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Review, 2013

What are the symptoms, diagnosis, and treatment of PMS and PMDD?

PMS and PMDD are diagnosable conditions with clear criteria that respond to treatment. Doctors track symptoms for two months to diagnose them, and effective treatments include medications that suppress ovulation or a class of antidepressants called SSRIs.

Strong study design Review article - not a primary study

What they did

This is a literature review summarizing what is known about PMS and PMDD, including their symptoms, diagnosis, and treatment options.

What they found

Symptoms of PMS and PMDD occur in the late luteal phase and significantly impair daily functioning. A symptom-free interval must exist between the end of menstruation and ovulation. A two-month daily rating of symptoms is required for diagnosis. Premenstrual disorders do not occur without ovulation. Hormonal therapy suppressing ovulation and selective serotonin reuptake inhibitors (SSRIs) are effective treatments. PMS and PMDD can be successfully managed in general practice.

What it means for you

PMS and PMDD are real conditions that doctors in routine care can diagnose and treat effectively. Since the underlying cause is not well known, treatment focuses on managing symptoms rather than addressing a root cause.

2

months of daily symptom tracking required for diagnosis

About the study

Original title
[PMS and PMDD]
Authors
Leminen H, Paavonen J
Journal
Duodecim; laaketieteellinen aikakauskirja
Year
2013
Study design
Review
What was tested
Review article

Topics