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Review, 2012

How should premenstrual disorders be diagnosed and organized?

An international group of medical experts created a unified system for defining and classifying premenstrual disorders, which separates typical PMS from more complex conditions.

Strong study design International expert consensus group (not a patient study)

What they did

An international group of experts met in Montreal in 2008 to review existing ways of classifying premenstrual disorders and to create a unified system for diagnosis and research.

What they found

They developed a classification system that divides premenstrual disorders into two main categories: typical PMS (called Core PMD) and complex conditions (Variant PMD). Within these, disorders are grouped as mostly physical symptoms, mostly emotional symptoms, or mixed. Four types of Variant PMD were identified: symptoms worsening around menstruation alongside another condition, irregular ovulation, absent menstruation, and medication-related symptoms.

What it means for you

This system provides clearer and more consistent definitions for PMS and related conditions, helping doctors and researchers communicate better. It recognizes that some women have pure PMS while others have mixed health situations.

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Main categories of premenstrual disorder

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Symptom pattern groups

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Types of complex premenstrual disorder

About the study

Original title
Classification of premenstrual disorders as proposed by the International Society for Premenstrual Disorders
Authors
Kadian S, O'Brien S
Journal
Menopause international
Year
2012
Study design
Review
What was tested
None (organizational review)

Topics