Reproductive Health - Premenstrual Syndrome and Premenstrual Disorder exam

Reproductive Health - Premenstrual Syndrome and Premenstrual
Disorder exam


1. What is premenstrual syndrome (PMS)?: - group of physical, mood-related, and behavioral


symptoms that occur in a regular, cyclic relationship during luteal phase of menstrual cycle

- may interfere with some aspects of patient's life

2. When does PMS resolve?: - resolves usually with onset of menses, but certainly by the end of menses


3. What is molimina?: - normal cyclic symptoms associated with ovulation that do not interfere with daily


routine
- NOT PMS

4. What is Premenstrual Dysphoric Disorder (PMDD)?: At least 5 of 11 possible symptoms:


- At least one core symptom: depressed mood, anxiety or tension, irritability, or decreased interest in activities
(anhedonia)
- Occur regularly during luteal phase of menstrual cycle

5. Is PMS or PMDD MC?: MC is PMS


6. Which cultures have higher rates of PMS and PMDD?: - High rates in Mediterranean

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, cultures and Middle East

7. What are theories for the cause of PMS?: - altered levels of estrogen, progesterone, endorphins,


catecholamines, vitamins, and minerals

8. What is the theory for the cause of PMDD?: Serotoninergic dysregulation:


- Slide

9. What are the MC somatic symptoms of PMS and PMDD?: MC somatic symptoms =


abdominal bloating and fatigue

10. What are other somatic symptoms of PMS and PMDD?: - breast swelling


- mastodynia
- headache
- acne
- digestive upset
- dizziness
- sensitivity to external stimuli
- hot flashes

11. What are the MC behavioral symptoms of PMS and PMDD?: MC = mood lability



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