Premenstrual Symptoms in Women with Premenstrual Asthma

Ensom, Mary H H; Chong, Elaine; Carter, Diana

doi:10.1592/phco.19.6.374.31050

Cited by 32 publications

(34 citation statements)

References 41 publications

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“…To define PMA from a semi-objective viewpoint, we applied the methodology used in studies by ELIASSON et al [1] and ENSOM et al [4]. The study involved drawing up a clinical history protocol and the completion of symptoms questionnaires gathered daily in two consecutive menstrual cycles.…”

Section: Methodsmentioning

confidence: 99%

“…The symptoms questionnaire recorded the presence of coughing, wheezing, tightness across the chest and breathlessness. The daily presence of the symptoms studied was catalogued from zero to three [4,8]. Zero defined the absence of symptoms, one referred to mild symptoms (slight interference with normal activity), two was for moderate symptoms (interference with normal activity without impeding work or school attendance) and three indicated severe symptoms (interference with normal activity leading to absence at work, school or cancellation of appointments).…”

Section: Methodsmentioning

confidence: 99%

“…PMA is considered semi-objective if premenstrual deterioration is .20% of symptoms. This would need to be so in one or two of the menstrual cycles [4,9].…”

Section: Methodsmentioning

confidence: 99%

“…The exacerbation of the respiratory symptoms and/or peak flow (PF) deterioration affects .30% of asthmatic females, according to various studies [1,2]. The most notable asthmatic symptoms evaluated are coughing, wheezing, tightness across the chest and breathlessness [1][2][3][4].…”

mentioning

confidence: 99%

“…While some authors require only the patient's subjective manifestation of the premenstrual deterioration of the asthmatic symptoms, others need a methodology with a series of objective criteria that show premenstrual deterioration of the symptoms or of functional parameters such as PF values [1,4]. Likewise, while some studies require these criteria to be satisfied in one cycle [4], others deem it necessary for them to occur in two consecutive cycles [5].…”

mentioning

confidence: 99%

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Variability in the prevalence of premenstrual asthma

Vega¹,

Sánchez-Ramos²,

Pérez³

et al. 2009

European Respiratory Journal

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Our aim is to analyse the differences in the prevalence of premenstrual asthma (PMA) according to a set of criteria, the relationship between them and the influence of asthma severity.The answer ''Yes'' to ''Does your asthma get worse before menstruation?'' was considered subjective PMA. A daily respiratory symptoms register of fertile asthmatic females was taken during two consecutive menstrual cycles. For the semi-objective diagnosis, an exacerbation of o20% was required in the symptoms register. Objective diagnosis was a premenstrual worsening of o20% of peak flow.We selected 103 patients. Subjective premenstrual deterioration was perceived in 43.7%. The semi-objective deterioration of symptoms in the first cycle occurred in 44.7%, and in 22.3% in both cycles. A total of 54.3% of females with semi-objective criteria in the first cycle perceived a subjective deterioration of symptoms, versus 35.1% of those without semi-objective criteria (p50.05). PMA was present at all levels of asthma severity, with no clear link to the degree of severity.The detection of PMA prevalence, the subjective perception of this deterioration and its presence at all levels of asthma severity lead us to urge research into possible premenstrual deterioration in all fertile asthmatic females.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…PMA is considered semi-objective if premenstrual deterioration is .20% of symptoms. This would need to be so in one or two of the menstrual cycles [4,9].…”

Section: Methodsmentioning

confidence: 99%