Published 9 March 2009, doi:10.1136/bmj.b867
Cite this as: BMJ 2009;338:b867

Practice

Commentary: Patient’s view

Mrs Barroso, with the support of Sergio Serrano Villar

Correspondence to: S Serrano, resident in internal medicine, Hospital Clinico San Carlos, Madrid 28040, Spain sergio1serrano@yahoo.es

doi:10.1136/bmj.b6doi:10.1136/bmj.b246doi:10.1136/bmj.b247doi:10.1136/bmj.b799doi:10.1136/bmj.b796doi:10.1136/bmj.b846doi:10.1136/bmj.b868

The first 150 words of the full text of this article appear below.

Being involved in this interactive case report has been a rare but interesting experience. My doctors gave me their undivided attention, and it seemed only fair to give something in return, especially when it could help the scientific community to learn about my condition.

Some months before the admission, around the middle of my menstrual cycle I had sudden abdominal pain associated with a feeling of warmth, sweating, and flushing, similar to the symptoms of menopausal women that I know. I was diagnosed as having dysmenorrhoea and told that I would improve with contraceptive drugs.

The next episodes were increasingly intense, but gynaecological tests found nothing that could justify the symptoms. After I fainted during one episode of abdominal pain at the start of menstruation I began to feel afraid of losing consciousness, especially while walking on the street or alone, and I felt depressed as there was nothing I . . . [Full text of this article]


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