I am giving hereunder two cases of inability to continue pregnancy to full term in women due to positive antigen to Rubella and Cytomegalo virus. The cases came for help if any after consulting the Gynecologists, who declared that due to the Antigens being positive there is no possibility to continue the pregnancy to full term if conception takes place (as the patient informed me).
Case No. 1. A lady aged 26 years, who was bulky, had one female child about the age of 5 years. She was desirous to have one more child. She had miscarriage twice at third month, once in the year 1993 and again in April, 1996. After that she did not conceive till November 1996, therefore she consulted a Gynecologist; who advised her Immunology/Serology test for Torch Profile (IgG), which was conducted on 24 – 11 – 1996: the report was as given below:
Toxoplasma IgG Microassay Titre 183 EU/ml
Greater than 300 EU/ml these high Titre should be considered as indicative of toxoplasmosis. Less than 1% of the normal population has values in this range.
210 to 300 EU/ml indicates fairly recent exposure approx. 10% of the population has values in this range.
45 to 210 EU/ml usually indicates a past exposure but may mean early stages of disease. Up to 30% of the normal population has values in this range.
Less than 45 EU/ml infection very unlikely.
Rubella IgG Microassay Titre 90 EU/ml
Less than 20 EU/ml Negative, non immune.
20 EU/ml or greater Positive, immune.
The identification and immunization of susceptible women is of utmost importance in preventing congenital rubella syndrome. The presence of rubella antibodies is indicative of previous infection and presumptive immunity.
Screening for rubella antibodies by serological methods will establish the immune I a m g i v i n g h e r e u n 0 EU/ml Negative, no previous HSV infection.
Equal to or greater than 20EU/ml Positive, previous or current HSV infection.
Due to shared antigens, infection with one HSV type may produce an anamnestic response with the pre-existing presence of antibody to HSV does not imply protection from disease. For example, previous oral HSV infection does not protect against genital infection.
Prior to this she came to me on 31 – 8 – 1996 and complained that her menses are irregular. Much body pain before the periods. The flow being profuse on the first day and then scanty.
Ustilago 30, few doses set her menses right.
She came to me on 12 – 12 – 1996, again after being disappointed by the Gynecologist’s prognosis. She asked me if Homoeopathy could be of help. I simply told her that there will be no harm in giving a try.
Due to the values of IgG Rubella and C M V IgG being positive it was supposed that the patient might have suppression of measles in her childhood. So a dose of Morbillinum 1 M followed by occasional dose of Pulsatilla 200 was given. She reported on 3 – 3 – 1997 that her period has not appeared though 10 days are over. When the menses did not appear by 12 – 3 - !997 she was advised for urine test for pregnancy. It was found to be positive.
A dose of Morbillinum 1 M was repeated followed by a few doses of Pulsatilla 200 at long intervals.
Unlike previous two occasions the pregnancy this time continued to its full term and she gave birth to a male healthy child.
Case No. 2. A young lady 23 years old came to me for help with the following symptoms:
- Twisting pain in the uterine region for about a year. The pain < after any exertion, < from any jerk.
- P. H. – About a year ago she met with an accident whence she incurred injury in the hypogastrium. She started feeling the pain after the accident.
- Menses very painful. Pain used to be in the hypogastrium, back and calves.
- Flow dark, clotty, copious used to last 6-7 days.
- During menses desire to weep.
- Heaviness and tenderness in breasts during the menses.
- Tendency to coryza with sneezing bouts, < after the menses.
- Feverishness for the past some time.
- A number of times she had preliminary symptoms of measles but the eruption did not appear.
- Miscarried once in fourth month of pregnancy during the month of Oct. 1996.
P. E. – Uterine region hard and tender.
Appetite, thirst, stool, urine, normal.
The lady had no issue so far, hence her parents and husband were quite anxious. Since she had a miscarriage at 4th month so the anxiety was enhanced.
They consulted a Gynecologist who advised serological tests, on 19 – 12 -1996 the result was as under:
IgG antibodies to Toxoplasma negative 8 EU/ml
>10 EU/ml Positive for IgG antibody to toxoplasma gondii and indicates the possibility of current or recent Toxoplasmosis.
<10 EU/ml Negative for IgG antibody to Toxoplasma gondii.
IgG antibodies to Rubella virus positive 32 EU/ml
>15 EU/ml Positive, immune.
<15 EU/ml Negative, non immune.
IgG antibodies to cytomegalo virus positive 144 EU/ml
>30 EU/ml Positive for IgG antibodyto CMV and indicates the probability of current or recent infection.
<30 EU/ml Negative for IgG antibody to CMV.
IgG antibodies to herpes 2 virus negative 12EU/ml
>20 EU/ml Positive. Previous or current HSV infection.
<20EU/ml Negative. No previous HSV infection.
The prognosis of the Gynecologist was the same as in case 1 above.
Therefore her mother brought her to me if Homoeopathy be of help.
31 – 12 – 1996 Arnica 10 M one dose
Kali carb. 30 t. d. s. for a week.
8 – 1 – 1997 Felt > in pain in the hypogastrium. Fever persisted.
Morbillinum 1M one dose
Kali carb.30 contd.
13 – 1 – 1997 Feeling much pain in lumbar region < sitting for some time, < stooping.
Sepia 200 once after every two days.
6 – 2 – 1997 Pain gone. Fever gone.
2 – 3 – 1997 No relapse in pain and fever. Menses did not appear though over due by 11 day.
Urine test for pregnancy was advised, which was positive.
During pregnancy she had some leucorrhoea; otherwise she completed her term safely and delivered a healthy male child.
Discussion – Dr. H. C. Allen, in his Materia Medica of Some Important Nosodes writes under Morbillinum:
“-The well-known symptoms which characterize an attack of measles may be taken as guides for its homoeopathic use.
- Its chief use hitherto has been as a prophylactic against infection, and to clear up after-effects of an attack.”
Practically I have used Morbillnum in 30 and 200 potencies successfully in numerous cases of measles and also as its prophylactic and it worked satisfactorily. So I thought that it should work in these cases where IgG antibodies to Rubella virus were found to be positive. It is the Rubella virus which is supposed to causes an attack of measles. And it worked in both the cases.
Other medicines were given on the basis of the symptoms of the patients.