Kent’s repertory in the management of menopausal syndrome

Dr Mansi S Patel

ABSTRACT
Menopausal syndrome refers to a collection  of physical, psychological, and hormonal symptoms experienced by women during the transition to menopause. There are various remedies in homoeopathy which particularly represents the symptom which can be present in menopausal syndrome.

By categorizing those symptoms into rubrics presented in chapter ‘female’ in Kent’s repertory will lead us to remedies which can be helpful to those women.

KEYWORD  : Homeopathy,  Kent’s repertory, Menopause

INTRODUCTION

• Menopause means ‘permanent cessation of menstruation at the end of
• Reproductive life due to loss of ovarian follicular activity. It is point of  Time  when last and final menstruation occurs.
• Menopause is caused by loss of ovarian follicular function and decline  In circulating blood estrogen levels.

AGE OF MENOPAUSE
The age of menopause ranges between 45-55 years, average being 47 years. Late menopause is seen in women with high parity or higher BMI, earlier menopause is seen in cases following chemotherapy, ovarian resection.

ENDOCRINOLOGY

• Few years prior to menopause, along with depletion of the ovarian
• Follicles, the follicles become resistant to pituitary gonadotropins.
• As a result, eVective folliculogenesis is impaired with diminished
• Estradiol production. There is significant fall in the serum level of
• Estradiol from 50-300pg/mL before menopause to 10-20pg/mL after Menopause.

SYMPTOMS
Vasomotor symptoms – hot flash is characterized by sudden feeling of  heat followed by profuse sweating, palpitation, fatigue, weakness. Genital and urinary symptom – estrogen plays important role to  maintain the epithelium of vagina, urinary bladder, urethra. Decrease level may cause dyspareunia and dysuria.

Sexual dysfunction – estrogen deficiency is often associated with  decreased sexual desire.

MANAGEMENT

• Allopathic management
• Hormone replacement therapy ,Non hormonal therapies
• Lifestyle modification ,Supplements ,Vaginal estrogen therapy.
• Homeopathic Management

Homeopathy focuses on individualized treatment and symptom relief based on Holistic principles. Common remedies include:

Lachesis

• For hot flashes, night sweats, and mood swings.
• Suited for women who feel worse with tight clothing around the neck or Abdomen.

Sepia : For irritability, depression, and fatigue.Suitable for women who feel better with exercise and crave solitude.

Pulsatilla : For mood swings, weepiness, and aversion to warmth.Suited for women seeking comfort and aVection.

Sulphur : For hot flashes with a burning sensation and a desire for open air.

KENT’S REPERTORY
There are 33 chapter in Kent’s repertory. The chapter ‘female’ contains  The symptoms presented in menopausal syndrome.

Some rubric which is seen in Kent repertory regarding menopausal Syndrome.

• Genitalia – female – menopause – pg724
• Mind – irritability – pg. 57
• Mind- mood – changeable, variable – pg68
• Chest – palpitation, heart – climacteric period – pg874
• Genitalia – female – Menses – painful, dysmenorrhea – climaxis near – pg727
• Genitalia – female – itching – vagina – pg720
• Mind – Absentminded – Menses, during – pg1
• Vertigo – Menses – during – pg101
• Head – Heat – Menses , before pg122
• Genitalia – female – Metrorrhagia – climacteric period – pg730
• Chest – Pain – Mammae – Climacteric, during – pg846
• Extremities – Pain – Burning, foot – Climacteric – pg1097

CONCLUSION
Mental and physical general symptoms along with some particular symptoms Of patients were taken and considered valuable in finding similimum  by Kent’s repertory to Treating menopausal syndrome.

REFERENCE

1. Dutta D.C textbook of gynecology – Jaypee brothers medical publishers (p) Ltd. –eighth edition – 2020 pg. no -46
2. Kent J.T. – 6  The American edition of Repertory of Homoeopathic Materia Medica – B.  Jain publishers (p) Ltd. – 14^th impression – 2019
3. Tiwari Shashi Kant’s Essentials of reportorization – a comprehensive  textbook on Case taking & repertorization – B. Jain publishers (p) Ltd. – fifth edition –2012 pg. No – 08

Dr Mansi S. Patel
B.H.M.S; L.R.Shah Homeopathy College, Anandpar, Rajkot
Guided by Dr. Punam Patel
[B.H.M.S (M.D), Assistant Professor , Department Of Repertory and case taking ]
Email: mansipatel2744@gmail.com