Definition:
In cryptomenorrhea, there is periodic shedding of the endometrium and bleeding but the menstrual blood fails to come out from the genital tract due to obstruction in the passage.[1]
Overview
Epidemiology xxx
Causes
Types xxx
Risk Factors
Pathogenesis xxx
Pathophysiology
Clinical Features xxx
Sign & Symptoms
Clinical Examination xxx
Diagnosis
Differential Diagnosis xxx
Complications
Investigations xxx
Treatment
Prevention xxx
Homeopathic Treatment
Diet & Regimen
Do’s and Dont’s xxx
Terminology xxx
References
FAQ
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Overview
Basically, there is only accumulation of blood in the uterine cavity resulting in hematometra. On the other hand, In neglected cases, the blood may enter the tubes whose fimbrial ends get blocked resulting in distension of the tubes by blood → hematosalpinx[1]
Epidemiology xxx
Indian epidemiology then other
Causes
Causes of Cryptomenorrhea
Congenital e.g.:
[1] Imperforate hymen
[2] Transverse vaginal septum
[3] Atresia of upper-third of vagina also cervix.
Acquired e.g.:
[1] Stenosis of the cervix following amputation, deep
[2] cauterization and conization.
[3] Secondary vaginal Atresia following neglected also
[4] difficult vaginal delivery. [1]
Types xxx
AAA
Risk Factors
Risk factors are things that make you more likely to develop a disease in the first place.
Pathogenesis xxx
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Pathophysiology
Pathophysiology of Cryptomenorrhea
If the site of obstruction is low down in the vagina, the accumulated blood results Firstly in hematocolpos → Then hematometra → After that, hematosalpinx.
If the obstruction is at the cervix, it will produce hematometra → hematosalpinx. Hematocolpos produces marked elongation of the urethra → retention of urine.[1]
Clinical Features xxx
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Sign & Symptoms
The patients with history of any of the etiological factors mentioned earlier, Complain of i.e.:
- Amenorrhea dated back from the events.
- Periodic pain lower abdomen
Pelvic examination reveals the offending lesion either in the vagina or cervix. The uterus is symmetrically enlarged.[1]
Clinical Examination xxx
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Diagnosis
Diagnosis of Cryptomenorrhea
In brief, Cryptomenorrhea can be easily diagnosed using ultrasound. The vagina is commonly seen filled with blood whereas the uterus usually appears pushed upward.[1]
Differential Diagnosis xxx
Complications
Complications are what happen after you have a disease. They are the negative consequences of the disease process.
Investigations xxx
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Treatment
Treatment of Cryptomenorrhea
Simple dilatation of the cervix so as to drain the collected blood is enough. Additionally, In cases of secondary atresia of the vagina, reconstructive surgery is to be performed, to maintain the patency.[1]
Prevention xxx
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Homeopathic Treatment
Homeopathic Treatment of Cryptomenorrhea
Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines selected after a full individualizing examination and case-analysis.
Which includes
- The medical history of the patient,
- Physical and mental constitution,
- Family history,
- Presenting symptoms,
- Underlying pathology,
- Possible causative factors etc.
A miasmatic tendency (predisposition/susceptibility) also often taken into account for the treatment of chronic conditions.
What Homoeopathic doctors do?
A homeopathy doctor tries to treat more than just the presenting symptoms. The focus is usually on what caused the disease condition? Why ‘this patient’ is sick ‘this way’?
The disease diagnosis is important but in homeopathy, the cause of disease not just probed to the level of bacteria and viruses. Other factors like mental, emotional and physical stress that could predispose a person to illness also looked for. Now a days, even modern medicine also considers a large number of diseases as psychosomatic. The correct homeopathy remedy tries to correct this disease predisposition.
The focus is not on curing the disease but to cure the person who is sick, to restore the health. If a disease pathology not very advanced, homeopathy remedies do give a hope for cure but even in incurable cases, the quality of life can greatly improve with homeopathic medicines.
