{"paper_id":"a1e75488-4ab4-4607-9161-34edef7cd620","body_text":"- Menstrual Problems for the MRCOG and Beyond\n- Series page\n- Menstrual Problems for the MRCOG and Beyond\n- Copyright page\n- Contents\n- Abbreviations\n- Preface\n- Editors\n- Contributors\n- 1 Introduction\n- 2 Excessive menstrual bleeding\n- 3 Investigation\n- 4 Medical management of excessive menstrual bleeding\n- 5 Surgical management of menstrual problems\n- 6 Uterine fibroids and heavy menstrual bleeding\n- 7 Dysmenorrhoea\n- 8 Endometriosis\n- 9 Chronic pelvic pain\n- 10 Delayed menarche\n- 11 Premature ovarian failure\n- 12 Polycystic ovary syndrome\n- 13 Premenstrual syndrome\n- Index\nPublished online by Cambridge University Press: 05 June 2014\nBook contents\n- Menstrual Problems for the MRCOG and Beyond\n- Series page\n- Menstrual Problems for the MRCOG and Beyond\n- Copyright page\n- Contents\n- Abbreviations\n- Preface\n- Editors\n- Contributors\n- 1 Introduction\n- 2 Excessive menstrual bleeding\n- 3 Investigation\n- 4 Medical management of excessive menstrual bleeding\n- 5 Surgical management of menstrual problems\n- 6 Uterine fibroids and heavy menstrual bleeding\n- 7 Dysmenorrhoea\n- 8 Endometriosis\n- 9 Chronic pelvic pain\n- 10 Delayed menarche\n- 11 Premature ovarian failure\n- 12 Polycystic ovary syndrome\n- 13 Premenstrual syndrome\n- Index\nPremenstrual syndrome (PMS) is a common problem which can markedly interfere with normal life. Most women have one or more emotional or physical symptoms in the premenstrual phase of the menstrual cycle. The diagnosis of PMS and premenstrual dysphoric disorder (PMDD) requires daily charting of symptoms over two or three menstrual cycles because of the variability of symptoms. Understanding the woman's problems is essential and indeed may be the most therapeutic option. The one consistent factor in randomized controlled trials on any of the PMS treatments is the very high placebo response - about 60% improvement. Selective serotonin reuptake inhibitors (SSRI) have been proven safe and effective for the treatment of PMDD. Suppression of ovulation using hormonal therapies is an alternative approach to treating PMDD when SSRIs or second-line psychotropic agents are ineffective. Herbal and vitamin supplementation, and complementary and alternative medicine have been evaluated for use in PMS/PMDD.\n- Type\n- Chapter\n- Information\n- Menstrual Problems for the MRCOG and Beyond , pp. 139 - 146Publisher: Cambridge University PressPrint publication year: 2014\nAccessibility compliance for the HTML of this chapter is currently unknown\nand may be updated in the future.\nTo save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.\nNote you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.\nFind out more about the Kindle Personal Document Service.\n- Premenstrual syndrome\n- Book: Menstrual Problems for the MRCOG and Beyond\n- Online publication: 05 June 2014\nTo save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.\n- Premenstrual syndrome\n- Book: Menstrual Problems for the MRCOG and Beyond\n- Online publication: 05 June 2014\nTo save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.\n- Premenstrual syndrome\n- Book: Menstrual Problems for the MRCOG and Beyond\n- Online publication: 05 June 2014","source_license":"CC0","license_restricted":false}