Treatment FAQ

premenstrual syndrome. which treatment to be put into place?

by Dr. Tevin Blanda Published 2 years ago Updated 2 years ago

Selective serotonin reuptake inhibitors (SSRIs) — which include fluoxetine (Prozac), paroxetine (Paxil, Pexeva), sertraline (Zoloft) and others — have been successful in reducing mood symptoms. SSRIs are the first line treatment for severe PMS or PMDD
PMDD
Premenstrual dysphoric disorder (PMDD) is a severe, sometimes disabling extension of premenstrual syndrome (PMS). Although PMS and PMDD both have physical and emotional symptoms, PMDD causes extreme mood shifts that can disrupt daily life and damage relationships.
https://www.mayoclinic.org › pmdd › faq-20058315
. These medications are generally taken daily.
Feb 25, 2022

Medication

Premenstrual Syndrome Treatment & Management 1 Medical Care. Medical care of premenstrual syndrome (PMS) is primarily pharmacologic and behavioral,... 2 Surgical Care. In women who are severely affected, bilateral oophorectomy has been effective in... 3 Diet. Eating four to six smaller meals per day during the premenstrual period may help reduce...

Therapy

Premenstrual syndrome (PMS) is characterized by physical, emotional and behavioural symptoms and usually occurs 5 to 10 days before a menstrual period and usually resolves once the periods begin. There are over 150 symptoms of the condition.

Self-care

Preventing Bloating in Premenstrual Syndrome. Patients are advised to eat small and frequent meals to prevent bloating and fullness. There should be no more than 3 hours between snacks and overeating needs to be avoided. Diet should be low salt and lack fats, alcohol, caffeine and simple sugars.

Nutrition

There are no unique physical findings or lab tests to positively diagnose premenstrual syndrome. Your doctor may attribute a particular symptom to PMS if it's part of your predictable premenstrual pattern.

What are the treatment options for premenstrual syndrome?

What is premenstrual syndrome (PMS)?

How to prevent bloating in premenstrual syndrome?

What tests are used to diagnose premenstrual syndrome?

What is the most useful diagnostic protocol for a woman with premenstrual syndrome?

Prospective questionnaires are the most accurate way to diagnose premenstrual syndrome and premenstrual dysphoric disorder because patients have been found to greatly overestimate the cyclical nature of symptoms, when realistically, they are erratic or simply exacerbated during the luteal cycle.

What medications are sometimes used to treat PMS and PMDD?

To date, fluoxetine and sertraline are the only SSRIs with U.S. Food and Drug Administration (FDA) approval for the treatment of PMDD.

How can I control premenstrual depression?

Lifestyle changesExercise. Try to be active for at least 30 minutes more days of the week than not. ... Nutrition. Try to resist the junk food cravings that can come with PMS. ... Sleep. Not getting enough sleep can kill your mood if you're weeks away from your period. ... Stress. Unmanaged stress can worsen depression symptoms.

Can premenstrual dysphoric disorder be treated?

Antidepressants that slow the reuptake of serotonin provide effective treatment for premenstrual dysphoric disorder (PMDD). These drugs alleviate the symptoms of PMDD more quickly than those of major depression, which means that women don't necessarily have to take the drugs every day.

Which medicine is best for periods?

Over-the-counter pain relievers, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), at regular doses starting the day before you expect your period to begin can help control the pain of cramps.

What is the best medicine for menstrual disorder?

Medications used in the management of menstrual disorders depend on the type of disorder and the etiology of the disorder.Estrogen and progestin combination. Class Summary. ... Nonsteroidal anti-inflammatory drugs (NSAIDs) ... Mineral Supplements. ... Progestins. ... Gonadotropin releasing hormone agonists. ... Antidiabetic agents, biguanine.

What are PMS pills?

Selective serotonin reuptake inhibitors — Selective serotonin reuptake inhibitors (SSRIs) are a highly effective treatment for the symptoms of PMS and PMDD. The SSRIs include fluoxetine (Prozac and Sarafem), sertraline (Zoloft), citalopram (Celexa), and paroxetine (Paxil).

How is PMS diagnosed?

There is no single test for PMS. Your doctor will talk with you about your symptoms, including when they happen and how much they affect your life. You probably have PMS if you have symptoms that: Happen in the five days before your period for at least three menstrual cycles in a row.

How can I stop PMS fatigue?

How to fight pre-period fatigueCreate a healthy bedtime routine. This is especially important in the days leading up to your period. ... Focus on foods with less sugar. ... Prioritize your workout. ... Try Chinese medicine. ... Keep your bedroom cool. ... Stay hydrated. ... Try relaxation techniques.

How is PMDD diagnosed and treated?

How is PMDD diagnosed? Your healthcare provider will take a medical history and evaluate your symptoms. You may need to track your symptoms through one or two menstrual cycles. To diagnose PMDD, your provider will look for five or more PMDD symptoms, including one mood-related symptom.

What type of doctor can diagnose PMDD?

Diagnosis. A diagnosis of PMDD is best made by a licensed mental health professional, such as a psychiatrist or therapist. It is helpful to track symptoms and when they occur.

How does fluoxetine treat PMDD?

Although researchers do not know why the drug helped ease the symptoms, they speculate that it may interact with the brain chemical serotonin, which is thought to trigger symptoms of PMDD when it is off balance. Over-the-counter drugs are available to treat some symptoms of premenstrual syndrome (PMS), Cruzan says.

