Disorders of mensturation

Question 1

Premenstrual syndrome- Eti

Answer 1

• Recurrent cluster of symptoms
• Develop 5 days before menses, subside within 4 days following
• 40 % 25-40 yrs of age
• Severe in 5-8%

Question 2

Premenstrual syndrome- Sx

Answer 2

• Bloating, ankle swelling, increased weight

- Irritability, aggressiveness, inability to concentrate, depression

Question 3

Premenstrual syndrome- Dx

Answer 3

• Record symptoms
• Aerobic exercise, reduce salt, caffeine, alcohol
• Tx severe symptoms with

Question 4

Dysmenorrhea- Eti

Answer 4

Primary- menstrual pain in absence of pathologic findings.

• Increased severity over time 50-75% at some time
• Secondary- Endometriosis or uterine fibroids, PID,

Question 5

Dysmenorrhea- Sx

Answer 5

• Cramping pelvic pain, raidates to back & inner thighs

- N/D/HA, flushing