Women’s Health

Premenstrual Syndrome: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and mucous membranes [tendency to acne (e.g., acne vulgaris); flushing] Abdominal wall and inguinal region (groin area). Gynecological examination Inspection Vulva (external, primary female sexual organs). Vagina (vagina) … Premenstrual Syndrome: Examination

Polymenorrhea: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Gynecological examination Inspection Vulva (external, primary female sexual organs). Vagina (vagina) Cervix uteri (cervix), or portio (cervix; transition … Polymenorrhea: Examination

Premenstrual Syndrome: Test and Diagnosis

Symptoms of premenstrual syndrome may also occur during premenopause or perimenopause and menopause (menopause) or in association with thyroid disease.Laboratory tests are necessary to rule out other causes of your problems and to make a definite diagnosis.1st order laboratory parameters – obligatory laboratory testsHormone status – cycle diagnostics. 17-beta estradiol* Progesterone Sex hormone-binding globulin (SHBG)* … Premenstrual Syndrome: Test and Diagnosis

Polymenorrhea: Test and Diagnosis

1st order laboratory parameters – obligatory laboratory tests. Small blood count (hemoglobin (Hb), hematocrit (Hct)). Ferritin – if iron deficiency anemia is suspected. HCG determination (human chorionic gonadotropin) 17-beta estradiol Progesterone Laboratory parameters 2nd order – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification. Inflammatory parameters – CRP … Polymenorrhea: Test and Diagnosis

Premenstrual Syndrome: Drug Therapy

Therapeutic target Improvement of symptoms and thus increase in well-being. Therapy recommendations According to the diverse symptomatology of premenstrual syndrome (PMS), there are a variety of different therapeutic measures: Estrogen-progestin combinations (drospirenone (progestin) first-line agent). Selective serotonin reuptake inhibitors (application: second half of the cycle or only on the days of discomfort or also as … Premenstrual Syndrome: Drug Therapy

Polymenorrhea: Drug Therapy

Therapeutic target Normalization of the cycle interval when polymenorrhea is perceived as a burden, leads to anemia (anemia), contraceptive desire (desire to use birth control), chronic anovulation (failure to ovulate), or desire to have children. Therapy recommendations Contraceptive desire (estrogen-progestin combinations: e.g., birth control pills). Chronic anovulation and desire to normalize the cycle interval (progestogen … Polymenorrhea: Drug Therapy

Premenstrual Syndrome: Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Vaginal sonography (ultrasound by means of an ultrasound probe inserted into the vagina) – as basic gynecological diagnostics (in particular, imaging of the ovaries (ovaries) due to possible follicular … Premenstrual Syndrome: Diagnostic Tests

Polymenorrhea: Diagnostic Tests

Obligatory medical device diagnostics. Vaginal ultrasonography (ultrasound examination using an ultrasound probe inserted into the vagina) – to evaluate the genital organs. Abdominal sonography (ultrasound examination of the abdominal organs) – mainly to assess the kidneys, adrenal glands and ovaries (ovaries). Optional medical device diagnostics -depending on the results of the history, physicalexamination, laboratory diagnostics … Polymenorrhea: Diagnostic Tests

Premenstrual Syndrome: Micronutrient Therapy

Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for prevention (prevention): Vitamin D Calcium In the context of micronutrient medicine (vital substances), the following vital substances (macro- and micronutrients) are used for supportive therapy: Vitamin B6 Magnesium Gamma-linolenic acid and linoleic acid Amino acid tryptophan Isoflavones daidzein and … Premenstrual Syndrome: Micronutrient Therapy

Premenstrual Syndrome: Prevention

To prevent premenstrual syndrome (PMS), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Consumption of stimulants Coffee – excessive comsum Alcohol (> 20 g/day) Psycho-social situation Psychological factors – women with neurotic reactions are more prone to premenstrual syndrome.