Introduction – A well-established remedy in homeopathic practice, Spigelia anthelmia is primarily recognized for cardiovascular conditions and trigeminal neuralgia. Its role in uterine fibroid management is unknown. Uterine fibroids are common, benign uterine tumors associated with symptoms such as abnormal bleeding, pelvic pain and bladder disturbances. Conventional treatments are usually invasive, with limited long-term fertility preserving options.
Case Presentation – We report the case of a 63-year-old woman with type 2 diabetes who presented with post-void urinary dribbling and lower abdominal heaviness. Ultrasonography revealed a cluster of calcified fibroids (9.1 × 6.8 cm). Based on this striking and uncommon urinary modality, we prescribed the remedy Spigelia anthelmia 30cH: some symptomatic relief occurred within days, and no recurrence has been reported after full resolution of symptoms at 3.5 months. The Modified Naranjo Criteria for Homeopathy (MONARCH) score was +7.
Conclusion – This case highlights a possible role for Spigelia anthelmia in fibroid-related urinary symptoms. Further studies are required to confirm the clinical significance and therapeutic potential of this observation.