PMS and PDS

8/7/2019 PMS and PDS

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PMS

PMS

Premenstrual Syndrome

PMDD

PMDD

Premenstrual DysphoricDisorder


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PMS


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Premenstrual Syndrome

Characterized by a range of physical,

emotional symptoms which usuallymanifest 2 weeks before the onset ofmenstrual period and disappear afterthe period begin.PMS

Premenstrual Dysphoric Disorder

symptoms of PMDD start 7-14 daysbefore a woman's period and go awayonce the period starts. Unlike PMS, PMDDcan seriously affect a woman's dailyactivities. PMDD is diagnosed as a mentalhealth disorder.

PMDD


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PMS

PMS occurs during luteal

phase of menstrual

cycle

PMS

PMS

last 14-28 days ofnormal menstrual cycle


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PMS:Incidence: woman of child bearing

age; 3-8 % woman


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What Causes PMS?

PMS

Luteal phaseEstrogen

andprogesterone


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PMSPMS

HormonalfluctuationHormonalfluctuation

Decreaseserotonin in

the brain

Decreaseserotonin in

the brain

Decreasedendorphinsduring luteal

phase

Decreasedendorphinsduring luteal

phase


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Women with PMS have fluctuations inserotonin levels

These changes may cause depression andcarbohydrate cravings.

Women with PMS have fluctuations inserotonin levels

These changes may cause depression andcarbohydrate cravings.

stands for gamma-aminobutyric acid.

This neurotransmitter is important infeeling calm.

stands for gamma-aminobutyric acid.

This neurotransmitter is important infeeling calm.

Endorphins are important in theexperience of pain and pleasure

Estrogen and progesterone change

endorphin levels.

Endorphins are important in theexperience of pain and pleasure

Estrogen and progesterone change

endorphin levels.

Norepinephrine and epinephrine are alsoneurotransmitters that influence mood. In addition,these substances play a role in blood pressure

and heart rate.

Norepinephrine and epinephrine are alsoneurotransmitters that influence mood. In addition,these substances play a role in blood pressure

and heart rate.


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MoodMood BehaviorBehavior PhysicalPhysical


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ExerciseExercise LifestylemodificationLifestylemodification

NutritionalSupplementNutritional

Supplement

MedicationMedication


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. Advised patient to seek OB-GYNE if symptoms continue to3-4 days after menstrual

period.

Advised pt. to have amenstrual diary

Advised to have smallfrequent feeding

Advised the patient toavoid sweet foods, saltyand caffeine


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PMDD start 7-14days before a

woman's periodand go away

once the period

starts.

Unlike PMS, PMDD canseriously affect a

woman's dailyactivities. PMDD is

diagnosed as a mental

health disorder.


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A woman may have PMDD if she has 5or more of the following symptoms

during the premenstrual week and for

most cycles during the past year:


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Depression (feeling despair or

hopelessness, not just sadness)

Anxiety

Severe mood swings (feeling suddenly

sad or extremely sensitive to rejection)

Anger or irritability

Decreased interest in usual activities

(work, school, friends, hobbies)

Difficulty concentrating


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Appetite changes (overeating or

cravings for certain foods)

Sleep problems (cant sleep or wake

up early,

or oversleeping)

Feeling overwhelmed or out of control Physical symptoms, such as bloating,

breast tenderness or headaches


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REMEMBER!!!!!!!!!!!!!!

If these symptoms do not occur in sync

with the menstrual cycle, the woman mayhave some other medical or mental health

condition.

The symptoms of PMDD end

with menopause,

when menstruation stops and the levels of

hormones that regulate menstruation no

longer rise and fall each month.


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QUIZ WILL BE NEXT WEEK!!!!

Documents

PMS and PDS