The premenstrual syndrome refers to physical or affective symotoms that appear during the latter half of the menstural cycle, remit during menses, and affect the woman's relationships or ability to function. Earlier retrospective histories are
considered to be unreliable. Because the criteria used to make the diagnosis varied among groups. Some treatment aim to correct the purported biologic problem underlying premenstrual syndrome, but in the absence of firm knowledge of the cause,
specific
corrective treatment is not possible. Therefore, much of current therapy has a symptom specific basis. This study was undertaken for the effect of treatment on 44 women with premenstrual syndrome who visited at PMS clinic of Kang Nam St. Mery's
hospital
from Oct. 1, 1994 to July 31, 1995.
@ES The result were as follows:
@EN 1. The mean age of patients were 38.65±4.85 years old and mean symptomatic period was 8.29±5.93 years, nad percentage of previous pregnancy complication was 29.3%(Table 1).
2. In residual rate of emotional discomfort. After 3 months was 0.63±0.39 compared with initial visit, after 6 month was 0.30±0.29 compared with initial visit and was 0.63±0.49 compared with 3 month respectively(p<0.05, Table 2).
3. In residual rate of physical discomfort, after 3 was 0.77±0.50 compared with initial visit, after 6 month was 0.47±0.48 compared with initial visit respectively(p<0.05, Table 2).
4. In residual rate of daily behavior, after 3 months was 0.65±0.41 compared with initial visit, after 6 month was 0.47±0.37 compared with initial visit and 0.65±0.41 compared with 3 month respectively(p<0.05, Table 2).
5. The symptomatic period age of patients according to groups, Group III increased significantly compare with Group I and II. In number of previous pregnancy, Group III increased significantly compare with Group II. In dysmenorrhea, Group II
increased
compare with Group I(p<0.05, Table 3).
6. In total patients, the most common emotional discomfort was depression(16%) and most common physical discomfort was headache(23%). According to the Groups, the most common emotional discomfort was fatigue(45%) in Group I, anxiety(24%) in
Group
II
and anger(20%) in group III. The most common physical discomfort was headache(24%) in Group I and II, edema in Group III(p<0.05, Table 4).
7. Residual rate of emotional discomfort decreased at 3 months compared with initial visit in Group I & III and decreased at 6 month compared with 3 month and initial visit in Group I, II & III(P<0.05, Table 5).
8. Residual rate of physical discomfort decreased at 3 months compared with initial visit in Group I, II & III(p<0.05, Table 6).
9. Residual rte of behavioral discomfort decreased at 3 months compared with initial visit in Group II, and decreased at 6 month compared with 3 month and initial visit in Group I, II & III(p<0.05, Table 7).
These data suggest premenstrual syndrome calendar, excercise, diet control is a useful method of treatment in the mild case. But conservative medical treatment is obligatory in moderate and severe case.
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