Diagnosis of Premenstrual Syndrome

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Premenstrual syndrome is diagnosed clinically (i.e. according to history and physical exam). There’s not any test or procedure to diagnose premenstrual syndrome (PMS). In reality, many women can correlate their physical and other symptoms as being associated with menstrual cycle, but if you have bothersome symptoms, consult a physician.

Medical history and physical examination: Your doctor will ask you questions, such as:

  • Just how long have you had the symptoms?
  • Can the symptoms improve after your periods start?
  • What improves or worsens your symptoms?

The doctor will advice you to maintain a list of your symptoms and menstrual cycle every month. Notice the day the PMS symptoms start, when they disappear and the day that your period starts and finishes. This might help identify just what symptoms you have, the severity of symptoms and the relation to a menstrual cycle. You may need to keep this record for at least 2 months in order for your physician can identify possible symptom routine and their relation to your menstruation.

Entire a questionnaire: You may be given a questionnaire to be filled on the first day of your period.   It contains questions regarding PMS symptoms that you experienced in the last few days. It’s helpful to determine if you might benefit from additional evaluation.

Tests: In the majority of women, no evaluations are performed to diagnose premenstrual symptoms. Instead, tests may be done to rule out other possible causes of your symptoms.

Premenstrual dysphoric disorder: Women with acute symptoms indicative of premenstrual dysphoric disorder (PMDD), should consult a doctor. Your physician can assess your symptoms and diagnose the cause. During your appointment, the doctor will have a detailed medical record, do clinical examination and if needed, take a blood test or urine test. You may be referred to a mental health specialist if your emotional and cognitive symptoms are intense. The mental health specialist may evaluate whether your symptoms are due because of PMDD or any other mental health issue. The physician may recommend treatment based on the reason for your symptoms.

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