PMS-related symptoms for up to more than 150 species, but not every patient will have all the symptoms, everyone has their own prominent symptom severity also because people change with time, it is not fixed, but symptoms go and come with menstrual periods, this relationship is basically fixed, this is a disease-oriented features.
Fertility and motherhood are not associated with PMS. how long does pms last? PMS duration lengths varying, severe symptoms require longer treatment period, about 40% of patients last 1 to 5 years. More than 10% Sustainable can last around 10 years.
Typical symptoms often start 1 week before mentruation, gradually increased, become the most serious the last two to three days before period, suddenly disappeared after periods.
Some of the patient's symptoms subside longer, gradually reduced, extended to 3 to 4 days after menstruation, then completely disappeared.
Another kind of unusual types, namely bipolar, there are two serious symptoms phase does not continously linked, before or after ovulation, then after a period of asymptomatic, one week before menstruation typical symptoms come out again, used to call as the tension phase between periods, due to its pathogenesis and clinical symptoms are the same with PMS, is actually a special type of PMS.
Including changes in mood, cognition, and behavior. Initially feel malaise, fatigue, drowsiness, lethargy. There are two distinct types of emotional changes:
One is the mental stress, physical and mental anxiety, irritability, failing picky, irritability, fine chores can cause emotional, and even arguing, crying, it can not be holded;
the other is to become listless, depressed not happy, anxious, sad or emotional apathy, love solitary living alone, don't want get along with people and do not want to participate in social activities, can not concentrate, diminished judgment, even paranoid, suicidal consciousness.
more common, a small number of patients significant increase in weight, usually fitting clothes become small and discomfort.
Some abdominal fullness, can be accompanied by nausea, vomiting and other gastrointestinal dysfunction, occasional have intestinal cramps.
Clinical menstruation can occur diarrhea, frequent urination. Because pelvic tissue edema, congestion, may accompany with to the pelvic swelling, lumbosacral pain and other symptoms.
Is a common complaints, mostly bilateral, but also can be unilateral headache, the pain is not fixed, usually located in the temporal or occipital, accompanied by nausea and vomiting, can occur after a few days before menstruation, reaching peak pain when period blood appears.
Headache was continuous or no incentive nature, some times get better sometime worse, which may be related intermittent intracranial edema, easy to confuse with menstrual migraine, which often unilateral, in a few minutes or a few hours before the headache come out, occur dizziness, nausea prodrome.
Many accompanied by vertigo (flash dark spots inside the field) and other visual disturbances, nausea and seizures and vomiting.
According headache position, severity of symptoms and associated symptoms, to identify.
Premenstrual occur plump breasts, swelling and pain, to the outer edge of the breast and nipple area as the most severe.occur
In severe cases, the pain may radiate to the armpit and shoulder, can affect sleep.
Sensitive breast palpation, tenderness, diffuse thickening solid feel, sometimes palpable nodules particles, but the mass lack of board feeling, completely disappeared after menstruation, the next cycle will appear again, but the severity of the symptoms and signs is not fixed, usually within 2 to 3 years without treatment may be self-cured.
If mammary glands occurs, throughout the menstrual cycle may have persistent pain, premenstrual intensified.
Palpation can touch flat, granular denser regions, the edge is unclear, will not subsided after menstruation. Compare to the examination before and after period, it can find there are big changes in tumor size.
Female students PMS Symptoms have a very significant relationship with adverse social, psychological problems, such as domestic violence, parental divorce, sexual harassment, learning difficulties, shock and so on.
It may start at menarche, it may come with normal menstrual cycle and occur because of internal negative stimulus.
In addition, the severity of PMS Symptoms, in large extend is personal, it depends not only on the ability to adapt to psychological stress, but also on the experience and psychological content.
Premenstrual syndrome is a significant psychosomatic related diseases, therefore, the disease can be cured by integrating psychotherapy with drug therapy.
