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- $Unique_ID{BRK01581}
- $Pretitle{}
- $Title{Understanding About Premenstrual Syndrome}
- $Subject{premenstrual symptoms syndrome disorder Genitourinary mental
- emotional hormone hormones hormonal ill defined symptom symptoms concentrating
- nausea mood swings appetite loss crying fatigue backache PMS irritability
- gynecological aerobic exercise diet smoking alcohol disorder menstrual
- menstruate menstruation menstruations menstruating period periods uterus ovary
- ovaries smoke}
- $Volume{E-22,N-14}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Understanding About Premenstrual Syndrome
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- QUESTION: Can you provide me with some understanding about the premenstrual
- syndrome? It seems that this sad situation is discussed whenever I sit down
- with my friends for a chat. There are only two things that we seem sure of,
- everyone has symptoms, and no one seems to know just what to do about them.
- Can you help us? Thank you.
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- ANSWER: Your group seems no different from many others around the country
- where such matters come up for discussion, usually with a hope that some new
- information can be gained. It might be helpful to divide the problems into
- four categories.
- 1: Premenstrual Symptoms. These cover a wide range of complaints,
- enough to fill a page. They may range from difficulty in concentrating to
- nausea, mood swings, loss of appetite, crying, fatigue and backache. More
- than 150 symptoms have been described as being associated with PMS, but a
- listing of some 21 items can be used to evaluate the severity of the problem.
- The fact is that as many as 95 percent of women experience premenstrual
- symptoms at some point, but less than 5 percent have a true premenstrual
- disorder.
- 2: Premenstrual Syndrome. The true PMS consists of two or three
- symptoms, usually mild in nature, and not sufficiently severe to interfere
- with daily functioning.
- 3: Premenstrual Disorder. As defined by the American Psychiatric
- Association, the patient must have five or more symptoms, including one which
- involves mood ("irritability" as an example), and which are severe enough to
- interfere with a woman's ability to care on the daily activity of life.
- In addition there is another category, 4: Premenstrual worsening of a
- chronic condition. Both medical conditions ("asthma" or "allergy" as
- examples) as well as emotional problems ("depression" as an example) may
- become more severe during the premenstrual period.
- A diagnosis is possible when the same symptoms occur over a two month
- period. In order to deal with these situations correctly, a proper work up is
- indicated. While the history is most important, some other disease must be
- ruled out, such as thyroid problems or other medical conditions that may cause
- chronic fatigue. A thorough gynecological evaluation is in order, as well as
- some laboratory tests. While there is no specific test for PMS, the
- laboratory results are useful in detecting other problems that may be confused
- with this syndrome. As with any good medical therapy, the treatment should be
- dictated by the cause. Many types of symptoms associated with PMS may be
- diminished and controlled by appropriate medications. When moods are
- affected, specific medications with mood altering properties may be used. In
- some cases, recognizing the difficulties and attending PMS support groups may
- be enough to achieve significant improvement.
- Of greatest interest (at least to me) was discovering articles in the
- literature that indicate that aerobic exercise is most useful in reducing the
- severity of the symptoms, perhaps because it is also a useful tool in reducing
- stress. Once a regular program has been set up, changing other factors such
- as diet, smoking and alcohol may be addressed as well. Actually the odds are
- all on your side. Of all woman complaining of PMS, only 20 percent are
- actually found to have it when proper analysis is undertaken, and 80 percent
- of these achieve significant improvement when treatments are undertaken.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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