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Study, 2017

How is severe PMS (PMDD) diagnosed and what treatments do doctors recommend first?

Doctors use specific symptoms to diagnose PMDD. Several treatment options exist, though some common supplements haven't been proven to help.

Early or limited evidence Women of reproductive age with PMS or severe PMS (PMDD)

What they did

Reviewed current information about diagnosing PMS and PMDD and what treatments doctors prescribe.

What they found

Severe PMS (PMDD) is diagnosed when a woman has 5 or more specific symptoms during the week before her period, and these go away a few days after her period starts. This pattern must happen for at least 2 menstrual cycles. Vitamins B6, vitamin E, and calcium have not been confirmed to help. The first treatments doctors prescribe are antidepressants or birth control pills with drospirenone. Doctors also try hormone-related medications. Regular physical activity is recommended as an initial step.

What it means for you

This explains the standard diagnostic criteria doctors use and what they typically prescribe for severe PMS first. The main limitation is that this summarizes existing medical practice, not new research comparing which treatment works best for different women.

5

Symptoms required for PMDD diagnosis

2

Menstrual cycles symptoms must occur in

About the study

Original title
PREMENSTRUAL SYNDROME: CLINICAL PATTERN, DIAGNOSTICS AND THERAPEUTIC APPROACHES
Authors
Lale Guliyeva, Svetlana V Yureneva
Journal
Meditsinskiy sovet = Medical Council
Year
2017
Study design
Study
Participants
5
What was tested
Diagnostic criteria and treatment options
Open access
Yes

Topics