Flashcards in 2 - Gynae - Menstrual Cycle and its disorders - Premenstrual Syndrome Deck (5):
% women get Sx? % severely debilitated?
-how to diagnose?
-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
What is the 1st line treatment
if contraception needed?
SSRIs efective, continuous or intermittently in 2nd half of cycle
100mcg oestrogen HRT patch
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)