Flashcards in 2 - Gynae - Menstrual Cycle and its disorders - Premenstrual Syndrome Deck (5):
1
% women get Sx? % severely debilitated?
95%
5%
2
Hx
-how to diagnose?
-behav changes?
-other Sx?
-what must be r/o?
cyclical nature of Sx rather than Sx themselves
irritable, tension, aggression, depression, lost control
GI upset, breast tenderness, bloatedness
depression and neurosis
3
What is the 1st line treatment
if contraception needed?
SSRIs efective, continuous or intermittently in 2nd half of cycle
100mcg oestrogen HRT patch
4
refractory disease mgmt? final resort?
GnRH agonists w add back oestrogen to induce pseudomenopause
bilat oopherectomy (need combined HRT/COCP for bone and endometrial protection)
5