Modern medicine with its reductionist approach always views the presentation of infertility as a disease for the specialists viz. in this case gynaecologists (or sometimes endocrinologists) or those expert physicians who see more and more of less and less!!! Homoeopathic physicians on the other hand, moving against the current of dominant medicine, identify that the ‘being of a woman’ can’t be restricted to her genitilia alone. So we perceive the entire personality that defines and typifies her being. Thus, Homoeopathic physicians, moving against the current of dominant medicine, following the wholistic view of life TREAT THE BARREN (INFERTILE) WOMAN, NOT the barren womb! Besides two case studies with prescribing methodology, also find a compilation of clinical tips from James Tyler Kent on female infertility.

1. Gyandas G. Wadhwani MD (Hom)
Chief Medical Officer (Homoeopathy), Directorate of ISM&
Homoeopathy, Govt. of NCT of Delhi;
Senior Lecturer (Organon of Medicine & Homoeopathic
Philosophy), Dr B. R. Sur Homoeopathic Medical
College, Hospital & Research Centre
Email: homoeopathygyan@gmail.com

2. ―I expose to men the origin of
their first, and perhaps
second, reason for existing.‖
Leonardo da Vinci wrote these
words above his drawing ―The
Copulation‖ (1493). The
Renaissance sketch shows a
transparent view of the anatomy
of sexual intercourse as envisaged
by the anatomists of his time. The
semen was supposed to come
down from the brain through a
channel which can be seen in the
spine of the man. In the woman
the right lactiferous duct is
depicted as originating in the
right female breast and ending in
the genital area. Even a genius
like Leonardo da Vinci distorted
men's and women's bodies—as
seen now—to fit the ideology of
his time and to the notions of his
colleagues, who he paid tribute to.

3.  Modern medicine with its
reductionist approach always views
the presentation of infertility as a
disease for the specialists.
 Specialists viz. in this case
gynaecologists (or sometimes
endocrinologists) or those expert
physicians who see more and more
of less and less!!!

4.  Homoeopathic physicians on the
other hand, moving against the
current of dominant medicine,
identify that the ‗being of a woman‘
can‘t be restricted to her genitilia
alone!
 So we perceive the entire personality
that defines and typifies her being.

5.  Thus, Homoeopathic physicians,
moving against the current of
dominant medicine, following the
wholistic view of life TREAT THE
BARREN WOMAN, NOT the barren
womb!

6.  Infertility has always been a constant
preoccupation.
 Egyptians were the first to develop recipes
in order to predict sterility and to diagnose
an early pregnancy.
 These recipes was reused by Hippocrates
and still employed until the 18th century.
 Hippocrates was also the first to write a
treatise on infertility in which he analysed
the physiopathology, the diagnosis and the
treatment of infertility in the hippocratic's
corpus.

7.  Soranos was highly regarded as the first
and the most famous gynecologist in the
antiquity. In point of fact, Soranos was
not really a gynecologist but, he was the
first to write a treatise about
"gynecology". This work came down to
us incomplete.

8.  Duration of infertility and results of previous
evaluation and therapeutic procedures.
 Menstrual history (menarche, cycle length and
characteristics), with molimina and characteristics.
 Past: medical, surgical, obstetric and gynecological
history to look for conditions, procedures, or
medications potentially associated with infertility.
 Review of corresponding (accessory) systems for
example, whether the patient has symptoms of
thyroid disease, cardiac disease, psychological
dysfunction etc.

9.  Sexual history, including frequency of coitus, STD, sexual desire
etc.
 Vaginal discharge, presently or in past with characteristics
 Family history
 Accessory circumstances viz. age, familial
environment, occupation, exercise, stress, dietary
pattern, substance abuse etc.
 Generalities, Mind & disposition
 Retention of semen! (keeping in mind the feature of Natrum
carb)

10.  Starts with initial observation as patient
is there with you. Watch out for obvious
signs; Built, nutritional status, secondary
sexual characteristics
 Presence of pigmentation, nevi, colour of
eyes/sclera
 Patient's BMI should be calculated and
fat distribution noted (maintenance)

11.  LOCAL EXAMINATION IS A MUST. NOTE
THE
TOUCHINESS, TICKLISHNESS, TENDERNES
S, STRUCTURAL ABNORMALITIES OR
MASSES ETC.
 Any obvious signs of substance abuse

12.  Follow the sun cycle… that is to
say, patient must be encouraged to work
during the day and sleep at night!
 Reduce usage of TV viewing, which can
disturb the melatonin levels!

