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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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