An insight into adolescent polycystic ovarian syndrome and its management with homoeopathy – A case report

Polycystic ovarian syndrome (PCOS) is one of the most common disorders seen in females, with an incidence of 1.55 million cases in the reproductive age group. In recent times, however, the incidence of PCOS has been on the rise in the adolescent age group. In the adult age group, hormonal imbalance and familial medical history play a major part in the development of PCOS in addition to a sedentary lifestyle; however, the pathophysiology in adolescent age is less known. Treatment modalities in the conventional line of treatment have ever-changing guidelines due to difficulty in differentiating PCOS in adolescents from expected pubertal menstrual irregularities. Here, we present a case of an 11-year-old with complaints of irregular menstruation, hirsutism, and acanthosis nigricans – features of adolescent PCOS. The changes in ovarian morphology were monitored using ultrasonography (USG) imaging. The patient’s subjective assessment was evaluated using the validated Outcome Related to Impact on Daily Living (ORIDL) scale. The Modified Naranjo Criteria for Homeopathy (MONARCH) were used to determine the possible causal attribution of the treatment provided. The case remarkably improved on the ORIDL scale (+3). The case was entirely resolved, with improvement evident in ultrasonographic imaging. MONARCH score (+8) established that the likelihood of improvement was attributable to homoeopathy. This case report shows the scope of homoeopathy in cases of PCOS in adolescence and proves the utility of homoeopathy in preventing long-term complications associated with PCOS.