13.  Coffee drinkers often remain sterile also
and you must stop heir coffee (Kent)
 Women who have been in the habit of
taking mercury for biliousness remain
sterile (Kent)

14. James Tyler Kent MD

16.  A 33 years old female, Mrs.
V.A., consulted us on 20th Sep, 2012 for
secondary infertility.
 On observation she had dark eyes and
hair and sharp pushed up nose.
 She belonged to Bihar and had been
married to an army-man for last 8 years.

17.  Inability to conceive
 Sensitivity of throat to cold food and
drinks
 Burning in epigastrium

18.  She had history of failed (IUI) 5 times
and 1 failed IVF since 2007.
 During 2010-had prolonged low grade
fever for which she took numerous
antibiotics after which she had bleeding
per vagina; later diagnosed as being 9
weeks pregnant but had to undergo
D&C.

19.  Menarche: 12-13 year old.
 Menstrual cycles till 2008 were regular:
4-5/ 26-28 days
 Molimina: pains in lower abdomen, lower
back and thighs with vomiting , which
would start a day prior, continue
during, and would decrease as the flow
waned. Needed to take leave, rest & pain
killers.
 Post menstrual weakness

20.  In 2007 she felt pain in lower abdomen
on and off which was followed few
months later by altered character of
bleeding: clotted blood. PMC same.
Diagnosed Serous Cystadenoma &
underwent Rt. Oophorectomy &
tubectomy at army hospital Jabalpur in
2008.
 Post op PMC: 3-(4)/ 26-28 days.

21.  Post op PMC: 3-(4)/ 26-28 days.
 Character of blood:
 1st day: jelly like dark brown;
 2nd/ 3rd day: dark brown blood with dark
coloured clots
 Occasional 4th day scanty flow
 Molimina: irritable 3-4 days prior; pains
exaggerated in lower abdomen, lower back and
thighs with vomiting , which would start 7-8
days prior, continue during, and would
decrease as the flow waned.

22.  Since childhood she was also subject to
episodes of painful degluttition <cold
food and drinks, which improved with
gargles. Occasionally fever too.
 Since few years burning in epigastrium
<non veg, spices

23.  1995- underwent Appendectomy
 2003- mild chickenpox

24.  Mother- asthma
 Father- heart trouble

25.  Appetite- normal, non- vegetarian, feels
burning in epigastrium if meals are
delayed
 Desires- vegetarian, salty
 Aversion- Milk, ghee
 Bowels/Urine: Normal, regular

26.  Sleep- on left side; in dark; scared in
sleep occasionally
 Dreams- ―weeps in dreams‖; sees family
members esp her father in trouble;
difficult to wake her up though husband
tries to
 Perspiration- esp on face
 Thermal reaction- prefers mild winters

27.  She had been born and brought up in
Bihar, Chhapra Distt. Post marriage she
has been to
Shillong, Panchvati, Pithoragarh, Jabalpu
r. She is in Delhi since past two and a half
years.
 More attached to father. Husband is nice
and caring. No major troubles in life.

28.  She is possessive about her family.
 Easy going and laid back in household affairs
 Worries about husband‘s job and transferable
posting.
 Irritable and anxious

29.  11-9-12: DHEA 27.2 (↑)
 August 2012: U/S: Rt ovary not visualised; rest
wnl

30.  Characteristics of molimina
 Character of blood
 Sensitive throat

31.  20-9-12
 Rx Placebo

32.  Her LMP was 7th October 2012 which
lasted for 3 days. Flow was same as
before. She had pains in lower
abdomen, back and thighs 8-10 days
prior and then gradually decreased with
the flow
 Character of flow: same
 Irritability before menses

33.  She also informed that she had forgotten
to mention her Lumbago- esp in sacral
region. This had started after spinal
anesthesia at the time of Rt. tubo-
oophrectomy in 2008.
 The backache was < before and during
menses, walking continuously for 30
minutes or more; > by lying flat on back.

34.  She had once felt pain in epigastrium
after a spicy meal
 Once in between she had a dream in
which she cried/talked ,a night prior to
the follow up

35. • Female sexual organs:
• Menses seven days too early, griping in r.
ovary, bearing-down, dragging, tired, in all
pelvic organs, severe (causing faintness) in
lumbo-sacral spine, running down thighs, ….
very dark, lasting three days instead of
five.─…Indolence, .. During menses:
colic, headache, pains in kidneys, malaise,…..

