What does it stand for?
Premenstrual Syndrome
What is it?
Women notice a change in mood/physical state before their menstrual cycle
Who is it more common in?
Obese
Reduced exercise
Low academia
On HRT
Symptoms:
Mood swings
Irritability
Depression
Bloating
Breast tenderness
Headache
How may it investigated?
Symptom diary filled over 2 cycles
Management:
1st line
Exercise
CBT
Vit B6
Combined pill
SSRI
Management:
2nd line
Estradiol patches + progesterone
Increased SSRI dose
Management:
3rd line - med to put them in temporary menopause
GnRH analogues
Management:
4th line - what surgery
Total hysterectomy + bilateral salpingo-oophorectomy