Pre-menstrual syndrome Flashcards
1
Q
What is PMS?
A
A spectrum of physical and emotional symptoms that start after ovulation, resolve with period, impact daily life and affect wellbeing
2
Q
How common is PMS?
A
Affectes 40% of people who can menstruate
3
Q
What does PMDD stand for?
A
Pre-menstrual dysphoric disorder
4
Q
What is PMDD?
A
A form of severe PMS resulting in a mood disorder
5
Q
What are some signs and symptoms of PMS?
A
- Skin problems - E.g. Acne
- Bloating, gas, abdominal pain
- Breast tenderness
- Swelling in feet and hands
- Headache
- Fatigue
- Food cravings
- Irritation, mood swings and anger
- Social anxiety and isolation
- Lack of focus
- Depression and anxiety
- Changes in sexual desire
- Altered sleeping patterns
- Crying phases
6
Q
How is PMS diagnosed?
A
History and PMS diary and checklists
Therapeutic trial of ovulation suppression
7
Q
How can PMS be managed conservatively?
A
- Exercise, relaxation, yoga, breathing, healthy diet, sleep hygiene, alcohol avoidance
- CBT
8
Q
How can PMS be managed medically?
A
- Vitamin B6
- Combined hormonal contraception
- Low dose SSRI
- Estradiol patches with Mirena IUD or cyclical progesterone
- High dose SSRI
- GnRH analogue injections
