PMDD

Question 1

definition of PMDD

Answer 1

• premenstrual dysphoric disorder
• dysphoric symptoms limited to the luteal phase; typically with severe form of Premenstrual syndrome (PMS)
• severe symptoms

Question 2

what are lifestyle modifications?

Answer 2

• daily aerobic exercise

- some dietary modifications may be helpful: reduced caffeine, increased carbs, supplement with calcium and vitamin B6

Question 3

pharmacologic therapy

Answer 3

SSRI or SNRI- either continuous or in luteal phase only
COCs
GnRH agonists

Question 4

surgicla therapy

Answer 4

if refractory to everything - can do oopherectomy; need to prove with gnrh agonist before than symptoms would improve