Premenstrual Syndrome and Premenstrual Dysphoric Disorder

Area of Science:

• Reproductive Psychiatry
• Gynecology

Background:

• Premenstrual disorders affect up to 12% of women.
• Distinct diagnoses include premenstrual syndrome and premenstrual dysphoric disorder.
• Symptoms cause significant impairment during the luteal phase, resolving post-menstruation.

Purpose of the Study:

• To outline diagnostic approaches for premenstrual disorders.
• To review effective therapeutic strategies for symptom management.
• To differentiate premenstrual disorders from other conditions.

Main Methods:

• Patient-directed prospective symptom recording is key for diagnosis.
• Differential diagnosis from other psychiatric and physical disorders is essential.
• Therapeutic strategies are tailored for functional improvement.

Main Results:

• Selective serotonergic antidepressants are first-line treatments.
• Antidepressants can be used continuously or during the luteal phase.
• Cognitive behavior therapy shows potential benefit.

Conclusions:

• Accurate diagnosis of premenstrual disorders relies on cyclical symptom patterns.
• Tailored treatment plans are crucial for patient functional improvement.
• Pharmacological and behavioral therapies form the cornerstone of management.