Premenstrual disorders and PMDD - a review
1GP Mattishall Surgery, 15 Dereham Road, Mattishall, East Dereham, Norfolk NR20 3QA, United Kingdom.
Best Practice & Research. Clinical Endocrinology & Metabolism
|January 5, 2024
Summary
Premenstrual disorders (PMDs) are common and challenging to manage. This chapter clarifies diagnosis and treatment, emphasizing multidisciplinary team (MDT) care for severe conditions like premenstrual dysphoric disorder (PMDD).
Area of Science:
- Reproductive psychiatry
- Women's health
- Clinical guideline development
Background:
- Premenstrual disorders (PMDs) present diagnostic and management challenges for healthcare providers.
- These common disorders significantly impact women's quality of life.
- Premenstrual dysphoric disorder (PMDD), a severe PMD, is under-recognized and inadequately treated, despite its functional impact mirroring major depression.
Purpose of the Study:
- To provide clarity on defining, diagnosing, and managing premenstrual disorders (PMDs).
- To offer a practical framework for non-specialists in managing PMDs.
- To highlight the critical role of multidisciplinary team (MDT) care for severe PMDs, including PMDD.
Main Methods:
- Literature review and synthesis of current understanding on PMDs.
- Development of a clinical framework for non-specialist use.
- Emphasis on collaborative care models.
Main Results:
- Challenges in PMD diagnosis and management persist.
- PMDD's significant impact and under-treatment status are confirmed.
- The necessity of structured approaches and MDT involvement is established.
Conclusions:
- Clearer diagnostic and management strategies are needed for PMDs.
- Enhanced recognition and treatment of PMDD are crucial.
- Multidisciplinary team (MDT) care is essential for optimizing outcomes in severe PMDs.
Keywords:
allopregnanoloneconsensushormonalimpactluteal phasepremenstrual disorderpremenstrual dysphoric disorderprospectiverating scaleMore Related Videos
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