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It’s no secret that women are more likely than men to be misdiagnosed by a medical professional. In fact, as many as 57 per cent of women have reported being wrongly diagnosed by a doctor. In 2016, a study found that women have a 50 per cent higher chance than men of receiving a misdiagnosis after a heart attack, while researchers found in 2014 that 33 per cent of women are more likely than men to be misdiagnosed after a stroke. When it comes to women’s health, an explicit gender bias in medicine can lead to serious and sometimes life-threatening results. That’s why Dr Erin Nance, an orthopaedic hand and wrist surgeon located in New York City, has dedicated the month of October to sharing the most commonly misdiagnosed health conditions that affect women. Her series has since gone viral on TikTok, as she discussed how symptoms of rare autoimmune disorders or infertility can present differently in women, leading to a misdiagnosis. For the first video of the series, Dr Nance revealed how postural orthostatic tachycardia syndrome - also known as POTS - affects more than one million people, but is present in mostly women aged 20 to 50. However, Dr Nance explained that POTS is so difficult to diagnose because “we can’t see it”. “This is the group of women that get written off by doctors because they look healthy. There doesn’t seem to be anything wrong with them,” she said. According to the National Institute of Neurological Disorders and Stroke, POTS is a condition in which a reduced volume of blood returns to the heart after someone stands up from a lying down position. As a result, patients with POTS may experience an increased heart rate, dizziness, or fatigue when they stand up after lying down. @littlemissdiagnosed Day 1: It’s me, POTS, I’m the the problem it’s me #littlemissdiagnosed #31for31lmd #pots ♬ original sound - Dr. Erin Nance ?? Dr Nance explained that some other symptoms of POTS include “chronic fatigue, brain fog, total body chronic pain, GI [gastrointestinal] stomach issues, anxiety, headaches, and it can affect any part of your body”. Another difficulty about POTS is that there’s “no specific treatment” to help the condition, Dr Nance said. “We can’t do a biopsy, we can’t do any imaging, there’s no blood test for it,” she added. Instead, doctors may recommend drinking more fluid, exercising regularly, or wearing compression stockings to keep blood flow in the centre of the body. For the 14th day of her video series, Dr Nance received 1.4m views when she spoke about the commonly misdiagnosed symptoms of stroke in women. “Stroke is the third leading cause of death in women,” she began the clip. “Yet, women are over 33 per cent more likely to be misdiagnosed when having an acute stroke.” Dr Nance admitted that most women who experience a stroke are often told by doctors that they simply have anxiety or a migraine. When it comes to the “unique” symptoms of stroke that are present in women, some may experience loss of consciousness or fainting; general weakness; shortness of breath; confusion, unresponsiveness, or disorientation; sudden behavioural change; agitation; hallucination; nausea or vomiting; seizures or even just hiccups. @littlemissdiagnosed Day 14: Stroke is no joke #littlemissdiagnosed #31for31lmd #stroke ♬ original sound - Dr. Erin Nance ?? “These unique symptoms are often the ones that are overlooked,” Dr Nance said, before detailing the individual risk factors that can put women at a greater chance of having a stroke. The first on the list of risk factors was taking birth control pills, followed by pregnancy, hormone replacement therapy, and history of suffering from migraines. “The reason why this is so important for everyone - every normal, everyday person - to know this is because the best outcomes are when women are evaluated and treated within three hours of having this symptom,” Dr Nance added. On day 16, the orthopedic surgeon explained how symptoms of a heart attack can also be wrongfully overlooked by doctors. “More women than men die of heart disease every year, yet women have a 59 per cent increased risk of being misdiagnosed with acid reflux, stress, or anxiety,” Dr Nance said. Besides chest pain, a woman may exhibit signs of a heart attack when she experiences unusual fatigue for several days; sleep disturbances; shortness of breath; lightheadedness; nausea or cold sweats; indigestion or gas-like pain; and pain in the arm, neck, jaw, or back. @littlemissdiagnosed Day 16: It’s not always Big on the Peloton #littlemissdiagnosed #31for31lmd #heartattack #womensheart ♬ original sound - Dr. Erin Nance ?? When it comes to multiple sclerosis (MS), Dr Nance revealed on day 19 of her video series that women are 