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Chronic Pelvic Pain and Congestion

Women's Health
Priyanka NairGender: FemaleAge: 34 years (Adult) Chronicity: 2 years

Presenting Complaints & History

  • Dull, dragging pain in the lower abdomen
  • Severe pelvic pressure that worsens when standing
  • Irregular periods and premenstrual cramping
  • Lower back stiffness and leg fatigue

Clinical Assessment

A 34-year-old corporate lawyer from Thrissur presenting with chronic pelvic pain. Symptoms were worse during late evenings and before cycles. Previous management involved multiple courses of NSAIDs, muscle relaxants, and hormonal regulators, which caused severe gastritis and acid reflux.

Diagnostic Investigations: Pelvic ultrasound showing mild pelvic venous congestion; normal endometrial thickness; H. pylori negative.

Homeopathic Therapeutics & Management

Constitutional analysis focused on her sedentary routine (long standing and sitting), emotional stress patterns, dragging pain (better for crossing legs), and cold extremity tendencies. After 1 Month: Reduced pelvic dragging pain and improved stomach tolerance. After 3 Months: Premenstrual cramping resolved; lower back stiffness decreased. After 6 Months: Pelvic pressure cleared; cycles became regular. One Year Follow-up: Total pain relief.

Selected Constitutional Remedies: Sepia Officinalis and Lilium Tigrinum

Lifestyle & Nutritional Support

Introduced daily legs-up-the-wall yoga pose (15 minutes); avoided tight clothing; high-fiber diet; hourly movement breaks at work.

Clinical Outcome

Follow-up Period: 1 year
  • Complete resolution of pelvic dragging pain and pressure
  • Menstrual cycle flow and frequency fully normalized
  • Gastritis and acid reflux fully resolved
  • Restored physical energy and back flexibility
Medically reviewed by Dr. Navaneeth K. Unni
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