Review, 2004
How should doctors diagnose and treat PMS and PMDD?
Doctors can now diagnose these conditions using specific prospective symptom tracking and have several evidence-based treatments. Antidepressants that increase serotonin, especially when taken only during the luteal phase, work best for severe symptoms.
What they did
Reviewed research on diagnosis and treatment of PMS and PMDD to provide clinicians with practical guidelines.
What they found
Prospective symptom tracking helps diagnose severe symptoms accurately. Antidepressants are the primary treatment for severe symptoms, with most women responding well to luteal phase-only therapy. Ovulation suppression is reserved for women who don't respond to other treatments.
What it means for you
Women with PMS or PMDD should track symptoms prospectively for accurate diagnosis. Most benefit from antidepressants taken only during the second half of the cycle rather than daily use.
About the study
- Original title
- Premenstrual syndrome, premenstrual dysphoric disorder, and beyond: a clinical primer for practitioners
- Authors
- Johnson SR
- Journal
- Obstetrics and gynecology
- Year
- 2004
- Study design
- Review
- What was tested
- Review of PMS and PMDD treatment strategies
- Read the paper
- doi.org/10.1097/01.aog.0000140686.66212.1e
Topics
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