Subclinical hypothyroidism in postpartum treated with individualized homoeopathic medicine: A case report

Abstract

Introduction: Hypothyroidism is one of the most common endocrine disorder affecting people globally with high incidence. The thyroid gland is hyper stimulated during pregnancy which vary with race, iodine, nutrition and test method resulting changes in thyroid hormone concentrations with trimester specific reference range. Subclinical Hypothyroidism are usually treated with Thyroid Hormone replacement during and after pregnancy, but the long-term hormonal therapy leads to adverse effects.Case summary: A 38-year-old woman presented with complaints of dryness and discomfort in throat and raised TSH levels since her pregnancy with subsequent elevation in the dosage of thyroid replacement therapy for 4 years without any improvement. To avoid long term usage of supplements and its complications, patient opted for Homoeopathic treatment. After a detailed case taking considering the observations, peculiar symptoms and repertorization, Lachesis mutus 30c was prescribed. Within 3-4 months patient TSH levels were reported normal without any hormonal supplements and regular follow ups maintained. The outcome was assessed by the modified Naranjo criteria. Through this case study we could explore the effectiveness of Individualized Homoeopathic medicines which can serve as a better treatment option for the Subclinical Hypothyroidism.