Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • abdominal bloating
  • fatigue
  • breast tenderness
  • headaches
  • depressed mood, irritability, and internal tension
  • labile mood
  • adverse effect on life

Other diagnostic factors

  • increased appetite
  • forgetfulness and difficulty concentrating
  • other subjective symptoms
  • insomnia or hypersomnia
  • GI upset
  • heart palpitations
  • hot flashes

Risk factors

  • postpubescent and premenopausal women
  • family history
  • mood disorders

Diagnostic investigations

Investigations to consider

  • TFTs
  • LH levels
  • FSH levels
  • depression screening
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Editor in Chief

Maturitas

President

European Menopause and Andropause Society

Reader Emeritus in Reproductive Medicine

University of Oxford

Women's Centre, John Radcliffe Hospital

Oxford

Visiting Professor

Faculty of Medicine

University of Glasgow

Glasgow

UK

Adjunct Associate Professor

Robert Wood Johnson Medical School

Rutgers University

New Brunswick

NJ

Disclosures

MR declares that she has no competing interests.

Professor Margaret Rees would like to gratefully acknowledge Dr Desiree Lie, the previous contributor to this monograph. DL declares that she has no competing interests.

Peer reviewers VIEW ALL

Obstetrician-Gynecologist

Department of Obstetrics and Gynecology

University of California Irvine Medical Center

Orange

CA

Disclosures

JT declares that she has no competing interests.

Consultant in Perinatal Mental Health

Liverpool Women's NHS Foundation Trust

Liverpool

UK

Disclosures

CH declares that she has no competing interests.

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