Medicine of Cryptomenorrhea:
Clematis:
Brown discharge, watery flow. In detail, Eczema of the vulva. Sensual itching, aggravated before menses, on the other hand, ameliorated during menses, aggravated after menses. Menses absent, late or short, Blood especially, black, with clotting. Varicocele. Dysmenorrhea. Infrequent menses. Amenorrhea. Metritis. After-pains with laryngitis. Lastly, Vaginitis.
Agnus:
Clinical This drug has been used especially for strumous disorders, enlarged submaxillary glands, leucorrhoeas, with erosions of cervix, which bleed easily, amenorrhoea, burning pain from back to pubis.
Bryonia:
Sticking pains in the region of the liver on touch, coughing or breathing. Specifically, Symptoms of inflammation of the liver and of the diaphragm. Abdomen distended. Additionally, A feeling of something heavy lying in the abdomen. Movements. loud either rumbling or a gurgling and soreness and dragging downward.
Pulsatilla:
Suited to patients of a mild also easy disposition. In detail, Pain in lower part of abdomen and across the small of the back; giddiness, fullness about the head and eyes; chilliness, cold hands and feet; sour taste in the mouth after eating; nausea also vomiting; loss of appetite, with desire for acids, and palpitation; disinclination for exercise, alternate laughing and crying, sadness, melancholy, painfulness of the head; the symptoms are worse in the afternoon and before midnight; whereas symptoms are better in the open air while exercising. pains frequently change from one place to another.
Ustilago:
It is specifically indicated in Cryptomenorrhea. Tenderness of the left ovary, with pain and swelling. Basically, A distress referred to the mouth of the uterus. Yellow, offensive leucorrhoea. Menstruation free, bright, not coagulated. Uterine hemorrhage, bright, thin, with soft, spongy uterus, pain extending to the knees; with tenderness especially, of left ovary. Ovarian neuralgia, left. Membranous dysmenorrhoea. Pain shooting down the legs. Persistent uterine hemorrhage, with oozing of dark blood in clots. All in all, Pain in the left mammary region between periods, with ovarian congestion and burning pains.
Silica:
Colicky pains in the lower abdomen, with straining and increased pain during stool. Constantly hard, greatly distended. Feels thick and heavy like a weight.
Sulphur:
After Puls, when the latter has been insufficient, and in all cases which drag, especially if the patient complains of heat in the head, giddiness, and palpitation, short breath, loss of appetite, sickness after eating, loss of flesh, and depression.[3]
Diet & Regimen
It’s a good idea to avoid foods that cause bloating and water retention. Some of the biggest culprits include:
- fatty foods
- alcohol
- carbonated beverages
- caffeine
- salty foods
Reducing or cutting out these foods can help alleviate cramps and decrease tension. [2]
Do’s and Dont’s xxx
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Terminology xxx
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References
[1] DC DUTTA’s GYNECOLOGY
[2]https://www.thewomens.org.au/health-information/periods/healthy-periods/exercise-diet-periods
[3] A Complete Repertory Of The Tissue Remedies Of Schussler By S. F. Shannon
FAQ
Frequently Asked Questions
What is Cryptomenorrhea?
In cryptomenorrhea, there is periodic shedding of the endometrium and bleeding but the menstrual blood fails to come out from the genital tract due to obstruction in the passage.
Homeopathic Medicines used by Homeopathic Doctors in treatment of Cryptomenorrhea?
- Clematis
- Bryonia
- Pulsatilla
- Ustilago
- Silicea
- Sulphur
What are the symptoms of Cryptomenorrhea?
- Amenorrhea dated back from the events.
- Periodic pain lower abdomen
What are the causes of Cryptomenorrhea?
- Imperforate hymen
- Transverse vaginal septum
- Atresia of upper-third of vagina and cervix
- Stenosis of the cervix following amputation, deep
- Cauterization and conization
- Secondary vaginal Atresia following neglected
- Difficult vaginal delivery
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