Integrated Summary
Current Medication: NIL
Clinical Status: BP – 90/60 mmHg, Pulse – 62/min, Weight – 59.8 Kg, BMI – 23.5, Ht – 165 cm
Diagnosis: PCOD (Poly-cystic Ovarian Disease)
OPT/IPT – IPT Duration – 8 days
Primary Treatments:
Confidential
Internal Medicines:
Confidential
Referral Opinion: Patient after the rescan after one month was advised to take the opinion of the surgeon for the persisting endometrial cyst. For the same patient was advised to undergo laparoscopic excision of the same. The same was advised to be followed as the cyst was large enough.
Outcome
| USG : Before Treatments | USG : After Treatments |
|---|---|
|
The uterus is normal in size and echo pattern
The uterus, measures 59.4×27.5×38.1 mm The endometrium thickness is 5.9 mm hyperechoic Both ovaries have polycystic ovarian pattern The right ovary measures 63.5×51.4×59.0 mm and 100.8 cm3 vol The left ovary measures 52.2×26.2×20.2 mm and 14.5cm3 vol No free fluid is seen in the pelvis |
The uterus is normal in size and echo pattern The uterus, measures 62.8×24.7×41.6 mm The endometrium thickness is 4.4 mm trilaminar Both ovaries have a polycystic ovarian pattern Nature: measures approximate 78.5×58.3×78.2 mm and 187 cm3 vol Occupy entire ovary right side The left ovary measures 26.8×17.1×25.4 mm and 6.1 cm 3vol, has multifollicular pattern and is normal in size No free fluid or mass is seen in the pelvis |
| SL# | Outcome Parameters |
TSD 19/10/2014 |
TED 24/10/2014 |
R 8/11/2014 |
|---|---|---|---|---|
|
1. |
Sleep |
Disturbed |
Sound |
Sound |
|
2. |
Appetite |
Manda |
Sama |
Sama |
|
3. |
Bowels |
Constipated |
Samyak |
Samyak |
|
4. |
Urination |
Samyak |
Samyak |
Samyak |
|
5. |
Stress |
Low |
Low |
Low |
|
6. |
BP |
90/60 |
110/70 |
120/80 |
|
7. |
Pulse |
62/min |
70/min |
75/min |
|
8 |
Weight (Kg) |
59.8 |
57.8 |
57.5 |
Patient’s Outcome Scale
| SL# | Presenting Complaint | Status_TSD | Status_TED | Status_2 months |
|---|---|---|---|---|
|
1. |
Hirsutism |
Present |
Present |
Present |
|
2. |
Scanty menstruation |
Present for 4-5 days with spotting for first 2 days. |
Present |
Absent |
|
3. |
Painful menstruation |
Present |
Present |
Absent |
|
4. |
Colour of the menstrual blood |
Black |
Dark red |
Normal |
|
5. |
Hard stool |
Once in 3 days |
Regular, once daily |
Regular, once daily |
|
6. |
Menstrual cycle |
4-5/50 days cycle |
- |
4-5/35 days cycle |
Conclusion
At the end of the classical Ayurveda treatments complete improvement in left ovary with multifollicular pattern and normal size restoration of the ovary was achieved. Clinically it was evident from the fact that the menstrual period was regular and normal – without pain, and normal and amount. There was an improvement in body weight also which is evident from the fact that patient has lost 2kgs of weight during the course of treatment. Constipation was recovered totally.