PMS

Question 1

PMS: key symptoms (6)

Answer 1

Psychological: depression, irritability
Physical: headache, breast tenderness
Behavioural: reduced concentration, aggression

Question 3

PMS: 3 types of PMDs (premenstrual disorders)

Answer 3

Core PMD: non-specific symptoms, luteal phase
Variant PMD: not core PMD, e.g medication induced
PMDD: premenstrual dysphoric disorder (severe, psychological)

Question 4

PMS: explanation of diagnosis

Answer 4

Common condition where you experience symptoms during the luteal phase of your cycle (before your period) where the symptoms resolve when your period begins and is caused by hormone flutuations

Question 5

PMS - risk factors (5)

Answer 5

FH
Stress
Smoking
Alcohol
Mood disorders

Question 6

PMS - aetiology (2)

Answer 6

Sensitivity to progesterone
Effects of progesterone and oestrogen on neurotransmitters (serotonin and GABA)

Question 7

PMS - OTC treatment (2)

Answer 7

Analgesics for pain (headache)
Consider COC for moderate cases (off-label)

Question 8

PMS - lifestyle (6)

Answer 8

Reduce stress - meditation
Diet (balanced, small meals)
Reduce alcohol
Reduce caffeine
Regular exercise
Regular sleep

Question 9

PMS - referral

Answer 9

PMDD
Unresponsive to OTC