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GYNECOLOGICALENDOCRINOLOGY.PDF

GYNECOLOGICAL ENDOCRINOLOGY ISSN: 0951-3590 (print), 1473-0766 (electronic) Gynecol Endocrinol, Early Online: 1–4 DOI: 10.10802017.1284786 NO: IGYE_A_1284786_O Interdisciplinary consensus on management of premenstrual disorders in Switzerland Petra Stute1, Christine Bodmer2, Ulrike Ehlert3, Roger Eltbogen4, Ankica Ging5, Isabelle Streuli6 and Michael von Wolff1 1Department of Obstetrics and Gynecology, Inselspital, University of Bern, Bern, Switzerland, 2Office for Women’s Health, Bethesda Spital, Basel, Switzerland, 3Institute for Psychology, UZH, Zürich, Switzerland, 4Swiss Society for Phytotherapy, SMGP, Grüental, W?denswil, Switzerland, 5Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland, and 6Unité de médecine de la reproduction et d’endocrinologie gynécologique, HUG, Genève, Geneva, Switzerland Abstract Premenstrual disorders (PMD) can affect women throughout their entire reproductive years. In 2016, an interdisciplinary expert meeting of general gynecologists, gynecological endocrinologists, psychiatrists and psychologists from Switzerland was held to provide an interdisciplinary algorithm on PMD management taking reproductive stages into account. The Swiss PMD algorithm differentiates between primary and secondary PMD care providers incorporating different levels of diagnostic and treatment. Treatment options include cognitive behavioral therapy, alternative therapy, antidepressants, ovulation suppression and diuretics. Treatment choice depends on prevalent PMD symptoms, (reproductive) age, family planning, cardiovascular risk factors, comorbidities, comedication and the woman’s preference. Regular follow-ups are mandatory. Keywords Algorithm, consensus, diagnostic, interdisciplinary expert meeting, premenstrual dysphoric disorder, premenstrual syndrome, Switzerland, treatment 瑞士经前综合征管理的跨学科共识 Petra Stut

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