{"id":2608,"date":"2020-08-13T16:11:34","date_gmt":"2020-08-13T16:11:34","guid":{"rendered":"https:\/\/brooksidepress.org\/basic_obgyn\/?page_id=192"},"modified":"2021-05-09T20:52:08","modified_gmt":"2021-05-09T20:52:08","slug":"48-premenstrual-syndrome-pms-and-premenstrual-dysphoric-disorder-pmdd","status":"publish","type":"page","link":"https:\/\/brooksidepress.org\/pa_obgyn\/overview\/48-premenstrual-syndrome-pms-and-premenstrual-dysphoric-disorder-pmdd\/","title":{"rendered":"49. Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD)"},"content":{"rendered":"<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/ZtrynEEffMw\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>Duration = 3:24<\/p>\n<input type='hidden' bg_collapse_expand='69e9b5a4dc5eb2082361969' value='69e9b5a4dc5eb2082361969'><input type='hidden' id='bg-show-more-text-69e9b5a4dc5eb2082361969' value='Show Transcript'><input type='hidden' id='bg-show-less-text-69e9b5a4dc5eb2082361969' value='Hide Transcript'><button id='bg-showmore-action-69e9b5a4dc5eb2082361969' class='bg-showmore-plg-button bg-blue-button  '   style=\" color:#ffffff;\">Show Transcript<\/button><div id='bg-showmore-hidden-69e9b5a4dc5eb2082361969' ><\/p>\n<p>00:00<br \/>\naapko educational topic number 49<br \/>\n00:02<br \/>\npremenstrual syndrome and premenstrual<br \/>\n00:04<br \/>\ndysphoric disorder<br \/>\n00:05<br \/>\nyou may remember our friend Aunt Flo are<br \/>\n00:08<br \/>\npopular euphemism for menstruation in<br \/>\n00:10<br \/>\nthis video we will discuss your daughter<br \/>\n00:12<br \/>\npremenstrual pre comes to visit during<br \/>\n00:15<br \/>\nthe luteal phase before on Flo and she<br \/>\n00:17<br \/>\ncan cause significant disruption the<br \/>\n00:20<br \/>\nobjectives of this video are to identify<br \/>\n00:21<br \/>\nthe criteria for making the diagnosis of<br \/>\n00:24<br \/>\nPMS and PMDD and to describe treatment<br \/>\n00:27<br \/>\noptions for PMS and PMDD premenstrual<br \/>\n00:30<br \/>\ncomes to visit many women before Aunt<br \/>\n00:32<br \/>\nFlo premenstrual symptoms occur in<br \/>\n00:34<br \/>\napproximately 75 to 85% of women it<br \/>\n00:37<br \/>\ncauses significant disruption in<br \/>\n00:39<br \/>\napproximately five to ten percent of<br \/>\n00:40<br \/>\nwomen will start with premenstrual<br \/>\n00:43<br \/>\nsyndrome or PMS PMS is a group of<br \/>\n00:46<br \/>\nphysical mood related and behavioral<br \/>\n00:48<br \/>\nchanges that occur in a regular cyclic<br \/>\n00:50<br \/>\nrelationship to the luteal phase of the<br \/>\n00:52<br \/>\nmenstrual cycle and that interfere with<br \/>\n00:54<br \/>\nsome aspect of the patient&#8217;s life<br \/>\n00:56<br \/>\nPMS can be diagnosed if a patient<br \/>\n00:58<br \/>\nreports at least one of the following<br \/>\n01:00<br \/>\nsymptoms during the five days before<br \/>\n01:01<br \/>\nmenses of three menstrual cycles<br \/>\n01:03<br \/>\ndepression angry outbursts irritability<br \/>\n01:06<br \/>\nanxiety confusion social withdrawal<br \/>\n01:09<br \/>\nbreast tenderness abdominal bloating<br \/>\n01:12<br \/>\nheadache or swelling of extremities the<br \/>\n01:15<br \/>\ndiagnostic criteria for premenstrual<br \/>\n01:17<br \/>\ndysphoric disorder or PMDD is outlined<br \/>\n01:20<br \/>\nin the Diagnostic and Statistical Manual<br \/>\n01:22<br \/>\nof Mental Disorders fourth edition this<br \/>\n01:25<br \/>\nDSM 4 states that PMDD can be diagnosed<br \/>\n01:28<br \/>\nif there are a specific set of at least<br \/>\n01:30<br \/>\nfive of eleven possible symptoms with at<br \/>\n01:33<br \/>\nleast one course symptom of depressed<br \/>\n01:35<br \/>\nmood anxiety or tension irritability or<br \/>\n01:38<br \/>\ndecreased interest in activities or<br \/>\n01:40<br \/>\nanhedonia other possible symptoms<br \/>\n01:43<br \/>\ninclude a subjective sense of having<br \/>\n01:44<br \/>\ndifficulty concentrating lethargy<br \/>\n01:46<br \/>\nfatigue or a marked lack of energy a<br \/>\n01:49<br \/>\nmarked change in appetite and cravings<br \/>\n01:50<br \/>\nfor certain foods hypersomnia or<br \/>\n01:53<br \/>\ninsomnia feeling overwhelmed or out of<br \/>\n01:55<br \/>\ncontrol or somatic symptoms such as<br \/>\n01:57<br \/>\nabdominal bloating fatigue and breast<br \/>\n01:59<br \/>\ntenderness these disturbances markedly<br \/>\n02:02<br \/>\ninterfere with work school or with usual<br \/>\n02:05<br \/>\nsocial activities and relationships with<br \/>\n02:07<br \/>\nothers moving now to diagnosis the<br \/>\n02:10<br \/>\nmajority of patients who present for<br \/>\n02:11<br \/>\ntreatment of PMS do not<br \/>\n02:13<br \/>\nactually demonstrate symptoms related to<br \/>\n02:15<br \/>\nthe luteal phase the differential<br \/>\n02:17<br \/>\ndiagnosis should include medical<br \/>\n02:19<br \/>\nproblems and psychiatric disorders a<br \/>\n02:21<br \/>\nmenstrual diary involves a patient<br \/>\n02:24<br \/>\nmonitoring her symptoms for two or more<br \/>\n02:26<br \/>\nconsecutive menstrual cycles for the<br \/>\n02:28<br \/>\ndiagnosis of PMS she only needs one<br \/>\n02:31<br \/>\nsymptom and a symptom free interval<br \/>\n02:33<br \/>\nafter her menses for the diagnosis of<br \/>\n02:35<br \/>\nPMDD she needs five of the listed eleven<br \/>\n02:38<br \/>\nsymptoms with one core symptom and she<br \/>\n02:40<br \/>\nmust have a symptom free follicular<br \/>\n02:42<br \/>\nphase let&#8217;s conclude by discussing<br \/>\n02:44<br \/>\ntreatment non pharmacological treatments<br \/>\n02:47<br \/>\ninclude aerobic exercise calcium and<br \/>\n02:50<br \/>\nmagnesium supplementation and eating<br \/>\n02:52<br \/>\nfresh rather than processed foods<br \/>\n02:54<br \/>\npharmacological treatment involves<br \/>\n02:55<br \/>\nnon-steroidal anti-inflammatory drugs<br \/>\n02:57<br \/>\novulation suppression with oral<br \/>\n02:59<br \/>\ncontraception and serotonin selective<br \/>\n03:02<br \/>\nreuptake inhibitors this concludes the<br \/>\n03:05<br \/>\nOP Cove ideo on PMS and PMDD we&#8217;ve<br \/>\n03:08<br \/>\nidentified the criteria for making the<br \/>\n03:10<br \/>\ndiagnosis of these two conditions and<br \/>\n03:12<br \/>\ndescribe treatment options as well<br \/>\n03:23<br \/>\nyou<br \/>\n<\/div>\n<hr \/>\n","protected":false},"excerpt":{"rendered":"<p>Duration = 3:24<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":46,"menu_order":49,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2608","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/pages\/2608","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/comments?post=2608"}],"version-history":[{"count":1,"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/pages\/2608\/revisions"}],"predecessor-version":[{"id":2855,"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/pages\/2608\/revisions\/2855"}],"up":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/pages\/46"}],"wp:attachment":[{"href":"https:\/\/brooksidepress.org\/pa_obgyn\/wp-json\/wp\/v2\/media?parent=2608"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}