menstruation

Question 1

What is premenstrual syndrome?

Answer 1

• must have at least ONE affective and ONE somatic symptom during the 5 days leading up to menses in each of the 3 prior menstrual cycles
  
  • affective: depression, angry outbursts, irritability, anxiety, confusion, social withdrawal
  • somatic: breast tenderness, bloating, heading, swelling of extremities
• symptoms are relieved within 4 days of menstruation

Question 2

What is premenstrual dysphoric disorder?

Answer 2

• at least 5 of the following 11 symptoms during most menstrual cycles of the last year (with at least 1 of the first 4)

1. depressed mood/hopelessness
2. anxiety/tension
3. affective symptoms
4. anger/irritability
5. decreased interest in activities
6. difficulty concentrating
7. lethary
8. change in appetite
9. hypersomnia/insomnia
10. feeling overwhelmed
11. physical symtoms: breast tenderness, bloating, swelling, headaches, weight gain, joint pain

• symptoms interfere with social/occupational functioning
• symptoms are directly related to menstrual cycle
• present in last 2 cycles

Question 3

What are the stages of puberty?

Answer 3

• boobs, pubes, grow, flow
• adrenarche
• gonadarche
• thelarche
• pubarche
• menarche