PMS Flashcards
1
Q
What does it stand for?
A
Premenstrual Syndrome
2
Q
What is it?
A
Women notice a change in mood/physical state before their menstrual cycle
3
Q
Who is it more common in?
A
Obese
Reduced exercise
Low academia
On HRT
4
Q
Symptoms:
- Psych - 3
- Abdo - 1
- Breasts - 1
- Head - 1
A
Mood swings
Irritability
Depression
Bloating
Breast tenderness
Headache
5
Q
How may it investigated?
A
Symptom diary filled over 2 cycles
6
Q
Management:
1st line
A
Exercise
CBT
Vit B6
Combined pill
SSRI
7
Q
Management:
2nd line
A
Estradiol patches + progesterone
Increased SSRI dose
8
Q
Management:
3rd line - med to put them in temporary menopause
A
GnRH analogues
9
Q
Management:
4th line - what surgery
A
Total hysterectomy + bilateral salpingo-oophorectomy
