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Review, 1985

What is the best approach to treating PMS?

Start with reassurance, dietary changes, and regular exercise. If that does not work, add vitamin B6, and optionally vitamin E or zinc. If still not effective, add a diuretic or natural progesterone. For very resistant cases, bromocriptine or danazol may be considered.

Early or limited evidence General review of PMS treatment

What they did

This is a review article summarizing treatment tactics for PMS based on published literature and clinical experience.

What they found

PMS is very common and usually treatable. For most patients, reassurance, diet changes, and exercise are sufficient. Various medications can be added if initial treatment fails. Dietary changes may take 3 to 6 months to show maximum benefit.

What it means for you

Treatment should be individualized based on what works for each patient. Lifestyle measures should be tried first. Diuretics are easier to use and less expensive than progesterone. The research quality on most treatments is mixed, so recommendations are based partly on clinical experience.

3-6 months

time for dietary therapy to work fully

About the study

Original title
Premenstrual syndrome. Tactics for intervention
Authors
Havens C
Journal
Postgraduate medicine
Year
1985
Study design
Review
What was tested
Multiple treatment options reviewed

Topics