Premenstruelt syndrom (PMS og PMDD)
Sist revidert:
Sist revidert av:Silje Folven Barlindhaug
Definisjon:
Residiverende plager av psykisk, atferdsmessig og/eller somatisk karakter som opptrer i den postovulatoriske (luteale) periode av menstruasjonssyklus. Premenstruell dysforisk lidelse (PMDD) er en alvorligere form for PMS
Forekomst:
Milde til moderate symptomer på PMS forekommer hos 20-32%. PMDD ses hos 1-5%
Symptomer:
Både fysiske og psykiske symptomer er vanlige, symptomene er svært variererende. Eksempelvis irritabilitet, humørsvingninger, oppblåsthet, brystsmerter, vektøkning
Funn:
Normale funn ved gynekologisk undersøkelse
Diagnostikk:
Ingen tilleggsundersøkelser har spesifikk verdi
Behandling:
Det finnes et utall av behandlingsmetoder, få med god dokumentasjon på effekt. SSRI eller bruk av p-pille med utvidet syklus kan være aktuelt
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- Silje Folven Barlindhaug, spesialist allmennmedisin, redaktør NEL
Tidligere fagmedarbeidere
- Per Bergsjø, professor emeritus, dr. med., Universitetet i Bergen. Spesialist i kvinnesykdommer og fødselshjelp, forsker ved Nasjonalt folkehelseinstitutt, Oslo