| Sumario: | Background: Functional menstrual disorders often arise without structural pathology and are frequently linked with psychological stressors. Homoeopathy, when integrated with psychoanalytic understanding, offers a holistic approach to such conditions. Case Summary: A 23-year-old female presented with complaints of painful menstruation, irregular cycles, and recurrent abortions. The onset of symptoms followed a significant psychosocial transition after marriage. Prominent mental symptoms included anxiety, loquacity, irritability on contradiction, and self-reproach. Based on totality, Lachesis mutus was prescribed. Outcome: The patient showed marked improvement in menstrual regularity, reduction in pain, emotional stability, and subsequently achieved conception. The causal attribution was assessed using the Modified Naranjo Criteria for Homoeopathy (MONARCH), with a score of +9, suggesting a probable causal relationship between the medicine and the clinical outcome. Conclusion: This case highlights the role of psychoanalytic interpretation in homoeopathic prescribing, demonstrating that addressing emotional conflicts can restore physiological balance.
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