是什么阻止了我们? 在治疗耐药性月经前失调障碍中使用具有稳定激素回归的GnRH类似物:长期治疗的实用指南和风险效益分析
Melissa Wagner-Schuman1,2,3, Alyssa Kania1, Jordan C Barone1
1Department of Psychiatry, University of Illinois at Chicago.
The Journal of clinical psychiatry
|June 21, 2023
概括
治疗耐药的月经前失调障碍 (PMDD) 可以通过淋巴激素释放激素类似物 (GnRHa) 有效管理. 本综述为临床医生提供了指导,以克服在一线治疗失败时为PMDD处方GnRHa的障碍.
科学领域:
- 生殖精神病学和内分泌学
- 情绪障碍和治疗方法
背景情况:
- 月经前失调障碍 (PMDD) 显著影响生活质量,并带有高自杀风险.
- 现有的治疗方法经常失败,使患者出现衰弱的症状和有限的选择.
- 获得经验丰富的提供者,经验丰富的PMDD治疗,如GnRHa往往是有限的.
结论:
- 通过为更广泛的临床医生提供可访问的指南,可以促进对PMDD的GnRHa治疗.
- 这种方法旨在通过扩大治疗选择超出专业生殖精神病学家的范围来改善患者的治疗结果.
- 这篇综述作为评估和治疗PMDD与GnRHa.Ha的入门和指南.
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