International Journal of Homoeopathic Sciences

Uterine fibroids, especially intramural variants, can significantly affect a woman's quality of life by causing prolonged menstrual bleeding and related symptoms. In Southeastern India, the prevalence was around 20% among women of reproductive age (15-45 years). This case study reports a 40-year-old female diagnosed with a 3.2 x 2.8 cm intramural uterine fibroid, presented with heavy menstrual bleeding, pelvic discomfort, and health-related anxiety. A detailed case taking was conducted, which included a thorough medical history, physical examination, and laboratory investigations. Repertorisation was carried out utilizing a Synthesis repertory to determine the most appropriate remedies aligned with the patient's presenting symptoms and overall constitution. After one year of consistent homeopathic treatment (Sepia followed by Natrum muriaticum), the patient reported a significant reduction in menstrual bleeding duration (returning to normal 5-6 days), alleviation of pelvic discomfort, and resolution of anxiety symptoms. Follow-up ultrasound confirmed the complete resolution of the intramural fibroid, with no recurrence of symptoms. This case highlights the effectiveness of homeopathy in managing intramural uterine fibroids. The successful resolution of the fibroid and associated symptoms demonstrates the potential for homeopathic treatment to improve women's health outcomes without invasive procedures. Further research is warranted to explore the broader applicability of these findings in similar cases.