Premenstrual Disorder

Women who menstruate experience some mental, behavioral, and physical symptoms seven to fourteen days before their period, which disappear when their period comes. We call these symptoms that appear before menstruation and end after menstruation premenstrual disorder. Premenstrual disorder can usually be treated appropriately.

We have certain treatment measures for premenstrual disorder. As long as we maintain personal hygiene and properly supplement some minerals and vitamins, premenstrual disorder can be relieved.

Women of childbearing age experience a series of repeated mental, behavioral, and physical symptoms 7 to 14 days before their due menstruation (i.e. during the luteal phase of the menstrual cycle), which disappear quickly after the onset of menstruation. Because the mental and emotional disorders of this disease are more prominent, it was previously named "premenstrual tension disorder" or "premenstrual tension syndrome". In recent years, it is believed that the symptoms of this disease are widespread, involving several unrelated organs and systems in addition to psychoneurological symptoms, including a variety of organic and functional symptoms, so it is collectively called "premenstrual syndrome (PMS). However, some scholars still highlight the symptoms related to emotional abnormalities and propose the name "late luteal phase dysphoric disorder (LLPDD)" as a branch of PMS.

It mainly relies on understanding the patient's medical history and family and household history. Because many patients have mood disorders and psychiatric symptoms, special attention should be paid to this aspect. Currently, clinical diagnosis is mainly based on the following three key elements: ① At least one neuropsychiatric symptom occurs periodically during the first three menstrual cycles, such as fatigue, irritability, depression, anxiety, sadness, oversensitivity, suspicion, emotional instability, etc., and one constitutional symptom, such as breast tenderness, swollen limbs, abdominal distension, headache, etc.; ② Symptoms recur during the luteal phase of the menstrual cycle, and there must be a symptom-free interval in the late follicular phase, that is, the symptoms disappear within 4 days after the start of menstruation at the latest, and do not recur at least before the twelfth day of the next cycle; ③ The severity of the symptoms is sufficient to affect the patient's normal life and work. Only those who meet the above three conditions can be diagnosed with PMS.

Because the cause and pathogenesis of this disease are still unclear, there is still a lack of specific and standardized treatment methods, and treatment is mainly symptomatic. Therefore, we must first identify the main aspects of the symptoms and treat them symptomatically according to the individual. This includes two aspects: 1. Targeting the patient's psychological and pathological factors, through health education, the patient can understand the physiological knowledge of the symptoms to help the patient improve his response to the symptoms, and then alleviate the symptoms by adjusting the rhythm of daily life, strengthening physical exercise, improving nutrition, and reducing stress response to the environment. 2. Drug treatment, using drugs that adjust the activity of central nervous system neurotransmitters to eliminate psychological and emotional disorders, or using hormones to inhibit ovulation to eliminate severe PMS symptoms such as breast tenderness.

Above we introduced what premenstrual disorder is. Premenstrual disorder is a symptom that often occurs before menstruation. As long as we understand the cause, we can treat premenstrual disorder well. The above article also introduced how we should treat premenstrual disorder. You can refer to it and learn from it.