Utility Of Homoeopathic Medical Repertory By Dr Robin Murphy In Management Of Primary Dysmenorrhoea

Normally life stage of typical women is divided into infancy, puberty(adolescence), sexual maturation (reproductive age), climacteric period and post climacteric period (elderly).Puberty being developmental period where hormonal, psychological and physical change occurs simultaneously; menarche being the first menstrual period in females that typically occurs between the ages of 10 -16 years with the average age

of onset being 12.4 years.Primary dysmenorrhoea is a common complaint among both young and adult females. The onset of primary dysmenorrhoea predominantly occurs during

adolescence, usually within 6 to 24 months after menarche.

Primary dysmenorrhoea is defined as pain during menstrual cycle in the absence of any other recognisable cause and it is the most common cause of pelvic pain. The impact of primary dysmenorrhoea ranges from 45% - 95% in females of reproductive age group worldwide where 2%-29% females experience severe pain and a greater prevalence about 70%- 90% is generally reported in younger females.Primary dysmenorrhoea negatively affects females’ quality of life and

interferes with daily activities. The pathophysiology of primary dysmenorrhoea is likely a result of the cyclooxygenase pathway that increase prostanoids particularly prostaglandins. The high level of prostaglandins causes uterine contraction that restrict the blood flow and leads to the production of anaerobic metabolites that stimulates pain receptors.

Females with the typical history of primary dysmenorrhoea starts with the empirical treatment that includes pain relieving medications, anti-inflammatory medications, rarely oral combined contraceptive pills, heat application (hot water

bag), and regular exercise.Primary dysmenorrhoea is not only a physical issue but it’s a psychosocial issue affecting the life of females. Psychosocial issue in the sense of various orthodox

thoughts, beliefs that are followed in the society, their impact on an immature teenager girl makes her more non communicable, antisocial, emotionally vulnerable, and also affects her intellectual skills and abilities.The empirical method of taking medications like pain killers, antiinflammatory or oral combined contraceptive pills have pros and cons, if we focus

on the cons they have a bad effect on the individual in the form of constipation, stomach discomfort, bleeding problem, abnormal weight gain, hepatotoxicity, body swelling etc…

According to WHO the definition of health is “a complete state of physical, mental and social well-being and not merely the absence of disease.” Homoeopathy is a scientific and effective system of holistic healing having a concept of like cures like. Based on the principle that substance that cause symptoms in the healthy individual can alleviate similar symptoms in a sick individual. Conventional system works only on the particular part of the body and not on whole body but homoeopathy considers the whole person that is mind, body, emotion

and spirit.