premenstrual syndrome (PMS) Flashcards
1
Q
what is PMS?
A
the emotional and physical sx women experience in the luteal phase of the normal menstrual cycle
2
Q
what are the emotional sx of PMS?
A
- anxiety
- stress
- fatigue
- mood swings
3
Q
what are the physical sx of PMS?
A
- bloating
- breast pain
4
Q
how is mild PMS managed?
A
lifestyle advice
- sleep
- exercise
- smoking
- alcohol
- regular, frequent (2-3 hourly) small, balanced meals rich in complex carbs
5
Q
how is moderate PMS managed?
A
new-generation COCP e.g. Yasmin (drospirenone 3mg and ethinylestradiol 0.030mg)
6
Q
how is severe PMS managed?
A
SSRI (selective serotonin reuptake inhibitor)
- may be taken continuously or just during luteal phase e.g. days 15-28 of the menstrual cycle
