Post by Ms B. on Sept 15, 2008 19:14:12 GMT 10
Chronic fatigue syndrome: a hormonal origin?
A rare case of dysmenorrhea membranacea.
A rare case of dysmenorrhea membranacea.
posted 14.9.08 - original article
BACKGROUND: Membranous dysmenorrhea is a rare entity involving
expulsion of fragments of endometrium retaining the shape of the
uterus. The condition is often linked to high progesterone levels. An
association with a chronic fatigue syndrome was never described.
CASE: A 44-year-old woman with a chronic fatigue syndrome (CFS),
presented with membranous dysmenorrhea after taking an oral
contraceptive pill containing ethinylestradiol 0.02 mg and
desogestrel 0.15 mg for 3 months in a continuous regimen as treatment
for dysfunctional bleeding. Oral contraception was discontinued and
she resumed normal menstruations. Remarkably, she mentioned complete
disappearance of the CFS since expulsion of the tissue and started
working again.
CONCLUSION: The occurrence of membranous dysmenorrhea with a
dissolving chronic fatigue syndrome is very rare and was never
described before. This case suggests a hormonal dysfunction as a
possible cause of chronic fatigue syndrome. A review of the
literature on membranous dysmenorrhea is presented.
