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Perimenopausal Symptoms and Sleep Disruption

Women's Health
Latha DevidasGender: FemaleAge: 47 years (Adult) Chronicity: 1 year

Presenting Complaints & History

  • Frequent, severe night sweats and hot flashes
  • Waking at 3 AM with racing thoughts
  • Irregular cycles with fluctuating bleeding levels
  • Unexplained irritability and anxiety

Clinical Assessment

A 47-year-old bank manager from Triprayar presenting with severe night sweats and insomnia. Under high stress with work. Previous treatments included hormone replacement therapy (HRT) recommendations which she refused due to family history of breast cysts; took various herbal supplements with no benefit.

Diagnostic Investigations: Elevated FSH levels (42 mIU/mL); normal pelvic ultrasound.

Homeopathic Therapeutics & Management

Homeopathic constitutional assessment focused on her hot flashes (worse at night, worse for tight clothing around the neck), sleep patterns, and emotional sensitivity. After 1 Month: Night sweats reduced in frequency and intensity. After 3 Months: Sleep quality improved; anxiety resolved. After 6 Months: Hot flashes fully cleared; cycles became light and regular. One Year Follow-up: Smooth hormonal transition.

Selected Constitutional Remedies: Lachesis Muta and Sepia Officinalis

Lifestyle & Nutritional Support

Daily brisk walks; avoided evening caffeine and spicy foods; wore loose cotton clothing.

Clinical Outcome

Follow-up Period: 1 year
  • Complete resolution of hot flashes and night sweats
  • Deep, restful sleep without night waking or racing thoughts
  • Stable mood and complete resolution of irritability
  • Healthy endocrine transition without synthetic hormones
Medically reviewed by Dr. Navaneeth K. Unni
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