Practice diagnosis and treatment of premenstrual syndrome

2021-03-25 12:00 AM

Progesterone and progestogen can be used when partial progesterone deficiency is suspected during the luteum phase of the cycle. Therefore, the treatment is only applicable in the luteum phase.

Some of the physical and psychological symptoms occur 1 to 2 weeks before a woman has her period. These symptoms usually start before or after ovulation and last until menstruation.

About 90% of women experience premenstrual syndrome at some point in their lives. In some cases, symptoms can be so severe that it affects life in life.

Reason

The specific cause has yet to be determined. The following causes are currently suspected but not yet proven:

Changes in the hormones (hormones) oestrogen and progesterone.

Lack vitamin E , vitamin B, magnesium, prosta- glandin.

Diagnose

Physical symptoms often include

Tired.

Whew.

Headache.

Backache.

Lower stomach pain.

Psychological symptoms often include

Depression.

Easy to get angry, angry.

Stress.

It is important to distinguish premenstrual syndrome (with physical symptoms) from premenstrual psychosis (often without physical symptoms) that often develops more and more severe.

Treatment

Psychological support, comfort, and sharing in the person's feelings of frustration can be effective.

Instructing the patient to increase physical activity, increasing the release of endorphins can make symptoms milder and more pleasant.

Pay attention to diet in moderation, complete and nutritional balance, ensure to maintain stable blood sugar concentration.

If medication is to be used, start with vitamin B (pyridoxin), 10mg per day.

Progesterone and progestogen can be used when partial progesterone deficiency is suspected during the luteum phase of the cycle. Therefore, the treatment is only applicable in the luteum phase.

Natural progesterone is poorly absorbed orally, so it is often used anal or vaginal, every day from 100 to 800mg.

Synthetic oral progesterone, such as dydrogesterone 10mg 2 times a day or norethisterone 5mg 3 times a day. Progesterone oral contraceptive pills may also be effective.

Oestrogen can be used when the cause of symptoms is thought to be due to the activity of the ovaries, since oestrogen inhibits ovulation.

100mg estradiol subcutaneous tablet or estradiol transdermal patch (2x100μg) twice a week, combined with an oral progesterone form, such as norethisterone 5mg daily, from day 19-26 of the menstrual cycle period to prevent endometrial hyperplasia.

Mefenamic Acid 250 - 500mg, 3 times a day, can start about 12 days before menstruation, use continuously until menstruation for a few days.

Diuretics are sometimes used to treat fluid in the luteum phase.

Bromocriptine 2.5mg can be used once daily in the luteum phase to treat cyclical breast pain.