Premenstrual Syndrome: PMS is a disorder characterized by a set of hormonal changes that trigger disruptive symptoms in a significant number of women for up to two weeks prior to menstruation. Of the estimated 40 million suffers, more than 5 million require medical treatment for marked mood and behavioral changes. Often symptoms tend to taper off with menstruation and women remain symptom-free until the two weeks or so prior to the next menstrual period. These regularly recurring symptoms from ovulation until menses typify PMS, premenstrual syndrome. Characteristics Over 150 symptoms have been attributed to PMS. After complaints of feeling "out-of-control", anxious, depressed and having uncontrollable crying spells, the most common complaints are headache and fatigue. But symptoms may vary from month to month and there may even be symptom-free months. No women present with all the PMS symptoms. Characteristically symptoms may be both physical and emotional. They may include physical symptoms as headache, migraine, fluid retention, fatigue, constipation, painful joints, backache, abdominal cramping, heart palpitations and weight gain. Emotional and behavioral changes may include anxiety, depression, irritability, panic attacks, tension,lack of co-ordination, decreased work or social performance and altered libido.

The Psychiatric Treatment of PMS The psychiatric literature since the 1930’s has portrayed women as the weaker sex and in need of medical treatment for their “hysterical” and “hysteronic” complaints [pertaining to the uterus]. With the availability of psychotropic drugs, 1)the tricyclics (Elavil, Triavil, Sinequan), 2) the tranquilizers (Valium, Ativan, and Xanax), and 3) the selective serotonin reuptake inhibitors, there have been many documented studies showing the benefit to the patient in taking this medication for severe P.M.S.

The problem with the treatment approach when used for more than a few cycles, is that it fails to address the underlying hormonal problems. So the result is the woman taking these medications may become sleepy, forgetful or not communicative. For this and other reasons, our primary approach has been hormonal.

pabila sang dara pms, itu lumrah...

dan pabila sang arjuna pms.. sila cerminkan diri anda pada air yang bertakung dalam mangkuk tandas. jika anda kelihatan comel, teruskan

lelaki pms... menjengkelkan!!

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