小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 腹胀
- 疲劳
- 乳房压痛
- 头痛
- 抑郁情绪、易激惹、内心紧张
- 情绪不稳定
- 对生活的不良影响
其他诊断因素
- 食欲增加
- 健忘,难以集中注意力
- 其他主观症状
- 失眠或睡眠过度
- 肠胃道不适
- 心悸
- 热潮红
危险因素
- 青春期后至绝经前妇女
- 家族史
- 情感障碍
- 吸烟
- 白人女性
- 性虐待和/或创伤
诊断性检查
首要检查
- 症状日记
需考虑的检查
- 甲状腺功能检测
- 卵泡刺激素水平
- 抑郁筛查
治疗流程
轻度 PMS
中度至重度经前期综合征或经前期情绪障碍
撰稿人
作者
Margaret Rees, MA, DPhil, FRCOG
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
利益声明
MR declares that she has no competing interests.
Nancy A. Phillips, MD
Associate Professor
Department of Obstetrics, Gynecology and Reproductive Sciences
Rutgers Robert Wood Johnson Medical School
New Brunswick
NJ
利益声明
NAP declares that she has no competing interests.
Gloria Bachmann, MD
Professor
Department of Obstetrics, Gynecology and Reproductive Sciences
Rutgers Robert Wood Johnson Medical School
New Brunswick
NJ
利益声明
GB declares that she has no competing interests.
鸣谢
Professor Margaret Rees, Dr Nancy A. Phillips, and Dr Gloria Bachmann would like to gratefully acknowledge Dr Desiree Lie, the previous contributor to this topic. DL declares that she has no competing interests.
同行评议者
Julianne Toohey, MD
Obstetrician-Gynecologist
Department of Obstetrics and Gynecology
University of California Irvine Medical Center
Orange
CA
利益声明
JT declares that she has no competing interests.
Carol Henshaw, MB ChB, MD
Consultant in Perinatal Mental Health
Liverpool Women's NHS Foundation Trust
Liverpool
UK
利益声明
CH declares that she has no competing interests.
鉴别诊断
- 抑郁
- 甲状腺疾病
- 广泛性焦虑障碍
更多 鉴别诊断指南
- 经前综合征的管理
- ISPMD 有关治疗经前期焦虑障碍 (PMDD) 的共识
更多 指南患者教育信息
Premenstrual syndrome
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