Premenstrual Syndrome

Question 1

Premenstrual Syndrome Definitions

Answer 1

• Distressing psychological symptoms in the absence of underlying psychiatric disease
• Psychological symptoms; irritability, labile affect, anxiety
• Physical symptoms; breast tenderness, bloating, clumsiness
• Distinguished from normal changes by the severity of symptoms

Question 2

Premenstrual Syndrome Aetiology

Answer 2

-Elusive

Question 3

Premenstrual Syndrome RFs

Answer 3

• FHx
• High BMI
• Stress
• Traumatic events

Question 4

Premenstrual Syndrome Presentation

Answer 4

-Symptoms vary between cycles; worsen six days prior last for four days

Question 5

Premenstrual Syndrome Differentials

Answer 5

-Depression, hyperthyroidism, hypomania

Question 6

Premenstrual Syndrome Ix

Answer 6

• Ask patient to keep a symptom diary

- If indicated, examine breast, thyroid, pelvis

Question 7

Premenstrual Syndrome Management

Answer 7

Reassurance, holistic approach

• Offer CBT
• COCP and SSRIs
• If severe; GnRH analogues

Question 8

Premenstrual Syndrome Prognosis

Answer 8

Most women recover