Diagnosis and management of premenstrual disorders

O’Brien, Shaughn; Rapkin, Andrea J.; Dennerstein, Lorraine; Nevatte, Tracy

doi:10.1136/bmj.d2994

Cited by 51 publications

(41 citation statements)

References 28 publications

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“…However, women are not passive 'sufferers' of premenstrual change, despite their characterisation as such within biomedical discourse (e.g. O'Brien et al, 2011). Positive premenstrual changes, either alongside negative changes or as the only premenstrual changes experienced, have been reported (Chaturvedi, 1990;Chrisler, et al, 1994), and some self-identified PMS sufferers accept premenstrual change as a normal part of experience, embracing the access to the creative energy and emotions they experience at this time (Ussher and Perz, 2013a).…”

Section: Introductionmentioning

confidence: 94%

Pathology or source of power? The construction and experience of premenstrual syndrome within two contrasting cases

Ussher

Perz

May

2014

Feminism & Psychology

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This research examines the construction and experience of premenstrual syndrome (PMS) in the context of intimate couple relationships, through examination of two contrasting cases analysed using thematic decomposition of narrative interviews. Judith and her male partner pathologised premenstrual change, constructing the premenstrual self as out of control, and the epitome of the 'monstrous feminine'. Judith reported feeling over-burdened and uncontrollably angry premenstrually, associated with relationship issues and absence of partner recognition or support. In contrast, Sophia normalised premenstrual change, challenging the association between PMS and the construction of woman as deviant or dysfunctional. Sophia reported heightened energy and creativity premenstrually, and engaged in self-care supported by her woman partner. These cases demonstrate that premenstrual distress is an intersubjective experience, with constructions and material practices within relationships providing the context for premenstrual women being positioned as pathological and needing to be contained, or conversely, as sensitive and needing support.

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Section: Introductionmentioning

confidence: 94%

Pathology or source of power? The construction and experience of premenstrual syndrome within two contrasting cases

Ussher

Perz

May

2014

Feminism & Psychology

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“…Neither progestins nor progesterone have been proven to be effective in women suffering from PMD and are therefore not generally recommended [1,2,22,27,36]. However, the most recent Cochrane review stated that the (heterogeneous) trials included did not show that progesterone was not an effective treatment for PMS [37].…”

Section: Progestogensmentioning

confidence: 99%

“…The International Society for Premenstrual Disorders (ISPD) has published and updated a consensus paper on premenstrual disorders (PMD) [1][2][3][4]. Accordingly, a core PMD can be distinguished from variants of PMDs (Table 1).…”

Section: Premenstrual Disorders: Definition and Epidemiologymentioning

confidence: 99%

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Interdisciplinary consensus on management of premenstrual disorders in Switzerland

Stute

Bodmer

Ehlert³

et al. 2017

Gynecological Endocrinology

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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.

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“…These symptoms do not interfere with one's personal, social, and professional life (1). By contrast, a woman with a premenstrual disorder, such as premenstrual syndrome (PMS), has premenstrual symptoms that do have a substantial impact on quality of life, with resultant impairment of education/work, interpersonal relationships, and home life (2). Some patients with severe psychological symptoms and a greater dysfunction of social and professional activities also fulfill the American Psychiatric Association (APA) criteria for premenstrual dysphoric disorder (PMDD) (3).…”

Section: Introductionmentioning

confidence: 99%

Premenstrual disorder and the adolescent: clinical case report, literature review, and diagnostic and therapeutic challenges

Akgül

Kanbur

2015

International Journal of Adolescent Medicine and Health

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Objective: The aim of this paper is to present a case with premenstrual dysphoric disorder and to review the diagnosis from an adolescent medicine approach, discussing why diagnosis and treatment must be distinct for this age group and different from the adult approach. Introduction: Premenstrual disorder is a periodic, recurrent, debilitating condition with either physical and/or psychological symptoms that occur during the late luteal phase of the menstrual cycle. Case: We report the case of a 16-year-old female diagnosed with premenstrual disorder. Discussion: Physical signs, behavioral changes, and mood disturbances that occur before menstruation have long been recognized in women, but how well is the disorder defined for adolescents? Due to the unique characteristics of teens, do the current diagnostic criteria appropriately represent this population?

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Diagnosis and management of premenstrual disorders

Cited by 51 publications

References 28 publications

Pathology or source of power? The construction and experience of premenstrual syndrome within two contrasting cases

Pathology or source of power? The construction and experience of premenstrual syndrome within two contrasting cases

Interdisciplinary consensus on management of premenstrual disorders in Switzerland

Premenstrual disorder and the adolescent: clinical case report, literature review, and diagnostic and therapeutic challenges

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