PREMENSTRUAL TENSIONS SYNDROME (COMMON FINDINGS (fatigue,, bloating (due…
PREMENSTRUAL TENSIONS SYNDROME
is a recurrent luteal-phase condition characterized by physical, psychological, and behavioral changes of sufficient severity to result in deterioration of interpersonal relationships and normal activity.
lower back pain
fullness of the breasts
are triggered byhormonal events ensuing after ovulation
The symptoms can begin in the early, mid or late luteal phase and are not associated with defined concentrations of any specific gonadal or non-gonodal hormone.
Metabolites of progesterone formed by the corpus luteum of the ovary and in the brain bind to a neurosteroid-binding site on the membrane of the gamma-aminobutyric acid receptor changing its configuration, rendering it resistant to further activation and finally decreasing central GABA-mediated inhibition.
it is important to establish stressors in the patient's life and address these.
The patient should be reassured and offered some positive coping mechanisms
Reassure the patient to allay anxiety; refer to psychologist if it is severe
Depression and Anxiety
bloating (due to fluid retention),
sleep disturbances with sleeping too much or too little (insomnia), and.
appetite changes with overeating or food cravings.