2 - Gynae - Menstrual Cycle and its disorders - Premenstrual Syndrome Flashcards

1
Q

% women get Sx? % severely debilitated?

A

95%

5%

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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

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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

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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)

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5
Q

Other mgmt options?

A

CBT
primrose oil for breasts
pyroxidine (vit B6) and vitex agnus castus extract can help

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