Patient 2: RECURRENT THROAT AND CHEST INFECTIONS, CHRONIC FATIGUE, ANXIETY, SUBFERTILITY, POOR LIBIDO.
Female,
Age 38.
This is a real patient history. Their identification details have been removed to maintain the patient’s privacy.
Initial Presentation – 27/01/19
- Married with one child
- Ongoing tiredness, weight gain, frequent throat and chest infections for 5-6 years.
- HPV Infection
- Unable to conceive for 6 years (after her first child)
- Hypertension
- Poor Libido
- Bloods show higher than normal testosterone
- Abdominal pain and bloating
- Anxious all the time
- Allergies – Nil
- Past Medical History – Depression and anxiety, CIN – 1, Miscarriage in 2015, HT
- Weight – 66kg
- BMI – 27.83
Assessments
- Hypertensive – controlled with three anti-hypertensives
- Dysbiosis Score – 44
- Yeast symptom Score – 187
- Fatigue Score – 127
- Patient did not like to do functional testing due to financial reasons
Review – 03/04/19
- Tired, more depressed and anxious
- Very stressed as she cannot fall pregnant
- Low energy levels
- Insomnia
- Weight – 60.9kg
- Diet changed, supplements added after reviewing her assessment forms
Review – 18/06/19
- Feels much better
- Happy, more energetic
- Patient stopped treatment due to financial reasons
- Advised on smoking cessation, regular exercise and healthy diet
Review – 16/07/19
- Feels very devastated, lack of sex drive, irritability, increased smoking, putting on weight, family stressors, missed periods
- Did not start any treatment as she was found to be pregnant
- She was very happy knowing that. This is 6 years after her first child.