Premenstrual Dysphoric Disorder

Question 1

Recurrent variable cluster of troublesome physical and emotional sx that develop during 5 days before the onset of menses and subsides within 4 days after menstruation occurs?

Answer 1

Premenstrual syndrome (PMS)

Question 2

When emotional or mood sx predominate along with physical sx and there is a clear FUNCTIONAL IMPAIRMENT with work or personal relationships. May be thought of as complicated PMS

Answer 2

Premenstrual dysphoric disorder (PMDD)

Question 3

What age group is typically affected by premenstrual dysphoric disorder?

Answer 3

25-40

Question 4

How should a patient with premenstrual dysphoric disorder record their sx?

Answer 4

Diary of all sx for 2-3 months

Question 5

If sx occur throughout the month rather than in the 2 weeks prior to menses, what should you be concerned for?

Answer 5

Depression or other mental health problems

Question 6

How would you treat mild to moderate sx of premenstrual dysphoric disorder?

Answer 6

Aerobic exercise
Reduction in caffeine, salt and alcohol
Increase calcium (1200mg/day)
Vitamin D or magnesium
Increase complex carbs
Alternative therapies

Question 7

What hormonal contraceptives could help lesson premenstrual dysphoric disorder sx?

Answer 7

Combined oral contraceptives
Depo Provera
Nexplanon

Question 8

What kind of medication should you give if mood sx predominate pre menstrual dysphoric disorder?

Answer 8

SSRIs
Paroxetine (paxil)
Sertraline (Zoloft)
Fluoxetine (Prozac)
Fluvoxamine (Luvox)
Escitalopram (Lexapro)