Pms

1. Menstrual Disorders: Premenstrual Syndrome (PMS) Health Services TasTAFE Health Services www.tastafe.tas.edu.au

2. Premenstrual Syndrome (PMS) Premenstrual Syndrome, commonly referred to as PMS, is categorised as a group of symptoms linked to a woman’s menstrual cycle. PMS can affect reproductive women of any age and commonly occurs 1-2 weeks before the menstrual cycle. PMS is experienced at varying degrees; for some women PMS is mild, for other women PMS is severe . However for most women, PMS is relieved by the onset of menses.

3. Premenstrual Syndrome (PMS): Signs There are a variety of symptoms women experience with PMS, and symptoms may vary from woman to woman. Symptoms include: Acne Swollen or tender breasts Feeling tired Trouble sleeping Upset stomach, bloating, constipation, or diarrhea Headache or backache Appetite changes or food cravings Joint or muscle pain Trouble with concentration or memory Tension, irritability, mood swings, or crying spells

4. The patient may also demonstrate psychologically symptoms include: Depression Anxiety Irritability Behavioral changes. Premenstrual Syndrome (PMS): Signs

5. PMS can increase with age; younger women experience less episodes of PMS that that of older women. Most medical complaints of PMS is by women in their 30’s. Premenstrual Syndrome (PMS)

6. Patient history Physical examination Depending on the symptom pattern, blood studies may be required including: Thyroid hormones Glucose tests Psychosocial evaluation is helpful to exclude emotional illness that exasperates the symptoms. Premenstrual Syndrome (PMS): Assessment

7. The patient may be required to make some lifestyle changes to reduce symptoms including: An integrated program of regular exercise 3-5 times each week. Reduce stress A voidance of caffeine A diet emphasizing complex C arbohydrates and increase water intake. Foods high in simple sugars should be avoided Limit intake of alcohol. Stop smoking Premenstrual Syndrome (PMS): Treatment

8. Vitamins and mineral supplements including: Multivitamin daily Vitamin E,400units daily Calcium, 1,200mg daily Magnesium, 200-400mg daily Drug therapy (should be used cautiously): NSAIDs taken a week prior to menses Oral contraceptives ( low doses) Antidepressants Anxiolytics Diuretics Premenstrual Syndrome (PMS): Treatment

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