Homeopathic Management of Genital Warts in a Young Woman: A Case Report Highlighting Individualised Totality and Constitutional Prescription

Abstract

Genital warts are anogenital lesions commonly associated with human papillomavirus infection and may present as solitary or multiple papillary growths. The clinical management of such cases requires appropriate diagnosis, counselling regarding transmission, examination of the genital region and consideration of conventional treatment when indicated.

This case describes a young married woman who developed genital warts in the perineal region following sexual contact with a partner with a previous history of recurrent genital warts. The lesion initially appeared as a small wart and subsequently increased after manipulation. The patient experienced itching, particularly with sweating, after gym activity, at night and in hot conditions. She also reported pain and bleeding associated with the use of a jet spray.

The case was approached through individualised case taking, including physical generals, mental generals, personal history, family history and the patient's life-space. The totality included genital excrescences with itching, aggravation from sweat and heat, emotional sensitivity, suppression of emotions, overthinking, desire for order and perfection, concern regarding body odour and a tendency to express anger through crying. Thuja was selected as the constitutional remedy based on the totality.

During follow-up, progressive improvement was recorded, with complete disappearance of the reported wart lesions and resolution of associated itching, pain and dryness. Subsequent clinical examinations documented a normal genital appearance without growth. The patient reported no recurrence or other genital complaints at the latest follow-up.