2 - Gynae - Menstrual Cycle and its disorders - Premenstrual Syndrome Flashcards
1
Q
% women get Sx? % severely debilitated?
A
95%
5%
2
Q
Hx
- how to diagnose?
- behav changes?
- other Sx?
- what must be r/o?
A
cyclical nature of Sx rather than Sx themselves
irritable, tension, aggression, depression, lost control
GI upset, breast tenderness, bloatedness
depression and neurosis
3
Q
What is the 1st line treatment
if contraception needed?
A
SSRIs efective, continuous or intermittently in 2nd half of cycle
100mcg oestrogen HRT patch
4
Q
refractory disease mgmt? final resort?
A
GnRH agonists w add back oestrogen to induce pseudomenopause
bilat oopherectomy (need combined HRT/COCP for bone and endometrial protection)
5
Q
Other mgmt options?
A
CBT
primrose oil for breasts
pyroxidine (vit B6) and vitex agnus castus extract can help