A comparative study of Repertorial and Non-Repertorial approach in treating Menorrhagia
试验速览
- 阶段
- 2/3 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- 1.To assess the therapeutic outcomes of the repertorial approach in managing menorrhagia through
研究概览
简要总结
Menorrhagia a common gynecological complaint is characterized by regular cyclic menstrual bleeding that is excessive in volume greater than equal to 80 mL or prolonged less than7 days .It arises from multifactorial causes including structural abnormalities such as fibroids and polyps systemic disorders like coagulation defects and thyroid dysfunction and hormonal imbalances as seen in PCOS and anovulatory cycles. Conventional management including NSAIDs hormonal therapy and surgical interventions often focuses on symptom control may cause adverse effects and is not always individualized .
Homoeopathy offers a safe constitutional and patient centered alternative aimed at addressing underlying causes .This prospective randomized clinical study was conducted over one year on 54 cases of menorrhagia from OPD IPD and peripheral health centers of Sarada Krishna Homoeopathic Medical College & Hospital. Out of 54 cases 27 will be treated using a repertory based approach Murphy repertory while the other 27 will be treated using Nonrepertorial approach Allen’s Keynotes and Boericke’s Materia Medica.
Baseline assessment included Pictorial Blood Assessment Chart PBAC scores hemoglobin levels and SF36 quality of life scores. Detailed case-taking was followed by individualized prescriptions with potency and repetition tailored to patient needs. Follow-ups were scheduled every two weeks or more frequently as required. Outcomes measured included changes in PBAC scores ,hemoglobin levels ,SF36 scores duration of bleeding and improvement in anemia related symptoms .Statistical analysis compared therapeutic effectiveness duration of treatment and quality of life improvements between the two approaches .The study aims to determine the relative efficacy of repertorial versus non repertorial homoeopathic prescribing in reducing menstrual blood loss, improving hemoglobin levels and enhancing quality of life thereby contributing to evidence based strategies for individualized management of menorrhagia.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 15.00 Year(s) 至 55.00 Year(s)（—）
- 性别
- Female
入选标准
- •Women diagnosed with menorrhagia excessive menstrual bleeding lasting more than 7 days or blood loss more than 80mL per cycle Women of reproductive age 15-55years Participants with regular or irregular cycles with prolonged or heavy menstrual bleeding Patients who give consent for participating in this study including follow-ups and adherence to prescribed homoeopathic treatment only.
排除标准
- •Severe Anemia Hemoglobin level less than 8 g per dL requiring blood transfusion or immediate medicalintervention Any history of malignancy Unwillingness to Follow Protocol Patients under any psychiatric treatment Lactating women as hormonal changes may influence menstrual patterns Currently on any treatment particularly hormonal therapy hormonal IUDs oral contraceptives hormone replacement therapy.
结局指标
主要结局
1.To assess the therapeutic outcomes of the repertorial approach in managing menorrhagia through
时间窗: Once in 2 weeks assessment
individualized remedy selection based on totality of symptoms by using Murphy Repertory.
时间窗: Once in 2 weeks assessment
2.To assess the therapeutic outcomes of the non-repertorial approach in managing menorrhagia
时间窗: Once in 2 weeks assessment
through remedy selection based on Allen’s Keynotes and Boericke’s Materia Medica.
时间窗: Once in 2 weeks assessment
次要结局
- 1. To compare the duration of treatment and symptom relief (using PBAC score chart) in both(approaches .)
研究者
Dr LEKSHMI G J
SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE AND HOSPITAL