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premenstrual syndrome
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premenstrual bloating, relieving pms, pms, premenstrual syndrome, pms, involves symptoms that occur in relation, menstrual cycle, interfere, the woman's life, begin 5 to 11 days, the start of menstruation, stop, menstruation begins, shortly thereafter, premenstrual dysphoric disorder, pmdd, an exact cause of pms has not been identified, related to social, cultural, biological, psychological factors, pms, apparently normal ovarian function, regular ovulatory cycles, pms is estimated to affect up to 75% of women, childbearing years, occurs more often in women between late 20s, early 40s, at least one child, a family history of a major depression disorder, women, a past medical history of either postpartum depression, an affective mood disorder, 50-60% of women, severe pms have an underlying psychiatric disorder, a wide range of physical, emotional symptoms have been associated, pms, by definition, such symptoms must occur, second half, the menstrual cycle, 14 days, first day, the menstrual period, absent, 7 days after a menstrual period ends, first half, the menstrual cycle, most common symptoms, headache, swelling of ankles, feet, hands, backache, abdominal cramps, heaviness, abdominal pain, abdominal fullness, feeling gaseous, muscle spasms, breast tenderness, weight gain, recurrent cold sores, acne flare-ups, nausea, bloating, constipation, diarrhea, decreased coordination, food cravings, less tolerance, noises, lights, painful menstruation, anxiety, panic, confusion, difficulty concentrating, forgetfulness, poor judgment, depression, irritability, hostility, aggressive behavior, increased guilt feelings, fatigue, sluggish, lethargic movement, decreased self-image, sex drive changes, loss of sex drive, paranoia, increased fears, low self-esteem, no physical examination findings, lab tests specific, diagnosis of pms, important that a complete history, physical examination, pelvic exam, instances a psychiatric evaluation be conducted to rule out other potential causes, symptoms that attributed to pms, a symptom calendar, women identify the most troublesome symptoms, to confirm the diagnosis of pms, self-care methods include exercise, dietary measures, important to maintain a daily diary, log to record the type, severity, duration of symptoms, a "symptom diary", kept, minimum of 3 months, correlate symptoms, the menstrual cycle, diary, greatly assist the health care provider not only, in the accurate diagnosis of pms, the proposed treatment methods, nutritional supplements recommended, vitamin b6, calcium, magnesium, commonly used, prostaglandin inhibitors, aspirin, ibuprofen, nsaids, women, significant pain, headache, backache, menstrual cramping, breast tenderness, diuretics, women found to have significant weight gain, due to fluid retention, psychiatric medications, therapy used, women who exhibit a moderate to severe degree of anxiety, irritability, depression, hormonal therapy, a trial on oral contraceptives, either decrease, increase pms symptoms, use of progesterone vaginal suppositories, second half, the menstrual cycle is still controversial, after proper diagnosis, treatment of specific symptoms has been initiated, most women, pms obtain significant relief, pms symptoms, become severe enough, prevent women from maintaining normal function, women, depression, note increasing severity of symptoms, second half of cycle, require associated medication adjustments, suicide rate in women, depression is significantly higher, latter half, the menstrual cycle, premenstrual dysphoric disorder, pmdd, pms, does not resolve to self-treatment measures, symptoms occur, severe enough to limit ability to function, the lifestyles changes often recommended, the treatment of pms, useful in preventing symptoms from developing, getting worse, regular exercise, a balanced diet, increased whole grains, vegetables, fruit, decreased, no salt, sugar, alcohol, caffeine, prove beneficial, have different sleep requirements at different times, a woman's menstrual cycle, it is important to get adequate rest.
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