Premenstrual Syndrome Flashcards
1
Q
What is PMS? When does it occur?
A
distressing physical, behavioural and psychological sx in the absence of organic or underlying psychiatric disease, regularly occurs in the second half (luteal phase) of the menstrual cycle and significantly improve by the end of menstruation
2
Q
What are the psychological sx?
A
Depressed mood Mood swings Anxiety Irritability Loss of confidence
3
Q
What are the physical sx?
A
bloating
breast pain
4
Q
What are the behavioural sx?
A
reduced cognitive ability
aggression
5
Q
What worsens sx?
A
- Obese
- exercise
- Lower academic achievement
6
Q
What is 1st line rx?
A
- Exercise
- CBT
- Vit B6
- COCP
- SSRIs
7
Q
What is 2nd line rx?
A
- Oestradiol patches
* Higher dose SSRIs
8
Q
What is 3rd line rx?
A
GnRH analogues + HRT e.g. goserelin + Tibolone
