Diagnosis of PMS depends on results of prospective documentation of symptoms

Algorithm For Management Menopause

Suppression of ovulation <—

Trea t m e nt

^ Enhance serotonin

1

options

i

Oestradiol

SSRI

and Progestagen

GnRH

Algorithm For Management Menopause

Fig. 41.2 Algorithm for the diagnosis and management of PMS.

Consider alternative diagnoses

A

Underlying

psychological disorder

(depression, anxiety,

personality disorder)

A

Impending menopause

A

Irritable bowel syndrome

A

Chronic fatigue

syndrome

A

Anaemia

A

Thyroid disorder

A

Alcohol abuse

A

Personality disorder

A

Migraine

A

Other gynaecological

disorders

Investigate, treat or refer as appropriate

Investigate, treat or refer as appropriate

Fig. 41.2 Algorithm for the diagnosis and management of PMS.

are required to demonstrate the efficacy of this combination as it has the potential to achieve all that hysterectomy and bilateral oophorectomy achieve without major surgery.

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Pregnancy Diet Plan

Pregnancy Diet Plan

The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.

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