Cytology sampling using brushes
Leng Neoh · Journal of Family Planning and Reproductive Health Care · 2007
A neuromuscular syndrome caused by abnormalities in reproductive hormonesThis letter is intended to inform general practitioners (GPs), specialist doctors and nurses about a syndrome that causes distress and anxiety, from pain as well as from fear of sinister neurological disease.The syndrome is commonwhen known and looked for.I see an average of two patients a week.The syndrome is, to the best of my knowledge, not yet known.This neuromuscular syndrome is caused by abnormalities in female reproductive hormones, abnormalities especially precipitated by hormone replacement therapy (HRT) and contraception.The syndrome is distinct from the menopause and, unless recognised, persists for several years.Women aged between 30 and 60 years are thus referred from orthopaedic, plastic and vascular surgeons, from rheumatologists, neurologists and GPs with symptoms of an unknown neuromuscular disease.From studying 170 patients since 2002, I can report that the syndrome has the following features:G