Friday, January 07, 2011

Nor will it be easie to inquire the particular reasons of these Ails

In October the British Medical Journal published a review article on Chronic Pelvic Pain in Women. This is a condition for which doctors can often find no physical cause, though modern methods of investigation have gradually added to the list of things that can go wrong; in the meantime psychological morbidity, previous abuse & cultural beliefs are often cited as important causes, & psychological treatment recommended.

In December the BMJ published an article on Investigating & Managing Chronic Scrotal Pain. Many possible causes are mentioned, ‘although in many cases it is idiopathic’. Just one sentence refers to psychological or psychiatric counselling ‘as part of a multidisciplinary approach’, which ‘may help patients to deal with the pain’ in a pain clinic when the doctor, sadly, has to admit that medicine has no other method of treating this awful condition.

Anyone with half a brain could think of half a dozen psycho-sexual explanations for such symptoms in the absence of any discernible physical cause.