PMS / PMDD Flashcards
1
Q
Outline options for management of PMS and PMDD
A
Conservative:
- Exercise
- CBT
Medical:
- Complementary: evening primrose oil, calcium supplement
- Vitamin B6
- COCP (drosperinone containing) or SSRI
- HRT (estradiol patch + utrogestan or Mirena)
- GnRH analogue + add-back HRT
- Bone density and CVD precautions/advice/tx
Surgical:
- Hysterectomy, BSO + HRT
