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Premenstrual syndrome
Alternate Names : PMS
Symptoms & Signs
A wide range of physical or emotional symptoms have been associated with PMS. By definition, symptoms are considered to be PMS-related if they occur during the second half of the menstrual cycle (14 days or more after the first day of the menstrual period) and are absent for about 7 days after a menstrual period ends (during the first half of the menstrual cycle).
The most common symptoms include: Other symptoms include: - Anxiety or panic
- Confusion
- Difficulty concentrating
- Forgetfulness
- Poor judgment
- Depression
- Irritability, hostility, or aggressive behavior
- Increased guilt feelings
- Fatigue
- Slow, sluggish, lethargic movement
- Decreased self-image
- Sex drive changes, loss of sex drive
- Paranoia or increased fears
- Low self-esteem
Diagnosis & Tests
There are no physical examination findings or lab tests specific to the diagnosis of PMS. It is important that a complete history, physical examination (including pelvic exam), and in some instances a psychiatric evaluation be conducted to rule out other potential causes for symptoms that may be attributed to PMS. A symptom calendar can help women identify the most troublesome symptoms and to confirm the diagnosis of PMS.
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Review Date : 5/26/2008
Reviewed By : Susan Storck, MD, FACOG, Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine; Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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