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Review, 1990

What types of premenstrual conditions exist and how should they be treated?

Two main types are recognized: Premenstrual Syndrome and Late Luteal Phase Dysphoric Disorder. Most treatments are still trial-and-error because they have not been properly tested with double-blind studies.

Moderate study design Review of PMS research

What they did

Review of premenstrual syndromes, their diagnosis, and available treatments.

What they found

Premenstrual Syndrome and Late Luteal Phase Dysphoric Disorder are two commonly cited premenstrual syndromes. Research faces challenges including inconsistency between rating scales that ask women to remember symptoms versus ones recorded as they happen, lack of double-blind confirmation of treatment response, and large placebo effects. Treatment remains largely empiric (trial-and-error). Many patients may benefit from psychiatric referral.

What it means for you

There is still limited reliable evidence for most PMS treatments. Doctors may need to try different approaches for different women, and mental health support may help some. The main limit is better research methods are needed.

About the study

Original title
Premenstrual syndromes
Authors
Fitz-Gerald M
Journal
The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society
Year
1990
Study design
Review
What was tested
None (literature review)

Topics