Prognosis of Premenstrual Syndrome

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Premenstrual syndrome (PMS) is the title given to a wide assortment of physical or emotional symptoms a woman may undergo during menstrual cycle. These signs may start a couple of weeks prior to the menstrual cycle and usually stop if the ovulation begins or soon thereafter.

Prognosis of premenstrual syndrome

Severity of symptoms: The severity of symptoms may vary from moderate to severe. Most women have mild to moderate PMS, which responds well to treatment. In moderate PMS, you may have symptoms like swelling of the breast and tenderness, bloating sensation and weight reduction (because of water retention), changes in bowel habits (can be diarrhoea or constipation) as well as acne. These symptoms cause distress, but do not disrupt your everyday life and keep you from performing your everyday activities. Moderately severe PMS symptoms can affect your daily life and prevent you from doing your everyday activities.

Girls with severe symptoms may have psychological and cognitive symptoms, such as feeling depressed, sad, despairing; changes in disposition, such as anger, irritability, nervousness; they might not be able to concentrate or focus on any work (causing poor job performance or missed workdays); have negative emotions, like these having lost control over their life;   possess unfounded guilt and shame. All these symptoms affect them and their loved ones negatively and can keep them from doing regular activities. Should you encounter acute emotional and cognitive symptoms, what you are suffering from is known as premenstrual dysphoric disorder (PMDD). PMDD isn’t a frequent issue and affects about 5 out of 100 women with PMS.

PMS and era: Many women may have symptoms of premenstrual syndrome at any age after the beginning of menstruation i.e. in teens or 20s or 30s. The symptoms of PMS may begin to subside after age 35 or aggravate in the late 30s and 40s, (the perimenopause phase). There is absolutely no cure for PMS and the symptoms stop with menopause (when the menstrual cycle stops), nevertheless, with therapy (healthy diet, regular exercise and drugs), most women get significant relief.

PMS and depression: Women, that have severe PMS or PMDD are at a greater risk of developing depression. According to experts, in some women with depression, the symptoms may be severe during the second half of their cycle. This will necessitate increase in the dose of the medication. Based on research, about 50% – 60% of women with severe PMS have a psychiatric disorder (premenstrual dysphoric disorder).

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