SYNDROME OF MAJOR MENSTRUAL MOLIMINA WITH HYPERMENORRHEA ALLEVIATED BY TESTOSTERONE PROPIONATE

Abstract

Minor menstrual molimina are accepted universally with resignation by women and as generally unworthy of consideration by the physician. Major menstrual molimina, however, may be so intense as to be manifest as unbearable premenstrual tension which endures from seven to fourteen days. The pent-up strain fortunately finds sudden release with the onset of flow. There remains, however, a group of patients who at first welcome and then dread the profuse and often protracted menstruation that follows. The tense, nerve-wrought and weary patient is further weakened by the loss of blood and finds herself cleft between Scylla and Charybdis. The syndrome of hypermenorrhea with its precursive major menstrual molimina is clear cut and distressing enough to warrant recognition and consideration. The alleviation of this syndrome by testosterone propionate therapy is frequently so striking as to merit this report. REPORT OF CASES Case 1.— A white woman aged 30, a tertipara, had