On Gynaecologicaldisorders
NORTH LONDON FACULTY SYMPOSIUM* ON GYNAECOLOGICAL DISORDERS IN GENERAL PRACTICE A SURGEON'S VIEW OF GYNAECOLOGICAL DISORDERS IN GENERAL PRACTICE PROFESSOR NORMAN MORRIS, M.D., M.R.C.O.G. Professor of Gynaccology and Obstetrics at Charing Cross Hospital I think it is now generally appreciated that a great number of the gynaecological symptoms ofwhich women complain are psychogenic in origin. Although this view is now widely accepted, a large number of operations are probably still performed for conditions which are not organic in origin. Surgery, of course, can be a rery effective form of " psychotherapy ", albeit rather costly and not infrequently quite disastrous. There are still some who challenge the basis of the psychosomatic approach. They dispute the evidence that is submitted and this is quite understandable, since accurate measurement of the factors involved is extremely difficult. Nevertheless I think they are wrong. Probably the two most frequent gynaecological symptoms related to emotional disturbance are menorrhagia and abdominal pain of one kind or another. This is not to suggest that others such as epimenorrhoea, dysmenorrhoea, vaginal discharge, dyspareunia and backache do not also occur, usually associated with other general symptoms such as tiredness, lack of energy, lack of concentration and insomnia. I believe that a large contributory factor in the development of psychosomatic disorders in women is the utter drudgery of their lives. The inescapable day-to-day routine often tends to sap their personality and reduce them to dull, drab, colourless creatures. Thus they have less and less ability to withstand the effect of emotional upsets. Furthermore, their dulled personalities may actually create domestic troubles with their husbands, children and relatives.
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