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Review, 1998

What does research say about diagnosing and treating PMS and PMDD?

This review explains that careful symptom tracking and ruling out other conditions are key to diagnosing PMS, and that some promising drug treatments exist for PMDD, though it is unclear if they work as well for milder premenstrual symptoms.

Early or limited evidence Women with PMS or PMDD, discussed generally (no specific study sample)

What they did

This is a review article (not a new study) summarizing the state of research on PMS and PMDD as of 1998, covering diagnosis methods and treatment options.

What they found

The article states that better screening and diagnosis have allowed proper research into causes and treatments. Prospective daily symptom charting and thorough psychiatric and medical evaluation are needed to rule out other conditions. Several promising drug treatments have been studied for PMDD, but it is not yet known if these work for women with milder symptoms or for those whose premenstrual symptoms are really a flare-up of another underlying condition. Treatment may fail if an underlying condition is not addressed first.

What it means for you

For readers, the key message is that an accurate diagnosis, built on daily symptom tracking and checking for other health issues, matters before starting treatment. As a review from 1998, it reflects older evidence and offers no new data of its own.

About the study

Original title
Premenstrual syndrome
Authors
Pearlstein T, Stone AB
Journal
The Psychiatric clinics of North America
Year
1998
Study design
Review
What was tested
None tested directly; reviews existing diagnostic approaches and treatment research

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