1/4. Homeopathic treatment for premenstrual symptoms.premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) are well-documented disorders causing significant morbidity in the female population. Treatments prescribed do not necessarily reflect proven clinical effectiveness. A recent systematic review from the Exeter Department of Complementary medicine failed to endorse complementary therapies as a whole for treatment of PMS. However, a recent randomised controlled trial of homeopathic treatment for PMS confirms the clinical experience of homeopathic physicians that homeopathy is helpful in PMS.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/4. Refractory hypertension in women controlled after identifying and addressing premenstrual syndrome.Control of high blood pressure is usually difficult when there is an unidentified cause or there exist certain factors that blunt the effect of appropriate therapy. premenstrual syndrome (PMS) is neither a known cause of hypertension nor is it listed as one of the factors that blunt effect of antihypertensives. PMS defines a constellation of symptoms confined to the luteal phase of the menstrual cycle interfering with individual function but clears after menstruation in the follicular phase. Though there is no consensus yet on its etiopathogenesis, the various models, inconsistent as they are, can initiate or sustain hypertension. The two patients presented had been frustrated by the attitude of their attending physicians who branded them neurotics and the fact that various drug combinations would not control their blood pressure. The classical recurring nature of their symptoms in relation to the menstrual cycle led to the suspicion of and treatment of PMS. With this, it became easy to control their erstwhile "refractory" hypertension. It is, therefore, recommended that history of PMS be sought and attended to, when premenopausal women without evidence of secondary hypertension have high blood pressures that proove difficult to control.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/4. premenstrual syndrome.PMS remains a controversial disease. A significant portion of the population experiences some premenstrual symptoms, with a small portion experiencing severe symptoms; however, it is not yet clear who should be labeled as having PMS. Further research is needed to better define PMS. The true etiology of PMS remains unknown; however, the most common theories revolve around prostaglandins, endorphins, or progesterone deficiency. Current treatment of PMS includes education and counseling, dietary changes, regular exercise, and possibly vitamin supplementation, diuretics, prostaglandin inhibitors, or progesterone. More well controlled, prospective placebo-controlled studies are needed to help elucidate the etiology and test the effectiveness of these treatments. With the uncertainties surrounding PMS in the 1980s, the potential for quackery is tremendous. In spite of our limitations in knowledge, there is much that can be done for patients with PMS. To serve our patients better, physicians must become better informed about PMS and spend time discussing it with their patients. By educating patients regarding the current state of knowledge of PMS and discussing rational treatment approaches, physicians may avoid driving their patients away to seek treatment with unproven and potentially harmful fad treatments.- - - - - - - - - - ranking = 2keywords = physician (Clic here for more details about this article) |
4/4. A comprehensive approach to premenstrual complaints.BACKGROUND: general practice is characterised by its person-centred approach. It crosses the boundaries of all the medical disciplines as well as the boundary between medical and social problems. family physicians are committed to dealing with whatever problem the patient presents. This is particularly relevant when women present with premenstrual complaints, since most do not have PMS as defined by researchers. Many have problems external to the menstrual cycle contributing to symptoms. Detection of these external factors, be they intercurrent medical, psychiatric or social problems, frequently determines treatment. OBJECTIVE: To describe a simple model of premenstrual complaints which includes all women who present in this way, in order ot inform GPs of the common patterns of illness in this group and provide them with a systematic approach to management. DISCUSSION: The model contains up to four levels of activity which may contribute to the complaint. These are: 1. menstrual cycle physiology--resulting in cyclical changes in mood, breast and bloating 2. intercurrent pathology (comorbidity)--gynaecological, psychiatric and medical 3. the social context of marital, family and work relationships, cultural influences 4. interpretation (attribution)--the meaning attached to the experience of the first 3 factors.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |