronatum 200c in a single dose was administered to the patient. Subsequently, significant improvements were observed in the patient's condition. Later, Thuja occidentalis 200c followed by 1M potency was prescribed intermittently, alongside placebos, until the patient achieved a state of being symptom-free.

Results: The assessment of the causal relationship between the clinical outcome and the homeopathic treatment was conducted using the Modified Naranjo Criteria for Homeopathy (MONARCH) tool. Remarkable enhancement was observed in the symptoms of the patient and the USG reports of the patient as well. The MONARCH score of (+9) strongly indicated that the positive clinical improvements were most likely linked to the effectiveness of the homeopathic treatment.

Conclusion: The current case report highlights the potential effectiveness of homeopathic remedies in managing heterogeneous ovarian cysts. However, to validate and broaden the scope of these findings, further clinical trials are imperative.