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Related Experiment Videos

Evaluating and managing premenstrual syndrome.

M L Moline1, S M Zendell

  • 1New York-Presbyterian Hospital (Westchester Division) and Weill Medical College of Cornell University, NY, USA.

Medscape Women'S Health
|May 3, 2000
PubMed
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.

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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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