Premenstrual syndrome: symptoms, diagnostics, phytotherapy (clinical lecture)
Premenstrual syndrome is a symptom complex characterized by repeated physical, psycho-emotional, behavioral symptoms that develop into the luteal phase of the cycle (2-14 days before menstruation) and disappear with its onset. The basis of the PMS diagnosis is the cyclical nature of pathological sym...
| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Remedium Group LLC
2020-10-01
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| Series: | Медицинский совет |
| Subjects: | |
| Online Access: | https://www.med-sovet.pro/jour/article/view/5794 |
| _version_ | 1797842193226924032 |
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| author | V. N. Prilepskaya E. R. Dovletkhanova |
| author_facet | V. N. Prilepskaya E. R. Dovletkhanova |
| author_sort | V. N. Prilepskaya |
| collection | DOAJ |
| description | Premenstrual syndrome is a symptom complex characterized by repeated physical, psycho-emotional, behavioral symptoms that develop into the luteal phase of the cycle (2-14 days before menstruation) and disappear with its onset. The basis of the PMS diagnosis is the cyclical nature of pathological symptoms. The PMS diagnosis is established in accordance with ICD-10 criteria based on the analysis of frequency and severity of symptoms over two menstrual cycles. Differential diagnostics of PMS, and especially its most severe form - premenstrual dysphoric disorder, should be carried out first of all with various mental diseases, because in its clinical picture often it is psychoneurological symptomatology that prevails. It is necessary to exclude major depression, dysthymic conditions, generalized anxiety, panic disorder, bipolar diseases. Similar symptoms may have anaemia, autoimmune diseases, hypothyroidism, diabetes, convulsive conditions, endometriosis, chronic fatigue syndrome, and so on. The article notes the need for a comprehensive examination aimed at identifying gynecological and associated extragenital pathology with the involvement of related specialists. The existing recommendations for treatment of PMS, confirmed by randomized controlled studies, demonstrate the effectiveness of not only combined oral contraceptives, but also non-hormonal therapy, including phytopreparation containing the extract of Vitex sacred. Their application has yielded very positive results both in randomized controlled trials and in real clinical practice.At the same time, PMS therapy should take into account the state of general and reproductive health of women, concomitant diseases, tolerance of treatment, etc. These principles should be the basis for prevention, diagnosis and treatment of women with PMS. |
| first_indexed | 2024-04-09T16:43:50Z |
| format | Article |
| id | doaj.art-be6bbe19858142c7a444c80d3db7e1e2 |
| institution | Directory Open Access Journal |
| issn | 2079-701X 2658-5790 |
| language | Russian |
| last_indexed | 2024-04-09T16:43:50Z |
| publishDate | 2020-10-01 |
| publisher | Remedium Group LLC |
| record_format | Article |
| series | Медицинский совет |
| spelling | doaj.art-be6bbe19858142c7a444c80d3db7e1e22023-04-23T06:56:35ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902020-10-0101310611510.21518/2079-701X-2020-13-106-1155267Premenstrual syndrome: symptoms, diagnostics, phytotherapy (clinical lecture)V. N. Prilepskaya0E. R. Dovletkhanova1National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V.I. KulakovNational Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V.I. KulakovPremenstrual syndrome is a symptom complex characterized by repeated physical, psycho-emotional, behavioral symptoms that develop into the luteal phase of the cycle (2-14 days before menstruation) and disappear with its onset. The basis of the PMS diagnosis is the cyclical nature of pathological symptoms. The PMS diagnosis is established in accordance with ICD-10 criteria based on the analysis of frequency and severity of symptoms over two menstrual cycles. Differential diagnostics of PMS, and especially its most severe form - premenstrual dysphoric disorder, should be carried out first of all with various mental diseases, because in its clinical picture often it is psychoneurological symptomatology that prevails. It is necessary to exclude major depression, dysthymic conditions, generalized anxiety, panic disorder, bipolar diseases. Similar symptoms may have anaemia, autoimmune diseases, hypothyroidism, diabetes, convulsive conditions, endometriosis, chronic fatigue syndrome, and so on. The article notes the need for a comprehensive examination aimed at identifying gynecological and associated extragenital pathology with the involvement of related specialists. The existing recommendations for treatment of PMS, confirmed by randomized controlled studies, demonstrate the effectiveness of not only combined oral contraceptives, but also non-hormonal therapy, including phytopreparation containing the extract of Vitex sacred. Their application has yielded very positive results both in randomized controlled trials and in real clinical practice.At the same time, PMS therapy should take into account the state of general and reproductive health of women, concomitant diseases, tolerance of treatment, etc. These principles should be the basis for prevention, diagnosis and treatment of women with PMS.https://www.med-sovet.pro/jour/article/view/5794premenstrual syndromediagnosticsvitex sacredvitex agnus castuscyclodynonmastodynon |
| spellingShingle | V. N. Prilepskaya E. R. Dovletkhanova Premenstrual syndrome: symptoms, diagnostics, phytotherapy (clinical lecture) Медицинский совет premenstrual syndrome diagnostics vitex sacred vitex agnus castus cyclodynon mastodynon |
| title | Premenstrual syndrome: symptoms, diagnostics, phytotherapy (clinical lecture) |
| title_full | Premenstrual syndrome: symptoms, diagnostics, phytotherapy (clinical lecture) |
| title_fullStr | Premenstrual syndrome: symptoms, diagnostics, phytotherapy (clinical lecture) |
| title_full_unstemmed | Premenstrual syndrome: symptoms, diagnostics, phytotherapy (clinical lecture) |
| title_short | Premenstrual syndrome: symptoms, diagnostics, phytotherapy (clinical lecture) |
| title_sort | premenstrual syndrome symptoms diagnostics phytotherapy clinical lecture |
| topic | premenstrual syndrome diagnostics vitex sacred vitex agnus castus cyclodynon mastodynon |
| url | https://www.med-sovet.pro/jour/article/view/5794 |
| work_keys_str_mv | AT vnprilepskaya premenstrualsyndromesymptomsdiagnosticsphytotherapyclinicallecture AT erdovletkhanova premenstrualsyndromesymptomsdiagnosticsphytotherapyclinicallecture |