Abstract
![][1] Her condition was intimate, embarrassing, and, it seemed, intractable. The various creams and tablets I had supplied over the past few months had been exposed as expensive placebos given only to punctuate the passage of time that cures so much of the primary care caseload. We both agreed it was high time for specialist referral. She saw the top man at the nearest teaching hospital, who immediately referred her on to a research fellow with a special interest in the condition. She was offered personal follow up in a dedicated clinic, where she was invited to participate in a research trial sponsored … [1]: /embed/graphic-1.gif