Practice has proved that parents and family members of the girl's mental premenstrual syndrome support (including caring, comfort, guidance, etc.), can significantly reduce their PMS Symptoms.
Especially in the child's menstrual period, parents should meet their reasonable psychological needs, harmonious parent-child relationship.
Breakage Family - parents or elders to pay attention to the communication skills with child, in order to soothe their wounds of the soul, to effectively promote students physical and mental development.
Some women occur repeated stress, depression, anxiety, irritability, emotional apathy, insomnia, headaches, intestinal cramps, hands and feet and eyelid edema, breast tenderness, and a series of physical and mental symptoms, before period, which affect daily life and normal study, work, medical call it PMS Symptoms or premenstrual syndrome.
Gynecologist, menstrual discomfort is a disease too, patients need aggressive treatment.
Premenstrual syndrome is most common in women of childbearing age between 30-40 years old.
Typical PMS Symptoms start a week before menstruation, the symptoms gradually worsened, most severe 2-3 days before menstruation, after menstruation suddenly disappeared; some patients have long duration of symptoms, extend till 3 to 4 days after menstruation start completely disappeared.
Women suffering from premenstrual syndrome are often have many physical symptoms, accompanied by severe psychiatric symptoms, including anxiety symptoms in the majority, accounting for 70% -100%. 60% of premenstrual syndrome patients gain weight, breast tenderness; 45% -50% of patients have hypoglycemia, about 35% of patients have depressive symptoms, accompanied by suicide awareness.
Premenstrual syndrome etiology is not well understood, but is generally believed related to psychosocial factors, endocrine, brain neurotransmitters, the role of prostaglandins and vitamin B6 deficiency and so on.
Physician inform patients, clinical manifestations of PMS is diverse, severity varies, therefore need given different treatment for different patients.
After correct diagnosis and treatment, the vast majority of PMS symptoms can be significantly improved, thereby improving the quality of life.
The first is spiritual comfort care. Doctor will design personalized psychological and behavioral treatment programs based on the patient's symptoms characteristics, to help patients adjust state of mind.
Secondly, use some prescription drugs under the guidance of doctor, help patients get through this period.
Depressive symptoms can choose selection of antidepressant drugs; patients with obvious anxiety and irritability of PMS choose sedation; with breast tenderness, headache, abdominal pain and other pain symptoms can choose prostaglandin inhibitors.
Also, reasonable diet can help to alleviate symptoms. Pay attention to intake adequate vitamins and trace elements, such as vitamin B6, vitamin E; intake of high-carbohydrate low-protein diet can improve the mental symptoms of PMS.
Poor eating habits can aggravate symptoms, therefore, PMS should limit salt intake, avoid or reduce caffeine intake and so on.
Moreover, family members of patients need understand the disease, expectations patients periodic episodes of rules and behavior, understanding and tolerance patients negligence, to help adjust family behave, reduce environmental stimulation, minimize the patient's out of control degree.
First need to pay attention to whether the symptoms appear periodically feature, if ignoring cyclical and premenstrual symptoms feature, PMS is easy confused with the usual mental anxiety and depression, the latter has the same symptoms during three phases of the menstrual cycle (follicular phase, ovulation and luteal phase), lack of regularity change severity.
Secondly, through follicular phase symptoms occur or not, symptoms cyclical aggravate or not identify from chronic disease, as usual met idiopathic, cyclical edema, which unexplained edema in women, characterized by periodic swelling and anxiety attacks, marked water and electrolyte balance disorders (secretion of aldosterone increased).
Identify based on the PMS symptoms can be occur throughout the menstrual cycle, and symptoms exacerbate before menstruation.
Excessive use of diuretics may aggravate the symptoms, diagnosis and appropriate medical revolutions.
Another example is Great Depression before menstruation recurrent intensifies, it is difficult to identify from PMS. So patients who has the symptoms and PMS simultaneous occurrence, should first diagnose with the psychiatric expert, after exclusion of psychiatric, treat accordance with PMS.