36. • Many symptoms appear on right side
• Lumbago< movement, walking ascending
• Lumbago post spinal anasthesia

37.  CURARE 30 unit dose, followed by placebo
 She did not have any periods after that………
delivered a healthy baby girl in July 2013

39. Ms M.S.
Age -27 years/Female
first seen on 19.08.11

40.  On Observation-Brown eyes, dark
hair, gap in upper central incisors, dilated
pupils.

41.  Primary infertility
 Left sided fistula-in-ano
 Raynauds phenomema
 Angioneurotic edema with urticaria
 Contact dermatitis
 Vaginal discharge

42.  In 2005 (one year before her marriage), she
developed a swelling in the peri-anal region.
She was diagnosed as having haemorrhoids
(left side).
 Gradually she started having bleeding and a
pustular discharge and developed a left sided
fistula-in-ano.

43.  In June 2009 she underwent left
haemorrhoidectomy and fistulectomy at Batra
hospital.
 Post-operative: The wound did not heal, and
there was a yellowish foul smelling discharge.
 She underwent a repeat fistulectomy in Sept’09
with I&D and repeat in Oct’10 but the pain and
discomfort on left side with discharge
persisted.

44.  She has been suffering from angioneurotic
oedema since April 2009, when she developed
severe swelling on the upper lip.
 Now she develops swelling around the lip off
and on .
<evening
<cold weather

45.  Since the same time she has noticed contact
dermatitis: artificial bangles or earrings
develop a rash.<summers.
 Urticaria lower limbs.
 Occasional episodes of pyoderma

46.  Her hands and feet remained cold all the year
round.
 Also her nose, fingers, toes become very cold
and painful in winters. (diagnosed Raynaud’s
Phenomenon)

47.  Discharge P/V since 3 years,
 Character of discharge- milky white, thick
, offensive, no itching.

48.  Menarche -14 years of age.
 Cycles-always been regular
5-6/28-30 days
No associated complaints.

49.  H/O Recurrent boils and pustules in childhood.

50.  Father-Hypertension, stroke.
 Paternal Uncle-Stroke.

51.  Appetite-non veg, can tolerate.
 Thirst-good, cool water
 Sleep-good, on sides esp. left, likes to sleep in
slight light. Occasionally she wakes up at night
scared, can’t recall the dream, then she must
eat something before going back to sleep.

52.  Desire-spicy+++, paneer++, mangoes+++.
 Perspiration- profuse, foul smelling more on
upper half of body; occasionally in winters also.
 Thermal Reaction- Chilly.

53.  She was born and brought up in Assam , in a
middle class family. She was an average
student.
 When she was in VIIth standard, her father
suffered a stroke; had to help mother with
household work as they couldn’t afford a full
time help and workload increased, being the
eldest child. Felt pressure and was anxious
about financial management and workload.

54.  In 2006,she got married in Delhi.
 Soon after marriage husband was posted in
U.K. Since she did not have a passport she
could not go with him. Due to political/ official
reasons passport took nearly 5 years.
 Husband visited india for 2 months every year.
Tried to conceive but was unable to.

55.  Consulted many gynecologists and underwent
numerous short term treatments but was
unable to conceive.
 Though in-laws are very supportive along with
husband, anxious that numerous illnesses and
treatment may portray her negatively.
 Her younger brother in law got married in
2009 and his wife delivered a child in 2010.
more pessimistic after that, though cares for
the baby.

56.  Very nervous; pessimistic
 Anxious
 Easily gets upset.

57.  08-08-2011
T3, T4 , TSH-WNL
DHEA-17.35(↑)
 USG-PELVIS-TVS
Rt Ovary-vol. 8 cc
Lt Ovary- vol. 17 cc
Suggestive of PCOS.

58.  ???

59.  Anxious ,full of fear ,melancholic; evil
forebodings.
 nervous, easily startled; restless, hands
tremble.
 Every moral emotion causes trembling.
 Severe ailments from even slightest emotions.

