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Survey study, 1985

What is the best way to diagnose and measure premenstrual syndrome?

A proper PMS diagnosis requires clear changes in symptom intensity between menstrual and premenstrual phases, measured across at least two cycles. Emotional symptoms are the most common complaint.

Early or limited evidence 241 patients with marked changes in symptom intensity between menstrual and premenstrual phases

What they did

Analyzed data from 241 patients who showed marked symptom changes, comparing four different diagnostic methods: physician interview, symptom questionnaire, daily symptom ratings, and a symptom checklist.

What they found

Premenstrual symptom levels were severe. Some women had moderate symptoms continuing into the early part of the menstrual cycle. Emotional symptoms were predominant across the group.

What it means for you

Proper PMS diagnosis depends on tracking timing and severity over multiple cycles. Some women may have other undiagnosed conditions. This study focused on diagnosis methods rather than testing treatments.

241

Patients studied

4

Diagnostic evaluation methods compared

2

Minimum cycles documented

About the study

Original title
Evaluating premenstrual symptoms in medical practice
Authors
Freeman EW, Sondheimer S, Weinbaum PJ et al.
Journal
Obstetrics and gynecology
Year
1985
Study design
Survey study
Participants
241
What was tested
Comparison of four diagnostic evaluation methods

Topics