Premenstrual syndrome (PMS) is a condition characterized by a combination of psychological and physical symptoms that begin during the luteal phase of the menstrual cycle, cease by the end of menstruation, with a symptom-free period till ovulation. A thorough history, along with other assessment tools, both in primary care and secondary care, is key in identifying and classifying the severity of the symptoms, which can range from mild to very severe. Symptoms can really affect a woman's quality of life and with up to 8% of women debilitated by severe PMS, it is vital that they are appropriately identified using investigations available and managed accordingly. Treatment can range from complementary therapies to hormonal and non-hormonal medication, to even surgery, and is introduced in a step-wise manner, often involving a multidisciplinary team. This review outlines the theories of the pathophysiology surrounding the condition, the classification of the disease, key investigations and management options advised in guidelines and research.
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Published online: July 17, 2019
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