60.  Anxiety, several times a day (with or without
pain), or at certain hours of the day or of the
night; usually the patient then finds no rest
, but has to run hither and tither, and often falls
into perspiration.
 Melancholy, palpitation and anxiousness cause
her at night to wake up from sleep.(mostly just
before the beginning of menses)

61.  Leucorrhoea: large ,clotted lumps of an
intolerable odour….
 Leucorrhoea from the vagina,one or several
days before ,or soon after ,the monthly flow of
blood, or during the whole time from the one
menstrual discharge to the other, with
diminution of menses or continuing solely
instead of menses; the flow is like milk, or like
white, or yellow mucus, or like acrid sometimes
like fetid water.

62.  Chilblains (even when it is not winter) on the
toes and fingers, ….

63.  Sensitive haemorrhoidal pain in rectum.
 Burning haemorrhoidal tumours.
 Painful and painless haemorrhoidal varices on
the anus ,in the rectum, especially during stools
after which the haemorrhoids often pain
violently for a long time.
 Itching and erosions in the anus and perineum.

64.  Skin : abnormal tendency to receive skin
diseases, eruptions easily suppurate.
 Pustules or boils on head, particularly scalp;
scalp had a dirty look and emitted an offensive
odour; fine red eruption, forming small, white
scales; pustules on hand.

65.  Sleepless from intolerable itching or frightful
dreams of robbers, dangers etc.
 Hungry in the middle of night, must have
something to eat.
 Night-mare;he usually suddenly awakes at
night from a frightful dream, but cannot
move, nor call nor speak and when he
endeavors to move he has intolerable pain, as if
he were torn to pieces.

66.  Great sensitiveness to cold air or change of
weather.
 All excretions –diarrhoea
,leucorrhoea, menses, perspiration have a
carrion like odor.
 Extremely Psoric patients; nervous
,restless, easily started.

67.  19-08-2011
PSORINUM 200/ 1 Dose.

68.  11-9-11
 Discharge from fistula had decreased.
 Felt more itchy in body
 LMP1-9-11; normal
 Vaginal discharge better

69.  10-10-11
 No discharge from fistula; could still feel
opening on left side; itching peri-anal region on
and off
 Felt itching in body without eruptions
 LMP27-9-11; normal
 Vaginal discharge markedly decreased; still felt
some foul smell from vaginal region;
occasionally burning in vaginal region
 Travelling to UK next week.

70.  1-12-11:
 Reported from U.K.
 Missed her periods in november.
 Even though, it was very cold, Raynaud’s
Phenomenon was less.
Skin eruptions were better.
no vaginal or fistulous discharge
 1st jan 2012, sent us a big box of chocolates!!

72.  sycosis very commonly makes a woman sterile,
or if she has a few children you will
find in them a strong tendency to marasmus in
the first year, or in the first or second
summer a strong tendency to consumption, or
you will find a withering, old appearance
of the face….

73.  From weakness she is sterile, or she aborts in the early months of
gestation.
 Labor-like pains during menstruation with drawing pains in the
thighs and legs, and even the feet and toes.
 Uterine haemorrhage from inertia of the uterus. Relaxation of
muscles and ligaments. Heaviness, and even prolapsus.
 Subinvolution.
 Excoriating leucorrhoea.
 Menses too soon or too late.
 She is sensitive to cold and wants warm clothing-quite
unlike Pulsatilla. She is hysterical, like Ignatia. She is fretful and
apprehensive.
 Rheumatic stiffness of the back and very sensitive spine.
 She is sleepless, restless and withal very excitable.

74.  - Sexual desire increased.
 - INDURATION OF THE OVARIES; UTERUS;
cervix uteri.
 - Inflammation of ovaries and uterus.
 - Leucorrhoea; acrid; copious; thick; YELLOW.
 - Menses absent; copious, late; suppressed.
 - Pain in ovaries and uterus.
 - Prolapsus uteri.
 - Sterility.

75.  Sterility.
 - Dwindling of the ovary.
 - Dwindling of the mammary glands, and yet
the lymphatics become enlarged and
infiltrated.
 - A passive leucorrhoeal discharge, whitish,
thick, persistent, often copious, worse about a
week before the menstrual period.

