BC Pre menstrual Dysmorphic Disorder Flashcards Preview

KZ Obs/Gyne > BC Pre menstrual Dysmorphic Disorder > Flashcards

Flashcards in BC Pre menstrual Dysmorphic Disorder Deck (9)
Loading flashcards...

What is Premenstrual dysphoric disorder (premenstrual syndrome or PMS)

is a combination of physical, emotional, or behavioral symptoms that occur prior to the menstrual cycle and are absent during the rest of the cycle. The symptoms, on occasion, are severe enough to interfere significantly with work and/or home activities.


What causes Premenstrual Dysphoric Disorder

While the cause of premenstrual dysphoric disorder (PMS) is unknown, there are many theories as to the pathogenesis of this condition.


How do you differentiate PDD from PMS

Diagnostic and Statistical Manual (DSM-5)- PDD can be differentiated from premenstrual syndrome (PMS) by the presence of at least one affective symptom, such as mood swings, irritability, and/or depression


Define Premenstrual dysphoric disorder?

The presence of both physical and/or behavioral (including affective) symptoms that occur repetitively in the second half of the menstrual cycle and interfere with some aspects of the woman's life

Severe form of PMS in which symptoms of anger, irritability, and internal tension are prominent.


How do you manage Premenstrual Dysphoric Disorder?

management plan
a)outlining initial management including supportive therapy and counseling on life-style issues (e.g., diet, exercise, stress reduction);
b)considering the use of hormonal therapy for ovulation suppression (e.g., oral contraceptive);
c)outlining indications for selective serotonin reuptake inhibitors in the management of premenstrual dysphoric disorder (PMS).


What are the most common behavioural sx of PMS

labile mood. Other frequent behavioral complaints include irritability, anxiety/tension, sad or depressed mood, increased appetite/food cravings, sensitivity to rejection, and diminished interest in activities.


What are the most common physical manifestations of PDD

physical manifestations of PMS are abdominal bloating and an extreme sense of fatigue. Other common symptoms include breast tenderness, headaches, hot flashes, and dizziness.


What can you use to treat PDD?

SSRI's (demonstrated efficacy), Alprazolan, agents that suppress ovulation


What are three ineffective tx of PDD?

progesterone, vitamin supplements, dietary restrictions