• Please log in or register to access this feature.
You have full text access to this OnlineOpen article

Listening to patients with unexplained menstrual symptoms: what do they tell the gynaecologist?

  1. Dawn Echlin1,
  2. Anne S. Garden2,*,
  3. Peter Salmon1

Article first published online: 22 DEC 2003

DOI: 10.1046/j.1471-0528.2002.01474.x

Issue

BJOG: An International Journal of Obstetrics & Gynaecology

BJOG: An International Journal of Obstetrics & Gynaecology

Volume 109, Issue 12, pages 1335–1340, December 2002

Additional Information

How to Cite

Echlin, D., Garden, A. S. and Salmon, P. (2002), Listening to patients with unexplained menstrual symptoms: what do they tell the gynaecologist?. BJOG: An International Journal of Obstetrics & Gynaecology, 109: 1335–1340. doi: 10.1046/j.1471-0528.2002.01474.x

Author Information

  1. 1

    Department of Clinical Psychology, University of Liverpool, UK

  2. 2

    Department of Obstetrics and Gynaecology, Liverpool Women's Hospital, UK

**Correspondence: Dr A. Garden, Department of Obstetrics and Gynaecology, Liverpool Women's Hospital, Crown Street, Liverpool L8 7SS, UK.

Publication History

  1. Issue published online: 22 DEC 2003
  2. Article first published online: 22 DEC 2003
  3. Accepted 24 September 2002

SEARCH

SEARCH BY CITATION

ARTICLE TOOLS

View Full Article (HTML) Get PDF (69K)

References

  • 1
    Simpson M, Buckman R, Stewart M, et al. Doctor–patient communication—the Toronto consensus statement. BMJ 1991;303: 1385–1387.
  • 2
    Salmon P. Patients who present physical symptoms in the absence of physical pathology: a challenge to existing models of doctor–patient interaction. Patient Educ Couns 2000;39: 105–113.
  • 3
    Coulter A, Noone A, Goldacre M. General practitioners' referrals to specialist outpatient clinics. BMJ 1989;299: 304–308.
  • 4
    Fraser IS, Pearse C, Shearman RC, Elliot PM, McIlveen J, Markham R. Efficacy of mefenamic acid in patients with a complaint of menorrhagia. Br J Obstet Gynaecol 1981;58: 543–551.
  • 5
    Higham JM, O'Brien PMS, Shaw RW. Assessment of menstrual blood loss using a pictorial chart. Br J Obstet Gynaecol 1990;97: 734–739.
  • 6
    Royal College of Obstetricians and Gynaecologists. The Initial Management of Menorrhagia. Evidence-Based Clinical Guidelines. London : RCOG Press, 1998 February 1.
  • 7
    Coulter A, Bradlow J, Agass M, Martin-Bates C, Tulloch A. Outcomes of referrals to gynaecology out-patient clinics for menstrual problems: an audit of general practice records. Br J Obstet Gynaecol 1991;98: 789–796.
  • 8
    Vessey MP, Villard-Mackintosh L, McPherson K, Coulter A, Yeates D. The epidemiology of hysterectomy: findings in a large cohort study. Br J Obstet Gynaecol 1992;99: 402–407.
  • 9
    Bridgman SA. Increasing operative rates for dysfunctional uterine bleeding after endometrial ablation. Lancet 1994;344: 893.
  • 10
    Marchant-Haycox S, Salmon P. Patients' and doctors' strategies in consultations with unexplained symptoms: interactions of gynaecologists with women presenting menstrual problems. Psychosomatics 1997;38: 440–450.
  • 11
    Marchant-Haycox S, Liu D, Nicholas N, Salmon P. Patients' expectations of outcome of hysterectomy and alternative treatments for menstrual problems. J Behav Med 1998;21: 283–297.
  • 12
    Salmon P, Marchant-Haycox S. Deciding on surgical treatment in the absence of physical pathology: relationship of patients' presentation to gynecologists' decision for hysterectomy. J Psychosom Res 2001;49: 119–124.
  • 13
    Salmon P, May C. Patients' influence on doctors' behaviour: a case study of patient strategies in somatization. Int J Psychiatry Med 1995;25: 309–319.
  • 14
    Roter DL, Hall JA. Doctors Talking with Patients/Patients Talking with Doctors: Improving Communication in Medical Visits. Westport , Connecticut : Auburn House, 1993.
View Full Article (HTML) Get PDF (69K)