76.  Induration of the ovaries. - Leucorrhoea.
 - Menses copious, too often, painful.
 - Pain in the uterus.
 - Sterility

77.  There is another feature like Natr. mur. and Natr. carb.; in both male and female it
takes away sexual desire; it benumbs the patient, and hence the mind and sexual
organs are in a state of indifference.
 - Then we come to the most striking feature of Borax in regard to the female
organs; in the menstrual flow will be found membrane.
 - Borax cures the most violent forms of membranous dysmenorrhoea, when there
are violent labor-like pains before and during the flow and it seems as if the uterus
would expel itself from the vagina.
 - The flow starts slightly, but the same violent pains keep on, until the expulsion of
the membrane.
 - Such patients are easily startled from downward motion; let that be your guide to
Borax in membranous dysmenorrhoea.
 - "During menses; throbbing in head and rushing in ears."
 - "Pinching and griping in abdomen;" that word does not describe it exactly, for it
is like the pain in labor; "pain extending from stomach."
 - - "Tired; sweat after midnight."
 - But, remember, with such things you must have the mental state, the nervous,
excitable state and then Borax will cure this dysmenorrhoea.
 - "Leucorrhoea like the white of eggs."
 - It has albuminous leucorrhoea which feels like a hot fluid, and flows down the
legs.
 - "Acrid leucorrhoea appearing for two weeks."
 - Now from this acrid leucorrhoea, from the menstrual state, this false membrane
forming and being thrown off, it is no wonder that women are sterile.

78.  - The Calcarea patient is weak sexually, with general relaxation and
weakness.
 - Sometimes an inordinate craving, sometimes an overwhelming desire
keeps him awake at nights.
 - But weak; weak in this way, that any indulgence is followed by weak
back, sweating, weakness in general, so that he is compelled to abstain
because of the sufferings.
 - The woman is affected in a similar way.
 - You need not be surprised, when you hear all of the constitutional
weaknesses, that it is a common thing for Calcarea women to be sterile. -
So tired, so relaxed; wholly unfit for reproduction.
 - And the same as in the male, she suffers from lassitude, sweating,
wakefulness, and weakness in general after every coition.
 - The parts feel relaxed.
 - The uterus drags down.
 - Sensation as if parts would be forced out.
 - State of general weakness and general relaxation of the sexual organs of
both male and female.

79.  - Sexual desire increased in the woman;
congestion of the uterus.
 - Leucorrhoea acrid, bloody, copious, yellow.
 - Menses absent, copious frequent, irregular,
painful, suppressed.
 - Metrorrhagia.
 - Pain in ovaries and uterus.
 - Sterility. - Tumors on ovaries.
 - Pain in both ovaries before menses.

80.  - Intense sexual excitement in both sexes.
 - To the female it has a reputation for sterility.
 - Menses profuse.
 - Leucorrhoea in little girls (Sepia).
 - Gonorrhoea.
 - Uterine haemorrhage after labor.
 - Threatened abortion.

81.  - Sexual desire wanting.
 - Atrophy of the ovaries.
 - Cancer of the uterus.
 - Aversion to coition.
 - Eruption and excoriation.
 - Inflammation of the uterus.
 - Itching of the vulva.
 - LEUCORRHOEA; ACRID; bloody; burning; copious; before and after
menses; milky; thin;
 white; watery.
 - Menses absent; excoriating; black; dark; delayed first menses; irregular;
LATE or too soon;
 offensive; painless; copious at first, later SCANTY, short; suppressed;
slow passive
 haemorrhage from uterus.
 - Pain in uterus; burning; soreness; weak labor pains.
 - Women who work in carbon bisulphide are often sterile.

82.  - Weakness in the reproductive system of the woman.
 - From weakness she is sterile, or she aborts in the early months of
gestation.
 the feet and toes.
 - Uterine hemorrhage from inertia of the uterus.
 - Relaxation of muscles and ligaments.
 - Heaviness, and even prolapsus.
 - Excoriating leucorrhoea.
 - Menses too soon, or too late.
 - She is sensitive to cold and wants warm clothing, quite unlike
Pulsatilla.
 - She is hysterical, like Ignatia.
 - She is fretful and apprehensive.
 - She is rheumatic, like Cimicifuga, only the small joints are likely
to be affected.
 - Rheumatic stiffness of the back, and very sensitive spine.
 - She is sleepless, restless, and withal very excitable.
 - This remedy has cured chorea at puberty when menstruation
was late.

