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Survey study, 2009

Do doctors diagnose and treat PMS the same way in different countries?

No. Doctors in different countries use very different treatments: North America and the UK favour antidepressants called SSRIs, while France uses hormones and painkillers and Germany uses a plant extract. Few doctors diagnose PMS at all despite how common it is.

Early or limited evidence Office-based medical practice in five Western nations

What they did

Researchers analysed health-care practice data from five Western countries to see how often doctors diagnosed PMS or PMDD and what medicines they prescribed.

What they found

Relatively few doctors in any country diagnose PMS despite significant differences between countries. Women diagnosed with PMS usually receive medication regardless of the type of doctor they see. North America and UK doctors follow guidelines recommending SSRIs (antidepressants). French doctors use hormones and pain relief medicines. German doctors commonly prescribe Vitex agnus-castus, a plant extract.

What it means for you

Treatment depends heavily on what country you are in, not just on medical evidence. The study looked only at practice patterns in five Western countries and does not explain why these differences exist.

5

countries studied

About the study

Original title
Diagnosing and treating premenstrual syndrome in five western nations
Authors
Weisz G, Knaapen L
Journal
Social science & medicine (1982)
Year
2009
Study design
Survey study

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