PMS_Flashcards
What conservative advice should be offered to all women with premenstrual syndrome (PMS), regardless of severity?
Conservative advice for all women with PMS includes stress reduction, alcohol and caffeine limitation, smoking cessation, regular exercise, regular sleep, regular and frequent small balanced meals rich in complex carbohydrates, and offering pain relief if required.
What pain relief options can be offered for premenstrual syndrome (PMS)?
Pain relief options for PMS include paracetamol or NSAIDs.
What is the recommended treatment for moderate premenstrual syndrome (PMS) that has some impact on personal, social, and professional life?
The recommended treatment for moderate PMS includes the use of the combined oral contraceptive pill (COCP), specifically Yasmin, which can be taken cyclically or continuously.
What oral contraceptive pill has the best evidence base for treating moderate PMS?
Yasmin has the best evidence base for treating moderate PMS.
How can the COCP be taken for treating moderate PMS?
The COCP can be taken cyclically or continuously for treating moderate PMS, with current data preferring continuous use.
What is the recommended treatment for severe premenstrual syndrome (PMS) that causes withdrawal from social and professional activities?
The recommended treatment for severe PMS includes referral for cognitive behavioural therapy (CBT) and the use of SSRIs.
How should SSRIs be administered for severe PMS?
SSRIs for severe PMS can be administered continuously or just during the luteal phase (e.g., days 15-28, depending on cycle length).
What is important to monitor when treating severe PMS with SSRIs?
When treating severe PMS with SSRIs, it is important to closely monitor the treatment response, especially regarding self-harm, and to initially trial the treatment for 3 months.
