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Ernest M. Poate, M.D.
JAMA. 1933;100(22):1792-1793. doi:10.1001/jama.1933.02740220058029.
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To the Editor:  —The report of the Council on Pharmacy and Chemistry on "Theelin" (The Journal, April 29) fails to stress one serious danger arising from the careless administration of this substance.Many, if not most, of the disturbances of the female sexual cycle are psychogenic in origin: and all such disturbances must have psychic implications. Dysmenorrhea is extremely common in neurotic women, especially in those who have taken refuge from unconscious sexual conflicts by establishing psychic frigidity.Any medicament which tends to increase the somatic sexual urge in such women (and several observers agree that an increase of libido is an effect from "Theelin") must obviously intensify the conflict which is already almost unbearable. When a woman is already struggling against unadmitted autonomic cravings, and, by dint of psychic frigidity and various functional disturbances has succeeded in establishing an uneasy and partial adjustment, the exhibition of an agent that


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