PMS

Question 1

What are 9 symptoms of premenstrual syndrome (PMS)?

Answer 1

1. Mood swings
2. Irritability
3. Anxiety
4. Depression
5. General Dysphoria
6. Associated with a sense of loss of control and inability to cope
7. Bloating
8. Headache
9. Breast discomfort

Question 2

Does premenstrual syndrome (PMS) require a counselling room?

Answer 2

Yes

Question 3

What are the red flags for referral with premenstrual syndrome (PMS)?

Answer 3

If non-pharmacological treatment fails, this may suggest PMS has been exacerbated from underlying anxiety/depression/other pathology

Question 4

Does premenstrual syndrome (PMS) have a PSA self-care card?

Answer 4

No

Question 5

What is the preferred treatment option for premenstrual syndrome (PMS)?

Answer 5

Treatment requires referral to a GP. You should explain that PMS is normal and encourage healthy lifestyle changes. Patients may wish to try a Vitamin B complex, but should be referred to a doctor if they prefer treatment.

Question 6

What are 6 pieces of non-pharmacological advice for premenstrual syndrome (PMS)?

Answer 6

1. Exercise regularly
2. Utilise relaxation techniques
3. CBT
4. Communicate openly with partner
5. Diet modifications: cruciferous vegetables (cabbage, kale, cauliflower, leafy greens) and unprocessed foods
6. Vitamins and supplements: Primrose oil, Vitamin B6, Vitamin E, Calcium, Magnesium

Question 7

Describe the typical pattern of PMS.

Answer 7

PMS is characterised by somatic and psychological symptoms during the luteal phase of the menstrual cycle. These symptoms remit within a few days of menstruation and are absent in the follicular phase of the cycle. Typically, they recur in subsequent cycles.