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.

Was this article helpful?

0 0
Getting Back Into Shape After The Pregnancy

Getting Back Into Shape After The Pregnancy

Once your pregnancy is over and done with, your baby is happily in your arms, and youre headed back home from the hospital, youll begin to realize that things have only just begun. Over the next few days, weeks, and months, youre going to increasingly notice that your entire life has changed in more ways than you could ever imagine.

Get My Free Ebook


Post a comment