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Premenstrual Syndrome, Pediatric

Ann Bruner, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Premenstrual syndrome (PMS), also called late luteal phase disorder, is characterized by psychological and physical symptoms that occur cyclically and consistently during the second ...

DIAGNOSIS

HISTORY

  • Many women report that their PMS symptoms are not taken seriously.

  • Complete medical history, including use of medications or illicit substances, cigarettes, dietary evaluation

  • Gynecolog...

TREATMENT

GENERAL MEASURES

  • Treatment goals include reducing both symptom frequency and severity and the impact of symptoms on patients’ activities.

  • Patient education, counseling, and reassurance may be ...

ONGOING CARE

  • Frequent follow-up and the use of a prospective menstrual/symptom calendar are important.

  • After the diagnosis of PMS is established and after recommending appropriate lifestyle changes (an...

ADDITIONAL READING

  • American Psychiatric Association. Desk Reference to the Diagnostic Criteria from DSM-5. Arlington, VA: American Psychiatric Association; 2013. [View Abstract on OvidInsights]

  • Boren...

CODES

ICD9

625.4 Premenstrual tension syndromes 

ICD10

N94.3 Premenstrual tension syndrome 

SNOMED

  • 82639001 Premenstrual tension syndrome (disorder)

  • 596004 Premenstrual dysphoric disorder (disorder)

FAQ

  • Q: Can adolescent girls have PMS and PMDD?

  • A: The incidence of PMS and PMDD in adolescents is not well established. Although ≤50% of cycles are anovulatory during the first 1 to 2 years after menar...

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