Sure but if you look at male outcomes, we are clearly ignoring a lot of real health problems that are deadly, so 66% of males ignoring a less than deadly problem that allows 8 hours of work a day seems more likely than a lot of female hypochondriacs to me.
This argument could be applied to any condition with psychosomatic indicators.
Your suggestion that somatically-involved conditions aren't 'real' is offensive and what gives rise to the stigma that means we can't talk about this in the first place.
There's no telling what's real once you are willing to go down that route, least of all a doctors opinion. If someone stops displaying symptoms that could just be a non blinded doctor and a placebo.
I think the offense is going there without any double blinded science and then relying on non reproducible fields of research to annoy the patient.
