PMS & PMDD Lecture Powerpoint Flashcards
let this be easy please
PMS
Cyclic recurrence during the luteal phase of the menstrual cycle of a combination of distressing physical, psychologic, or behavioral changes that interfere with family, social, or work related activities
PMDD
A severe form of PMS that is debilitating, cyclic recurrence during luteal phase of menstrual cycle of combination of markedly depressed mood, feelings of hopelessness, marked anxiety and tesnion, labiality, persistent anger and irritability interfering with family, social, or work related activity
Frequency of pms, frequency of pmdd
75%, 1-10%
ACOG diagnostic criteria for PMS
Presence of at least 1 affective and somatic symptoms in 3 prior menstrual cycles during 5 day period before onset of menses and must adversely affect social or work related activity (often recorded in a symptom diary/log)
PMS is a…
…diagnosis of exclusion, there is no single test to diagnose pms
PMS is theorized to be contributed by these hormones
- Estrogen deficiency
- progesterone deficiency
- Low endorphins
Vitamin t assist with PMS
B6 and magnesium
Seratonin impact on pms
Increases carbohydrate cravings because seratonin levels are not raised enough to trigger craving for protein in the brain
Dietary factors that impact PMS
- Saturated fats make it worse
- sugar and caffeine deplete B vitamins and some minerals
PMS holistic treatment
- diet and exercise
- vitamins
- herbs
- Ginko biloba with caution as it increases bleeding risks
- St John’s Wort with caution if on antidepressant do not take
2 standards of care for PMS
Antidepressants/NSAIDS
PMDD diagnostic criteria
1 year duration of symptoms, 5 or more corresponding symptoms
PMS is primarily ____ symptoms while PMDD is primarily ___ symptoms
Physical, mood
Extreme treatment for PMDD
surgical oophorectomy
