ntroduction: Ovarian cyst is an endocrine disorder, more commonly reported in women of reproductive age group. It affects approximately 30% of all women. They may be asymptomatic or produce local discomfort, menstrual disturbances, infertility, or in rare cases, cause acute symptoms due to complications like haemorrhage, rupture or torsion. Hormonal therapy and oral contraceptive pills may be helpful in causing resolution in some cases. The patients are generally advised for surgical intervention in the conventional mode of therapy. Thus, Homoeopathy is the second choice of therapy as it is a simple system of medicine that treats the patient not the disease. We intend to report a case treated with homoeopathic constitutional medicine in women of reproductive age group suffering from bilateral ovarian cysts with a bulky uterus. A 40-year-old female presented with complaints of irregular menstrual bleeding,Case summary: constant dull pain in the lower abdomen and low backache. Ultrasound of the whole abdomen suggested bilateral ovarian cysts with a bulky uterus. Constitutional medicine Pulsatilla nigrican was prescribed on a centesimal scale which showed a positive effect in the case. Causal attribution of changes in her condition to the homoeopathic treatment was depicted by modied Naranjo criteria. Future observational studies and randomized control trials are suggested to ascertain the efcacy of homoeopathy in the case of ovarian cysts.

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