Premenstrual syndrome IA Flashcards
1
Q
when does it occur
A
in the 2nd half of menstrual cycle and often during the first few days
2
Q
what is caused by
A
changes in gonadal steroids during the luteal phase
3
Q
how do patients present
A
somatic, emotional and behvioural complaints
4
Q
what are the somatic symptom
A
breast swelling + tenderness, abdominal bloating, headache, fatigue and constipation
5
Q
what are the emotional symptoms
A
irritability, depression, anxiety and libido changes
6
Q
what are the behavioural symptoms
A
mood swings, food cravings, poor concentration and sensitivity to noise
7
Q
diagnosis
A
hx + physical examination and symptoms free follicular phase for 1week
8
Q
treatment
A
NSAIDs and contraceptive for symptoms relief
• SSRI may be needed in some patients with socioeconomic dysfunction
