Chronic fatigue syndrome (CFS) is characterised by:

  • severe, disabling fatigue and other symptoms including
  • sleep disturbance,
  • impaired concentration,
  • headaches musculoskeletal pain
  • It has been shown that the function of the brain is affected in the disorder.

It is more prevalent in women than men and may have a hormonal component.  Some women with CFS have cyclical symptoms with increased problems before their periods mimickingPMS.

It is a common condition affecting 0.2-3% of the population depending on the assessment criteria used.

Typically, there is significant fatigue for more than six months usually following an episode of stress, injury or infection.

There is no specific diagnostic test.

Treatment

Some women with CFS have relatively low oestrogen levels although so far an evaluation of oestrogen supplementation has yet to be provided.

There has also been a suggestion that androgen supplementation may find a role in treatment.

Antidepressants may help depression, insomnia and muscle pain.

Steroids, magnesium injections and oil of evening primrose treatments do not seem to be of significant benefit.

There is some evidence that an exercise programme may be beneficial.

Many patients with CFS slowly improve with time although others do not.

There is still a lot to be studied but the condition is gradually receiving clinical recognition.


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Women's Health


This is the personal website of David A Viniker MD FRCOG, retired Consultant Obstetrician and Gynaecologist - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.

I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.

The aim of this web site is to provide a general guide and it is not intended as a substitute for a consultation with an appropriate specialist in respect of individual care and treatment.

David Viniker retired from active clinical practice in 2012.
In 1999, he setup this website - www.2womenshealth.com - to provide detailed
information many of his patients requested. The website attracts thousands of visitors every day from around the world.
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