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2016 ; 58
(1
): 61-9
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Do female patients with nonpathological vaginal discharge need the same
evaluation as for Dhat syndrome in males?
#MMPMID26985107
Grover S
; Avasthi A
; Gupta S
; Hazari N
; Malhotra N
Indian J Psychiatry
2016[Jan]; 58
(1
): 61-9
PMID26985107
show ga
AIM: The aim of this study was to evaluate the concept of female Dhat syndrome
characterized by the complaint of nonpathological vaginal discharge in
association with somatic, anxiety, and depressive symptoms. MATERIALS AND
METHODS: A total of 26 female subjects with nonpathological vaginal discharge
along with depressive and somatic complaints were assessed on a self-rated
questionnaire modified from Comprehensive Questionnaire for Assessment of Dhat
Syndrome designed for males. They were also assessed for psychiatric comorbidity
as per ICD-10. RESULTS: All female subjects received an ICD-10 psychiatric
diagnosis, with somatoform/dissociative disorder (57.7%) being the most common.
The mean age of onset of vaginal discharge was 24.6 (standard deviation - 7.0)
years, noted every day or for 2-3 times per week by more than two-third of the
participants. Two-fifth (61.5%) of the women described it as a milky discharge.
The most common reason reported for passage of vaginal discharge was that of
urinary infection or problems of urinary tract infections (42.3%) followed by
vaginal infection/disease (34.6%). More than half (53.8%) of the subjects
considered vaginal discharge to be responsible for weakness in the body, weakness
in stamina and thinness of physique, while slightly more than two-third (69.2%)
of them reported bodily weakness and sleep disturbances. Overall the clinical
picture in females was similar to male patients with Dhat syndrome on most of the
account. CONCLUSIONS: Subgroup of patients with vaginal discharge attribute their
somatic and mental symptoms to the passage of whitish vaginal discharge and are
distressed due to the same. The clinical picture is similar to Dhat syndrome in
males. There is a need to recognize female variant of Dhat syndrome as a
culture-bound syndrome. Identification of the same may help in managing this
subgroup of patients seeking help from the gynecologists for their
nonpathological vaginal discharge or from mental health professionals for their
symptoms of common mental disorders.