Premenstrual syndrome (PMS, premenstrual tension syndrome) is a complex of symptoms caused by hormonal changes in a woman's body during certain phases of the menstrual cycle. The symptoms of premenstrual syndrome appear within 2-10 days before menstruation and are themselves immediately after its beginning, or after a few days. Predmenstrualnymu syndrome, according to experts, is subject to 80% of women of the most active age - from 20 to 40 years.
Opinions of doctors differ on whether to treat his pathology, because all changes are usually reversible and disappear on their own after the change of the phase of the menstrual cycle. However, taking into account the fact that the symptoms of premenstrual syndrome can cause considerable suffering to women, it is believed that in the case of a bright severity of the clinical picture, premenstrual syndrome is a medical condition and requires medical correction.
Symptoms of premenstrual syndrome
Symptoms of premenstrual syndrome can be divided into the psycho-neurological and physical, although they are closely linked. The physical symptoms of premenstrual syndrome include: the appearance of swelling of the hands and feet, breast enlargement, the emergence of pain and discomfort in the breast, worse touch, dyspeptic symptoms (bloating, nausea, and in rare cases, vomiting, constipation, or vice versa, increased stool ), headache. Sometimes, it may significantly increase blood pressure.
For the psycho-neurological symptoms of premenstrual syndrome include mood swings, depression, exposure, flash unwarranted aggression, insomnia or conversely, excessive sleepiness. The second title, premenstrual syndrome intensity, well characterized by symptoms of premenstrual syndrome as a whole: this is the tension that has no objective grounds. The woman is tense, irritable, hypersensitive against the general physical malaise.
Depending on the predominance of certain symptoms of premenstrual syndrome, it is divided into four types:
- Edematous form of premenstrual syndrome (dominated by signs of edema, increased sweating);
- Neuropsychiatric form of premenstrual syndrome (leading symptoms - depression or aggression, as well as mood swings and increased chuvstvtitelnost);
- Cephalgic form of premenstrual syndrome (the main feature - a severe headache by type of migraine);
- Krizovoe form of premenstrual tension syndrome (high blood pressure according to the type of hypertensive crisis, culminating in increased urine output).
The symptoms of premenstrual syndrome can have varying degrees of severity, furthermore, every time they can manifest themselves differently in the same woman. However, the factors that distinguish the syndrome premenstrual tension from other diseases, is the dependence of the onset of symptoms of the menstrual cycle, and it is their appearance in the final phase of the cycle and the disappearance of menstruation.
Diagnosis of premenstrual syndrome
Diagnosis of the disease experienced doctor puts on the basis of characteristic symptoms of premenstrual syndrome, and establish a clear manifestation of their dependence on the final phase of the cycle. However, when the expanded bright clinical syndrome premenstrual tension, held endocrinological, neurological and gynecological examination, mainly in order to avoid more serious diseases that at an early stage may have similar symptoms of premenstrual syndrome.
It is mandatory to be appointed following diagnostic measures:
- Gynecological examination;
- A blood test that detects the hormonal balance in the initial and final phase of the cycle;
- Keeping a diary of health for three cycles, it is also organizing a value and can be used for monitoring undertaken by the success of the treatment.
The remaining studies are assigned depending on what the symptoms of premenstrual syndrome are leading. Thus, in the form recommended cephalgic tomography of the skull, the removal of the electroencephalogram. When neuro-psychological form of premenstrual tension syndrome is a psychotherapeutic diagnostics. When edema and krizovoe forms necessary to investigate the cardiovascular system, etc,
Treatment of premenstrual syndrome
The basis for the treatment of premenstrual syndrome is the normalization of lifestyle and nutrition. If you leave the lifestyle that led to the emergence of diseases, without changes, all events for the treatment of premenstrual syndrome will have only a temporary effect.
First of all it is necessary to allocate at least 8 hours a day for sleeping. The day should be an opportunity to organize, to reduce stress to a minimum. One hour a day to spend outdoors, and two or three days a week to engage burdensome sports: yoga, pilates, etc., as premenstrual tension, among other things, caused and lack of physical activity. Power must be complete, at least three times a day, with plenty of fresh fruits and vegetables. Because diet is necessary to exclude all stimulating beverages (strong tea, coffee, tonics), all kinds of fast food, smoked, canned, heavy and fatty foods, sugary sodas. The basis of the diet during premenstrual syndrome should be plant foods and dairy products.
Portal about yoga, fitness classes, healthy eating
, Find like-minded people.
For the vast majority of patients comply with these measures is sufficient for the successful treatment of premenstrual syndrome. Usually within two or three months after bringing the usual lifestyle to a healthier, symptoms of premenstrual syndrome have consequences, or become much less intense.
Drug treatment of PMS is assigned when its manifestations are significant and clearly impair the physical, psychological and social condition of the patient. Treatment of premenstrual syndrome in this case consists of hormonal correction, i.e. reception of synthetic analogues of female sex hormones. Parallel appointed sedative (calming) drugs long course.
The rest of the treatment of premenstrual syndrome is symptomatic, that is aimed at eliminating the leading symptoms. So, edematous form of premenstrual syndrome requires the appointment of diuretics (drugs that increase the excretion of urine and thereby eliminate edema), for the treatment of premenstrual syndrome in the form cephalgic prescribers antispasmodic and analgesic action, etc.
Drug treatment of premenstrual syndrome may be appointed only by a physician after a thorough diagnosis, self-medication in this case is unacceptable and could lead to a sharp deterioration.