---
title: How should PMS and PMDD be managed clinically? | Niyora
description: Treatment protocols for PMS are not standardized. Individualized care with psychotherapy appears important, though evidence is still developing.
url: https://niyora.com/research/papers/features-and-clinical-management-of-functional-somatic-syndromes-in-gynecology-2009/
---

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- How should PMS and PMDD be managed clinically?

Review, 2009

# How should PMS and PMDD be managed clinically?

Treatment protocols for PMS are not standardized. Individualized care with psychotherapy appears important, though evidence is still developing.

 Early or limited evidence

Women with PMS and PMDD (clinical review)

## What they did

Narrative review of how doctors manage PMS, PMDD, and chronic pelvic pain in women.

## What they found

PMS and PMDD greatly impact some women's daily functioning. Painkillers help only some patients. Psychotherapy is considered essential. Some women improve with complementary and alternative medicine. Standard management protocols and underlying causes are not yet established.

## What it means for you

There is no one-size-fits-all treatment yet; individualized care including psychotherapy may help. Main limit: narrative review without direct treatment comparisons.

## About the study

Original title [Features and clinical management of functional somatic syndromes in gynecology] Authors Ushiroyama T Journal Nihon rinsho. Japanese journal of clinical medicine Year 2009 Study design Review What was tested None Read the paper [https://pubmed.ncbi.nlm.nih.gov/19768907/](https://pubmed.ncbi.nlm.nih.gov/19768907/)

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Premenstrual dysphoric disorder (PMDD)](https://niyora.com/research/topics/condition-pmdd/)[Pain and headache](https://niyora.com/research/topics/symptom-pain/)[Psychotherapy, counselling and education](https://niyora.com/research/topics/treatment-psychotherapy/)

Research tells you what helps on average. Niyora helps on the day it hits.

Calm down, see it another way, and decide what to say, with a PMS and PMDD app built by a doctor.

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Review, 2024

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