83.  - In the woman there is slight change of symptoms; predisposition
to abort, aversion to coition, or desire much diminished.
 - Leucorrhoea, excoriating, before menses, milky, thin, white.
 - Chlorotic girls.
 - Menses absent.
 - Menstrual flow bright red, clotted, copious, dark, too frequent,
intermittent, irregular, late, painful, pale, protracted, scanty,
suppressed, thin, watery.
 - Uterine haemorrhage.
 - Pain in vagina during coition.
 - Dysmenorrhoea with fever and red face.
 - Bearing-down in pelvis with dull pain in ovarian region.
 - Prolapsus of the uterus.
 - Sterility.
 - Sensitive vagina

84.  - Chronic pain in ovarian region.
 - Sterility.
 - Painful menstruation.
 - Obstinate leucorrhoea.
 - Enlarged ovaries.
 - Violent itching of vulva and vagina.
 - Profuse menses.
 - Drawing in sacrum as if menses would come on.
 - Cutting like knives in whole pelvic region.
 - Burning in scrotum and hips during menses.

85.  - The woman has much tribulation.
 - Burning, stinging in ovaries.
 - Screaming from pain. - Stinging, tearing, cutting pains in the ovaries;
patient covered with sweat.
 - Copious, excoriating leucorrhoea, parts raw, sore,, inflamed and
itching.
 - Stinging, itching and boring pains in the uterus.
 - Pains in the uterus and ovaries at the menstrual period.
 - Milk in the breast of the non-pregnant woman at the menstrual period.
 - Milk in the breasts instead of the menstrual flow.
 - Menstrual flow light red, pale, acrid, clotted, and profuse or scanty.
 - The menses are sometimes suppressed.
 - Women who have been in the habit of taking mercury for biliousness
remain sterile.
 - Amenorrhoea with ebullitions.
 - Chancres on the female genitals.
 - Aged women have denuded genitals, rawness, soreness and false
granulations, which are
 always bleeding.
 - Itching of the genitals from the contact of the urine; it must be washed
off

86.  - Sterility, a constitutional state in a woman where she
is unable to conceive; she is nervous, cold to the knees
and elbows; cold body in winter, hot head in summer;
always tired; relaxation of the sphincter vaginae
causing the seminal fluid to gush out as soon as
ejaculated by the male, thus causing sterility.
 - There may be a spasm of the sphincter, producing
the same effect, or a clot of blood or mucus shoots from
the vagina with noisy flatus.
 - Nervous, fidgety, excitable, lean, dyspeptic women,
not hysterical.
 - Menses too soon or too late; neuralgias, oversensitive
to drafts and dampness, sensitive spine, legs numb;
leucorrhoea yellowish-green, copious.

87.  - Desire increased in the female.
 - Leucorrhoea after menses, acrid, copious,
creamy, honey colored, sour smelling, yellow
and watery.
 - Menses absent, copious, too frequent, late,
pale, painful, protracted.
 - Prolapsus of the uterus with a weak sinking
feeling after stool.
 - Sterility

88.  - Phosphorus has cured many cases of sterility supposed to depend upon violent
sexual excitement.
 - Violent sexual excitement with aversion to coition.
 - Violent pain in the ovaries extending down the inner side of the thighs during
menstruation caused by inflammation of the ovaries.
 - Inflammation of the uterus during menstruation and during pregnancy or
during pyaemia.
 - Frequent and profuse haemorrhages from the uterus caused from cancerous
affections.
 - The menstrual period is too early, flow bright red, lasting too long, is copious;
during the menstrual period ice-cold feet and hands; nausea; pain in the back as if
broken; blue rings around eyes; loss of flesh; much fearfulness.
 - It has also menstrual suppression in consumptives with cough, bleeding from the
nose, and spitting of blood.
 - Copious yellow leucorrhoea with great weakness; leucorrhoea instead of menses;
white, watery leucorrhoea, acrid, excoriating; milky leucorrhoea copious when
walking.
 - While there is violent sexual excitement during coition there is lack of sensation in
the vagina, as if it were numb.
 - Condylomata appear like fig-warts and excrescences about the genitals and in
the vagina. Bleeding warts.
 - Dropsical swelling of the labia.
 - Fibroid tumors of the breast.
 - Fibroid tumors of the uterus with copious haemorrhages.

