PREMENSTRUAL SYNDROME saintfranciscaresaintfranciscare经前期综合征.pptVIP

PREMENSTRUAL SYNDROME Ozgul Muneyyirci-Delale Premenstrual Syndrome Premenstrual Syndrome (PMS) is defined as “the cyclic recurrence in the luteal phase of the menstrual cycle of a combination of distressing physical, psychological, and/or behavioral changes of sufficient severity to result in deterioration of interpersonal relationships and/or interference with normal activities. Nearly 200 symptoms have been associated with this definition and it is the clustering of these signs and symptoms that is the hallmark of PMS. Catamenial The term “catamenial” is derived from the Greek and signifies around menses. In general an instance where a single recognized medical condition presented in the premenstruum was referred to as a catamenial disorder while a cluster of symptoms was referred to as PMS. Premenstrual Magnification Many patients with psychiatric disorders also complain of worsening of their symptoms around the premenstrual phase, called “premenstrual magnification” (PMM). PMS Milder symptoms are believed to occur in about 30% to 80% of reproductive-age women, while severe symptoms are estimated to occur in 3% to 5% of menstruating women. Concordance Rate The concordance rate (if both twins have PMS) was found to be significantly higher in monozygous twins (93%) than dizygous twins (44%) and in non-twin control women (31%). Common Symptoms of PMS Women with PMS Symptom Showing Symptoms (%) Behavioral Fatigue 92 Irritability 91 Labile mood with alternating sadness and anger 81 Depression 80 Oversensitivity 69 Crying spells 65 Social withdrawal 65 Forgetfulness 56 Difficulty concentrating 47 Common Symptoms of PMS(Continued) Physical Abdominal bloating 90 Breast tenderness 85 Acne 71 Appetite changes and food cravings 70 Swelling of the extremities 67 Headache 60 Gastrointestinal upset 48 Differences Between PMS and PMDD Differences Between PMS and PMDD(Conti