Obstetrics and Gynecology Board Review Pearls of Wisdom

(Elliott) #1

••• Chapter 27^ Dysmenorrhea and Premenstrual Syndrome^273


❍ Approximately what percentage of women suffer from PMDD?
2% to 8%.


❍ True/False: There is a strong hereditary component to PMDD.
True.


❍ What is the treatment of PMDD?
Selective serotonin uptake inhibitors (SSRIs) are most effective in low doses taken during the luteal phase of the
menstrual cycle.


❍ Which patient group with PMDD may be recommended continuous SSRI therapy?
Patients who have comorbid depressive or anxiety disorders are not adherent to dosing schedule or not able to
tolerate intermittent therapy.


❍ What other medications may relieve PMS symptoms?
Oral contraceptives, diuretics, and danazol.

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