89.  - Sexual erethism is one of the most prominent features of Platinum in women.
 - Unbearable sexual excitement and voluptuous crawling in the genitals.
 - Such extreme sensitiveness of the external genitals that it is impossible for the
woman to wear a napkin during menstruation or let the physician examine her.
 - Pain in the ovarian region, especially the left.
 - It has cured sterility of long standing, especially sterility that is supposed to come
from excessive sexual excitement.
 - Inflammation of the ovaries coming with haemorrhage of the uterus, and during
the menstrual period.
 - It has cured ovarian tumors and cystic tumors.
 - Inflammation of the uterus, bearing down, as in prolapsus.
 - Polypus of the uterus and uterine haemorrhages.
 - The flow is dark, even black and clotted with much fluid blood.
 - These nervous women constantly feel as if the menstrual flow was going to
appear.
 - The menstrual flow comes too early, is too profuse, and then generally of short
duration.
 - The menstrual periods sometimes return every fourteen days or the menstrual
flow may be entirely absent.
 - The vulva and vagina are extremely sensitive during coition, sometimes
preventing the act.
 - The woman suffers from albuminous leucorrhoea mostly in the daytime without
much sensation.

90.  - Numbness and burning down the whole
length of the spine; general emaciation or only
of diseased part.
 - Establishes sterility; so weak is the uterus that
it can never hold the foetus, hence the value in
sterility and repeated abortions.
 - Dwindling of the mammae.
 - Absence of milk after confinement
 - Cachectic females with rough skin, pustules
tending to gangrene.

91.  - The genitals are extremely offensive both to the patient and to
the examining physician.
 - Under female sexual organs we have sterility.
 - We have irregularity in the menstrual flow, menstrual flow
suppressed from the slightest disturbance.
 - Haemorrhage in connection with the menstrual flow; uterine
haemorrhage; prolonged uterine haemorrhage.
 - The flow keeps coming back in spite of ordinary remedies, and
in spite of remedies selected upon the group of symptoms related
to the pelvis.
 - Women needing Sulphur are full of hot flashes, such as they are
likely to have at the climacteric period, and here it competes with
Lachesis and Sepia.
 - Sulphur and Sepia are suitable in the most violent cases of
dysmenorrhoea in girls and even in those of advanced age.
 - Perspiration copious and foetid coming from about the genitals,
down the inside of the thighs and up over the abdomen.
 - Leucorrhoea copious, offensive, burning, sticky; it may be
whitish or yellow; it is offensive, burning, sticky; it may be whitish
or yellow; it is offensive, acrid, and causes itching about the parts
and excoriation.

92.  - The menses are too frequent and copious and the flow is
dark and thin.
 - Many symptoms come before the menses.
 - Nightmare before menses and at the close of menses.
 - The vagina is prolapsed and gangrenous.
 - Leucorrhoea blood, acrid, milky or albuminous, yellow.
 - The flashes of heat, weakness, sensation of trembling, a
nervous hurry in all her actions and feelings, bleeding from
uterus and other parts of blood that does not coagulate, and
constipation with small, hard balls like sheep's dung are
symptoms common to the critical period.
 - It has cured sterility when it was supposed to depend
upon the copious and frequent menstrual flow.
 - Violent itching of the vulva.

93.  ….I never wanted children. And I spent a lot of effort
convincing my doctors that infertility was something
that wouldn‘t have a drastic impact on my life. So I
assumed – rather naively, perhaps – that actually
becoming infertile wouldn‘t be a big deal for me.
 But it was a big deal, for reasons I still have difficulty
articulating. It was also, and at the same time, both a
massive relief and oddly liberating. My reactions to
infertility have been complex, to say the least. But what
seems clear enough is that, though actually having
children wasn‘t something I cared about, theability to
have to children was something I cared about much
more than I would‘ve expected….

94.  …. The trouble wasn‘t that I wanted my childlessness to be a matter of
choice. My childlessness is a matter of choice. My disability makes me
infertile, but it‘s my preferences that make me childless. Childlessness
and infertility are two very different things. ….
 But whether or not you want children – and whether or not you want
to have your own biological children – most everyone will grant that
having babies is a truly amazing thing. And it‘s an amazing thing that
is intricately bound together (probably incorrectly, given what we
know about trans men, but bound nonetheless) with our conception of
womanhood and the female body. Whenever I‘d been around babies,
I‘d never felt that ―Oooooh, babies – I want one!‖ tug on my
heartstrings that I guess is common to many women. But I had,
subconsciously, thought: ―Hey, those things are pretty awesome. I
could totally make one of those, if I wanted to. I don‘t want to, so I
won‘t. But I could.‖
 And now I can‘t. And that‘s hard in way I would never have expected
it to be……………..