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Clinical and Experimental Obstetrics & Gynecology  2014, Vol. 41 Issue (5): 575-577    DOI: 10.12891/ceog15992014
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The triad of luteal phase ocular migraines, interstitial cystitis, and dyspareunia as a result of sympathetic nervous system hypofunction
J.H. Check1, 2, *(), R. Cohen3
1The University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, Cooper Hospital/University Medical Center, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology & Infertility, Camden
2Cooper Medical School of Rowan University, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology & Infertility, Camden
3Philadelphia College of Osteopathic Medicine, Department of Obstetrics And Gynecology, Philadelphia, PA (USA)
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Abstract  
Purpose: To evaluate whether ocular migraines can be related to sympathetic nervous system hypofunction, especially when associated with interstitial cystitis and dyspareunia. Materials and Methods: Dextroamphetamine sulfate was administered to a 34-year-old woman with a history of long-term interstitial cystitis, dyspareunia, and ocular migraines that were resistant to all other therapies. Results: In a short length of time the sympathomimetic amine therapy almost completely abrogated all of her symptoms and they have remained controlled while she continues on the drug. Conclusions: This is the first report of effectively treating ocular migraines with dextroamphetamine sulfate. The gynecologist should not be afraid to initiate therapy without referral to other specialists, especially if other symptoms of the sympathetic neural hyperalgesia edema syndromes exist, e.g., bladder pain of pelvic origin and dyspareunia.
Key words:  Luteal phase      Ocular migraines      Sympathomimetic amines      Interstitial cystitis      Dyspareunia     
Published:  10 October 2014     
*Corresponding Author(s):  J.H. CHECK     E-mail:  laurie@ccivf.com

Cite this article: 

J.H. Check, R. Cohen. The triad of luteal phase ocular migraines, interstitial cystitis, and dyspareunia as a result of sympathetic nervous system hypofunction. Clinical and Experimental Obstetrics & Gynecology, 2014, 41(5): 575-577.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog15992014     OR     https://ceog.imrpress.com/EN/Y2014/V41/I5/575

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