Gynecology Conditions

Question 1

Premenstrual Syndrome (PMS)

Risk Factor, Sxs (different types of PMS)

Answer 1

Risk factor: caffeine intake, increase with age

Sxs: Abraham Model of Subtypes. All symptoms end with the onset of menses.

PMS-A: Anxiety, irritability, nervous tension. High serum estrogen, low serum progesterone

PMS-C: craving for sweets, increased carbohydrate tolerance

PMS-H: edema, bloating, mastalgia, weight gain. High sodium, water retention

PMS-D: Depression, withdrawal, insomnia, confusion. Low serum estrogen, high progesterone.

Question 2

Premenstrual Syndrome (PMS)

DDX, Evaluation, sequelae, prognosis

Answer 2

DDX: psychiatric syndrome, systemic infection, anemia

Evaluation: Clinical, hormone panel including thyroid

Sequelae: none, but potentially homicide

Prognosis: good, gone with menopause

Question 3

Premenstrual Syndrome (PMS)

Treatment

Answer 3

Whole foods diet, balance omega 3/6 fats, reduce stress

Botanica: Atropa Belladonna, Borago officinalis, Vitex agnus-castus

Homeopathics: Colocynthis, Lachesis, Veratrum