PMS: premenstrual syndrome, PMDD: premenstrual dysphoric disorder
Discomfort or emotional changes, which arise regularly in correlation with the menstrual cycle and reach the status of a disease due to the impact on the affected person or the immediate environment. The impact may be of a physical or emotional nature, occurring alone or in combination and partly with great severity.
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The causes are regarded to be changes in the hormone levels, which partly also react under unclear circumstances in the form of central nervous control mechanisms (e.g. serotonin metabolism)
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Cycle regulation, antidepressants (SSRI), relaxation exercises, physical activity
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Numerous: chest pain, abdominal pain, concentration difficulties, headache, depressive or aggressive mood swings, irritability, decrease in performance, among others
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Anamnesis, gynaecological examination, hormone analysis, if necessary
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Hormonal contraception for cycle control, in studies, only antidepressants were shown to be effective for PMDD in therapy and long-term prevention, e.g. selective serotonin reuptake inhibitors (SSRI)
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