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Related Experiment Videos

Premenstrual syndrome: current knowledge and management.

G E Robinson1

  • 1Department of Psychiatry, Toronto General Hospital, Ont.

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|March 15, 1989
PubMed
Summary

Premenstrual syndrome (PMS) is often self-diagnosed, but research is flawed, causing confusion. Effective treatments remain elusive, though lifestyle changes and some medications may offer relief for premenstrual symptoms.

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Area of Science:

  • Gynecology
  • Psychiatry
  • Epidemiology

Background:

  • Premenstrual syndrome (PMS) is frequently self-diagnosed, leading to diagnostic confusion.
  • Existing research on PMS diagnosis, epidemiology, causes, and treatment is often flawed.
  • There is a lack of scientific evidence supporting links between the premenstrual period and increased violence or other psychiatric illnesses.

Purpose of the Study:

  • To clarify the diagnostic criteria and epidemiological features of premenstrual syndrome.
  • To review the established causes and effective treatment options for PMS.
  • To address common misconceptions and provide evidence-based information on PMS management.

Main Methods:

  • Systematic review of existing literature on premenstrual syndrome.

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  • Analysis of epidemiological data and diagnostic criteria.
  • Evaluation of controlled studies on various PMS treatments.
  • Main Results:

    • No definitive cause for PMS has been established despite numerous theories.
    • Controlled studies have not identified a universally effective treatment for PMS.
    • Conservative management (support, diet, exercise) appears beneficial for most cases.
    • Alprazolam and mefenamic acid may provide some relief for certain individuals.
    • Rectal or vaginal progesterone therapy has demonstrated ineffectiveness and is not recommended.

    Conclusions:

    • The diagnosis and understanding of PMS are hindered by inadequate research.
    • Evidence-based treatment for PMS is limited, emphasizing conservative measures.
    • Certain treatments, like progesterone therapy, have been proven ineffective and should be avoided.