What are the treatments for premenstrual disorder?

Do female friends have some uncomfortable symptoms a few days before menstruation, such as anxiety, irritability and other emotions? According to a survey, more than half of female friends will have symptoms called premenstrual disorder. Some of these manifestations are mental, some are behavioral, such as losing temper, and some are physical. Many women will have symptoms of abdominal pain and back pain before menstruation. So how is premenstrual disorder treated?

(I) Strengthen health education: Make patients realize that PMS is a common phenomenon among women of childbearing age and that it can be relieved through a series of lifestyle adjustments and simple drug treatments, thereby eliminating patients' concerns about the disease and unnecessary mental burdens, and allowing them to be mentally prepared before symptoms appear and take the following preventive measures in terms of life and nutrition.

(ii) Supplementation of minerals and vitamins: has been widely used in the treatment of PMS. It is reported that taking 1000 mg of Ca and 360 mg of Mg daily can improve negative emotions, water retention and pain during the luteal phase, but its mechanism of action is not understood and the treatment effects vary greatly. Some patients experienced significant improvement in their symptoms after treatment, while others experienced no effect at all.

(III) Correcting water retention: Due to the lack of experimental confirmation that PMS patients do have fluid retention in their bodies, it is not necessary to give diuretics immediately. If symptoms do not improve after reducing salt intake and supplementing calcium and magnesium minerals, or if weight gain during the luteal phase is >2500g, the diuretic spironolactone (spironolactone) 25mg can be given 4 times a day, taken from the 18th to the 26th day of the cycle. The amount of potassium excreted is small, no potassium supplementation is needed, and dependence is not likely to occur. In addition to reducing swelling and weight, it can also relieve mental symptoms, including drowsiness, lethargy, depression, and sadness.

(IV) Breast tenderness: Using a bra to support the breasts, reducing the intake of caffeinated beverages and oral contraceptives can help relieve symptoms. The most economical and least side-effect agent is oral gestrinone, a synthetic 19-norsteroid with androgenic and anti-E and P properties. By blocking the E receptors of the breast and eliminating the cyclical changes of the breast, it can effectively relieve breast pain and tenderness, and can dissipate breast nodules or reduce the size of nodules. The main side effects are acne caused by its androgenic properties. Danazol can be used for critically ill patients.

Bromocriptine can reduce and inhibit prolactin secretion, thereby effectively relieving cyclical breast pain and dissipating breast nodules. However, 40% of patients experienced side effects such as dizziness, nausea, and headache after taking the medicine. To reduce the frequency and severity of side effects, treatment should be started with a low dose. Initially take 1.25 mg/d, and gradually increase the dosage to a maximum of 5 mg per day. Start taking the drug 14 days before your period and stop taking it when your period starts.

(V) Control neuropsychiatric symptoms: The diagnosis and treatment of PMS is often related to psychiatry. Patients with severe emotional disorders must be treated together with a psychiatrist. Drug treatment can only alleviate symptoms, make patients feel better, and improve functional status, but cannot completely eliminate symptoms. And because individuals vary greatly in their responses to drugs, it is impossible to predict in advance which regimen will be more effective for a particular patient. Therefore, experimental treatment is needed before a regimen is finalized. Each treatment regimen is best applied for three cycles to be clear.

The above are the treatment measures for premenstrual disorder. I hope that it can relieve the symptoms for friends who have these symptoms. I also hope that you will protect your body in your daily life. Women are particularly susceptible to diseases, so you should keep warm, especially during menstruation, and don’t overwork yourself.