prescribing on the basis of totality of symptoms.

To present a case of PCOS in a 30-year-old female successfully managed with individualized constitutional

homeopathic treatment using Pulsatilla.

A detailed case history was taken, including physical generals, mental generals, and life space information.

Investigations such as ultrasonography confirmed bilateral polycystic ovarian morphology. Repertorial

analysis was carried out using Zomeo Pro software. Pulsatilla was selected as the constitutional similimum

and prescribed in varying potencies, along with placebo.

Pulsatilla, prescribed on the basis of totality of symptoms, not only restored menstrual function but also

improved mental and emotional health.

Keywords: Polycystic Ovary Syndrome (PCOS), Oligomenorrhoea, Homeopathy, General management,

Constitutional Treatment, Pulsatilla.

Polycystic Ovarian Disease (PCOD) is a common endocrine disorder of reproductive-age women, marked by

an imbalance in female sex hormones and the presence of multiple ovarian cysts. It can progress into

Polycystic Ovarian Syndrome (PCOS), a multisystem condition associated with reproductive, metabolic, and

emotional disturbances.

Key features include irregular or absent menses, infertility, obesity, acne, hirsutism, and androgen excess. If

The exact cause of PCOS is unclear but involves genetic, environmental, and lifestyle factors. Sedentary

habits, stress, and dietary influences contribute, while familial and genetic associations (e.g., CYP21

mutation) have been noted. Insulin resistance and hyperinsulinemia are central mechanisms, promoting

ovarian androgen production and anovulation. Obesity (seen in 50–70% of cases) exacerbates insulin

resistance through adipose-derived cytokines and hormones. Raised LH levels, altered hypothalamic-

pituitary-ovarian axis function, and adrenal factors also play roles.

Pathology:

cysts (2–9 mm) give the classic “string of pearls” appearance. Theca-cell and stromal hyperplasia contribute

to increased ovarian volume (>10 cm³).

improve insulin sensitivity, hormonal balance, and PCOS symptoms. Among these, the DASH and low-GI

diets are most effective, reducing insulin resistance, androgen levels, and menstrual irregularities. Regular

exercise, especially aerobic and resistance training, supports weight loss, glucose regulation, hormonal

balance, and better quality of life. Aerobic exercise is particularly effective, with both continuous (CAT) and

intermittent (IAT) training improving body composition, hyperandrogenism, and quality of life in PCOS

women.

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Indications of few Homeopathic medicines for PCOS are given below:

1. Sepia – Sepia is One of the most important uterine remedies. Sepia affects the venous circulation

and domestic affairs. Aversion to family to those loved best to sympathy to company, yet fear of alone.

2-Natrum Mur: Nat-m. women is very sensitive, Anaemic, emaciated, Ill effects of grief, anger, guilt,

disappointment, fright, fit of passion, loss of fluids, Sunlight. Menses irregular, profuse, Suppressed, and

Bearing down pain in abdomen. Nat-m. covers the ailments from grief, anger, disappointed love and fright.

Natrum Mur suited to Depressed and introverted. Consolation aggravates. Fear of being rejected, fear and

anxiety.

3- Pulsatilla: Dr. Hahnemann gives the Pulsatilla patients disposition and temperament: "A timid, mild and

yielding disposition, weeping disposition with a tendency to inward grief, weeps when talking and silent

peevishness, contradictory mood. Pulsatilla acts when there is a disposition to chilliness and thirstlessness. It is

suitable for females when there is delay menses. Menstrual cycle too late, scanty, dark, thick, clotted,

been advised in vitro fertilization (IVF) by a gynecologist, which was financially unfeasible, leading to

significant anxiety regarding infertility

GAIT-Biphasic Bipedalic gait. CLUBBING – No PALLOR- no.

Repertorization Analysis:

Puls 66/19, Lach 54/17, Sulph 54/17, Lyco 53/19,