How many symptoms are there for PMS?

There are over 150 symptoms of the condition.

What are the best pain relievers for women?

Women benefit from pain relievers like Aspirin, Ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs). These help in reducing pain of headaches, back and muscle pain, breast tenderness and pelvic pain.

What is the term for a group of physical and emotional symptoms that women may have in the days before their period?

Premenstrual syndrome (PMS) is a group of physical and emotional symptoms many women may have in the days before their period starts. It is thought to be related to the hormone changes of a woman’s menstrual cycle. Lifestyle changes and sometimes medicines are used to treat PMS.

What are some ways to manage PMS?

Your healthcare provider will consider your age, overall health, symptoms and other factors when finding the best treatment for you. Lifestyle changes and sometimes medicines can help manage PMS symptoms. Medicines include: Water pills (diuretics) before symptoms start to reduce fluid buildup.

What are the symptoms of PMS?

The following are the most common symptoms of PMS. Irritability and mood swings. Trouble sleeping. Anxiety. Bloating and fluid buildup. Constipation or diarrhea. Backache or headache. Tender breasts.

Why does my period stop?

Symptoms usually stop once the period starts. It’s thought to be related to the changing hormone levels of the menstrual cycle. Lifestyle changes and sometimes medicine are used to treat PMS.

What is Premenstrual Syndrome (PMS) all about?

As the name suggests, Premenstrual Syndrome (PMS) are symptoms that a woman faces, typically starting a week or more before her period is due. The symptoms aren’t unique to PMS, but it is the timing of the symptoms that suggests the condition. The symptoms get better once her period has started and it recurs each month.

Symptoms of Premenstrual Syndrome (PMS)

The symptoms of premenstrual syndrome tend to vary from one woman to another. Some of the common symptoms include:

Easing Premenstrual Syndrome (PMS) Symptoms

Symptoms of premenstrual syndrome can be tackled with simple-to-follow routines like:

Premenstrual Syndrome (PMS) Treatment

Treatment for Premenstrual Syndrome (PMS) depends on whether you experience mild or severe symptoms. If the symptoms are mild, you can get relief by making changes to your lifestyle or diet. However, if the symptoms are not relieved, it is advisable to get in touch with a healthcare expert at a facility like Apollo Cradle to get treatment.

How to treat PMS?

Because of the difficulty of treating PMS and the variations in response to treatments experienced by patients, complementary and alternative strategies have been explored for patients with PMS. These include the following: 1 Relaxation response - This technique consists of quiet sitting, progressive muscle relaxation, and the repetition of a constant stimulus, such as the word "one" during each inhale and exhale; practicing for 10-20 minutes daily is recommended 2 Biofeedback and guided imagery 3 Cognitive behavioral therapy and group therapy 4 Light therapy - Bright-light therapy uses 10,000 lx cool-white fluorescent light daily for 30 minutes 5 Massage 6 Chiropractic therapy 7 Homeopathy and herbal medicines - Studies have examined the efficacy of various homeopathic and herbal medicines, including Crocus sativus L (saffron) and Chinese herbal medications; one pilot study found that 90% of patients receiving a homeopathic treatment regimen experienced improvement in symptoms, compared with 37.5% of those receiving placebo [ 39] ; several studies have concluded that some alternative methods may be beneficial in symptom alleviation and that further research is warranted [ 50, 51, 52, 45, 41]

Is PMS pharmacologic or behavioral?

Medical care of premenstrual syndrome (PMS) is primarily pharmacologic and behavioral, with an emphasis on relief of symptoms. [ 22, 23] No single pharmacologic treatment is universally effective, and studies with all therapies have not produced consistent results.

Can PMS be eradicated?

PMS is a very difficult condition to treat and cannot be completely eradicated by any single therapy. It is to be hoped that continued research in this area will lead to better treatment. Previous. Medication. References. Freeman EW, Sondheimer SJ. Premenstrual Dysphoric Disorder: Recognition and Treatment.

Diagnosis

Treatment

Lifestyle and Home Remedies

Preparing For Your Appointment

Medically reviewed by
Dr. Khutaija Bano
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
The syndrome may not require any medical treatment, few lifestyle changes may be sufficient to cope with the syndrome. Pain-relievers and other medication may be used to deal with the physical symptoms.
Medication

Antidepressants: To treat severe PMS. The medication is taken on the days that the symptoms are expected to occur.

Fluoxetine . Sertraline


Nonsteroidal anti-inflammatory drugs (NSAIDs): Recommended if significant physical symptoms are seen.

Ibuprofen


Dietary supplements: To reduce cramps, mood swings, and other symptoms.

Folic acid . Vitamin B-6 . Calcium . Magnesium . Vitamin D


Diuretics: To handle water retention.

Spironolactone

Therapy

Hormone therapy:Birth control pills will help reduce symptoms. It is a combination of 2 hormones a progestin (drospirenone) and an estrogen (ethinyl estradiol).

Self-care

Always talk to your provider before starting anything.

  • Reduce intake of salt and caffeine
  • Practice stress relieving exercises
  • Drink plenty of fluids
  • Get adequate rest

Nutrition

Foods to eat:

  • Have a diet rich in complex carbohydrates and calcium. Salt and salty foods should be limited to reduce bloating and fluid retention.

Specialist to consult

Psychiatrist
Specializes in the branch of medicine concerned with the diagnosis and treatment of mental illness.
Gynecologist
Specializes in the health of the female reproductive systems and breasts.

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