Premenstrual Syndrome Flashcards
What is this?
What can it easily be misdiagnosed for?
→ What’s therefore important to find out in the hx?
When do the symptoms present?
What can it occur in response to?
→ What’s this called?
➊ The psychological, emotional and psychical symptoms occuring during the luteal phase of the menstrual cycle, that cause distress/disruption to the pt
➋ Physiological premenstrual symptoms, which most women experience (80-90%). It’s only when it significantly impairs the women that it can be classed as PMS.
→ The severity of symptoms, and the impact they have on the woman’s functioning and quality of life
➌ Before period, and resolves once menstruation starts. Aren’t present before menarche, during pregnancy, or after menopause (Important to find this out information during a hx)
➍ COCP or HRT, containing progesterone
→ Progesterone-Induced Premenstrual Disorder
How does it present?
Management:
What lifestyle advice is given?
What is the 1st line medical option?
➊ * Psychological - Low mood, Anxiety, Mood swings, Irritability, Reduced libido
* Physical – Breast pain, Bloating, Fatigue, Headaches
* Behavioural – Cognitive impairment
➋ Diet, exercise, vit b supplementation, stress reduction
➌ New-generation COCP, which contain Oestrogen + Drospirenone i.e. Yasmin
* This is usually given with a shorter break or no pill-free period as some suffer progestogenic side-effects during the pill-free period
