Premenstrual Dysphoric Disorder Flashcards
What is a recurrent variable cluster of troublesome physical and emotional symptoms that develop during the 5 days before the onset of menses and subsides within 4 days after menstruation occurs?
Premenstrual syndrome (PMS)
What disorder is when emotional or mood symptoms predominate along with the physical symptoms and there is a clear functional impairment with work or personal relationships and may be thought of as complicated PMS?
Premenstrual dysphoric disorder (PMDD)
What intermittently affects about 40% of premenopausal women aged 25-40?
Premenstrual dyphoric disorder (PMDD)
about 5-8% of the symptoms are severe
What intermittently affects about 40% of premenopausal women aged 25-40?
Premenstrual dyphoric disorder (PMDD)
about 5-8% of the symptoms are severe
What is the pathogenesis of PMDD?
it is uncertain
These are all symptoms of what?
- bloating
- breast pain
- ankle swelling
- a sense of increased weight
- skin disorders
- irritability
- aggressiveness
- depression
- inability to concentrate
- libido change
- lethargy
- food cravings
PMDD
When working up a patient for PMDD, advise them to keep a daily diary of all their symptoms for how longs?
2-3 months
True or False
If symptoms occur throughout the month rather than in the two weeks before menses, she may have depression or other mental health problems in addition to PMS/PMDD
True
These are all treatments for mild to moderate symptoms of what?
- aerobic exercise
- reduction of caffeine, salt, alcohol
- increase dietary calcium (1200mg/day)
- Vitamin D or magnesium
- increase complex carbs
- alternative therapies (acupunture or herbal treatments)
PMDD
Medications that prevent ovulation such as what may lessen the symptoms of PMDD?
Hormonal contraceptives’
When mood symptoms of PMDD predominate, what antidepressant medications have been shown to be effective in relieving tension, irritability, and dysphoria?
SSRIs given daily or on symptom days
