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KMID : 0388420040140010053
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Konkuk Journal of Medical Sciences
2004 Volume.14 No. 1 p.53 ~ p.64
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Premenstrual Syndromes Nosology, Etiology, and Treatment
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Moon Seok-Woo
Seo Jeong-Seok
Ryu Eun-Jung
Nam Beom-Woo
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Abstract
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Since the emergence of the term premenstrual syndrome (PMS) in the 1950s, PMS has become an increasingly discussed topic in popular media sources. Thus self management techniques are easily accessed by women through the media or through their peers. Premenstrual dysphoric disorder (PMDD) comprises extremely distressing emotional and behavioral symptoms. Women with PMDD report premenstrual symptoms, primarily mood symptoms, that are severe enough to seriously interfere with their life style and relationships and usually do not respond to conservative and conventional interventions. Although women with PMS are most often seen in primary care or by their obstetricians/gynecologists, the result of recent study suggested a high rate of missed diagnoses. The premenstrual syndromes include the more common PMS, the less prevalent PMDD, and menstrual psychosis. The etiology of PMS and PMDD is still largely unknown. That PMS and PMDD are primarily biological phenomena is underscored by recent, convincing evidence. Therapeutic interventions for PMS and PMDD range from the conservative to treatment with psychotropic medication and, for the more extreme cases, hormonal therapy or surgical procedures.
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KEYWORD
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Premenstrual syndrome, premenstrual dysphoric disorder, etiology, treatment
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