83 per cent more likely to be misdiagnosed for MS by a doctor. MS is a disease that affects the “myelin” - the protective sheath covering the brain, nerves, and the spinal cord. According to Dr Nance, some of the often-missed signs of MS include extreme fatigue, confusion, forgetfulness, and mood swings. @littlemissdiagnosed Day 19: You’re gonna be okay #littlemissdiagnosed #31for31lmd #ms #multiplesclerosis ♬ original sound - Dr. Erin Nance ?? As for lupus - an autoimmune disease in which the immune system attacks its own tissues, causing inflammation in the body - Dr Nance shared in the 20th video of her series that women between the ages of 15 and 45 are most likely to develop the disorder. “The average time from when you first develop your symptoms to diagnosis is six years,” Dr Nance revealed. @littlemissdiagnosed Day 20: Sneaky little ? #littlemissdiagnosed #31for31lmd #lupus ♬ original sound - Dr. Erin Nance ?? She claimed that 46 per cent of patients report being misdiagnosed with something other than lupus, while “54 per cent of them were told that either nothing was wrong with them or that their symptoms were psychological.” “The main problem with lupus is that the longer you go undiagnosed and untreated, then the greater risk for end organ damages,” she added. The Independent has contacted Dr Nance for comment. 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Erik ten Hag does not believe Antony’s return will be a distraction after Manchester United announced he will resume training and is available for selection amid police inquiries into allegations of abuse against him. The 23-year-old was given a leave of absence on September 10 and returned to England from Brazil earlier this week, before attending a voluntary interview with Greater Manchester Police on Thursday. Antony has always denied the allegations against him and United confirmed on Friday morning the winger will rejoin training and can resume playing Ten Hag’s side. The Premier League club said in a statement: “Since allegations were first made in June, Antony has co-operated with police inquiries in both Brazil and the UK, and he continues to do so. “As Antony’s employer, Manchester United has decided that he will resume training at Carrington, and be available for selection, while police inquiries proceed. “This will be kept under review pending further developments in the case. “As a club we condemn acts of violence and abuse. We recognise the importance of safeguarding all those involved in this situation, and acknowledge the impact these allegations have on survivors of abuse.” United released the statement just over two hours before Ten Hag faced the media to preview Saturday’s match against Crystal Palace. Antony will not be involved in that Premier League encounter but will return to training with the group on the day of the game. “We make the statement, so I refer to the statement,” Ten Hag said. “I think everything has been made clear in the statement. “No, I don’t think it’s a distraction. We focus on the games and he will do as well.” Asked for details on his return, the Dutchman said: “On Saturday, he will be back in the training, so tomorrow. “I have to see (how fit he is), but I think, yeah (he’s fit).” Antony is facing several accusations of physical aggression towards his former girlfriend Gabriela Cavallin, who spoke to Brazilian outlet UOL earlier this month. The winger has denied those allegations, as well as further assault claims made by Rayssa de Freitas and Ingrid Lana. Antony has not been arrested or charged in either Brazil or by GMP and he left the voluntary interview, where he presented evidence to support his strenuous denials, without any restrictions. United will continue to monitor the situation while police enquiries are going on. A spokesperson for the charity Women’s Aid said: “We know that this morning’s news from Manchester United about their player, Antony, returning to training and selection while police inquiries continue will have an impact on survivors of domestic abuse. “We urge the national football organisations to work with specialist services, like Women’s Aid, to provide much-needed guidance for clubs on domestic abuse and the handling of domestic abuse cases. “An informed and consistent approach is vital in order to create a society where domestic abuse is not tolerated and we will be writing to the national organisations to raise this.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Robbie Henshaw waiting for chance due to form of Bundee Aki and Garry Ringrose Matt Fitzpatrick enjoys Ryder Cup birdie run as Europe continue momentum Javan Sebastian: Spell in the ‘normal’ world gave me impetus to succeed in rugby

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