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A Woman with Inexplicable Mood Swings: Patient Management of Premenstrual Syndrome

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Bio-Psycho-Social Obstetrics and Gynecology

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Abstract

Premenstrual disorders are a combination of emotional, behavioral, and physical symptoms that are present in the days prior to and resolve shortly after menses. In some women, the severity of symptoms cause clinically significant distress and interfere with relationships and role functioning. This chapter discusses the definition of premenstrual disorders and how to determine the diagnosis, differential diagnoses, etiopathologic theories, and treatment options including antidepressant medications, hormonal strategies including suppression of ovulation, and nonpharmacological strategies. Both antidepressant medications and hormonal regimens can be considered first-line treatment options; treatment choice is often individually tailored to the woman’s symptoms and preferences.

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Author information

Authors and Affiliations

  1. Women’s Medicine Collaborative, Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA

    Teri Pearlstein MD

  2. Department of Obstetrics and Gynecology, University Hospital North Staffordshire, Maternity Hospital UHNS, Stoke on Trent, UK

    Shaughn O’Brien DSc, MB, BCh, MD, FRCOG

Authors
  1. Teri Pearlstein MD
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  2. Shaughn O’Brien DSc, MB, BCh, MD, FRCOG
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Corresponding author

Correspondence to Teri Pearlstein MD .

Editor information

Editors and Affiliations

  1. Department of Obstetrics and Gynecology, Gelre Hospitals Apeldoorn Location, Apeldoorn, The Netherlands

    K Marieke Paarlberg

  2. Wenckebach Institute, University of Groningen University Medical Center Groningen, Groningen, The Netherlands

    Harry B.M. van de Wiel

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© 2017 Springer International Publishing Switzerland

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Pearlstein, T., O’Brien, S. (2017). A Woman with Inexplicable Mood Swings: Patient Management of Premenstrual Syndrome. In: Paarlberg, K., van de Wiel, H. (eds) Bio-Psycho-Social Obstetrics and Gynecology. Springer, Cham. https://doi.org/10.1007/978-3-319-40404-2_10

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  • DOI: https://doi.org/10.1007/978-3-319-40404-2_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-40402-8

  • Online ISBN: 978-3-319-40404-2

  • eBook Packages: MedicineMedicine (R0)

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