2 - Gynae - Menstrual Cycle and its disorders - Premenstrual Syndrome Flashcards Preview

CP2 > 2 - Gynae - Menstrual Cycle and its disorders - Premenstrual Syndrome > Flashcards

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

Other mgmt options?

CBT
primrose oil for breasts
pyroxidine (vit B6) and vitex agnus castus extract can help

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