Premenstrual Syndrome

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

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

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

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

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.

Premenstrual Syndrome: Complications

The following are the most important diseases or complications that may be contributed to by premenstrual syndrome (PMS): Psyche – Nervous System (F00-F99; G00-G99). Anxiety – in premenstrual syndrome (PMS) with dysmenorrhea in adolescent girls. Depression – in premenstrual syndrome (PMS) with dysmenorrhea in adolescent girls.

Premenstrual Syndrome: Classification

Classification according to main symptoms Classification Dominant symptoms PMS-A (Anxiety = Anxiety) Anxiety, nervousness, irritability, anger and aggression. PMS-C (Craving = craving) Cravings (especially for sweets)/carbohydrate cravings, increase in appetite, fatigue, lassitude, and headaches PMS-D (depression) Depressed mood, tearfulness, lethargy, and sleep disturbance (insomnia) PMS-H (hyperhydration = water retention. Edema (water retention), weight gain, and … Premenstrual Syndrome: Classification

Premenstrual Syndrome: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate premenstrual syndrome (PMS): General symptoms Cephalgia (headache), possibly in the sense of menstrual migraine (migraine without aura, whose attacks occur in at least two of three cycles in the days around menstruation (period); frequency: about 10-15% of women). Acne tendency (eg acne vulgaris). Constipation (constipation) Flatulence (flatulence) Circulatory … Premenstrual Syndrome: Symptoms, Complaints, Signs

Premenstrual Syndrome: Causes

Pathogenesis (development of disease) To date, it has not been possible to clarify the question of the causes of premenstrual syndrome beyond doubt.The most important causes are hormonal – see under Causes.Furthermore, it is assumed that the serotoninergic system is also involved in the development of the disease. Estrogens have a modulating effect on serotonergic … Premenstrual Syndrome: Causes

Premenstrual Syndrome: Therapy

General measures Wearing a well-fitting bra Nicotine restriction (refraining from tobacco use). Renunciation of alcohol consumption Limited caffeine consumption (max 240 mg of caffeine per day; equivalent to 2 to 3 cups of coffee or 4 to 6 cups of green/black tea). Review of permanent medication due topossible effect on the existing disease. Enough sleep … Premenstrual Syndrome: Therapy