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Evaluating and managing premenstrual syndrome
1New York-Presbyterian Hospital (Westchester Division) and Weill Medical College of Cornell University, NY, USA.
Medscape Women'S Health
|May 3, 2000
Summary
Premenstrual syndrome (PMS) involves cyclical mood and physical symptoms impacting daily function. Diagnosis requires excluding other conditions and assessing symptom severity for appropriate treatment.
Area of Science:
- Gynecology
- Women's Health
- Psychiatry
Background:
- Premenstrual syndrome (PMS) is a common disorder characterized by cyclical physical and mood symptoms.
- Symptoms manifest in the latter half of the menstrual cycle, ceasing with menstruation.
- Diagnosis requires symptoms severe enough to impair daily functioning in various life domains.
Purpose of the Study:
- To define PMS and outline diagnostic criteria.
- To discuss differential diagnoses for PMS.
- To review treatment strategies for PMS.
Main Methods:
- Diagnostic assessment involves thorough medical and psychiatric history.
- Prospective daily symptom ratings are crucial for diagnosis.
- Exclusion of other disorders like depression, anxiety, hypothyroidism, and diabetes is necessary.
Main Results:
- PMS diagnosis necessitates ruling out other conditions and confirming symptom severity.
- Treatment focuses on either suppressing the hormonal cycle or managing specific distressing symptoms.
- Behavioral interventions are recommended before medical therapies.
Conclusions:
- Accurate diagnosis of PMS requires careful evaluation and exclusion of other conditions.
- Treatment decisions should balance symptom severity with potential adverse effects of medical interventions.
- A patient-centered approach is vital in managing PMS, prioritizing behavioral measures first.
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