Management of Premenstrual Disorders

Anisha Nakulan


The impact of premenstrual disorders(PMDs) on women’s lives is largely under-recognized. Inconsistent diagnostic guidelines and poor evidence base for effective treatment strategies lead to inadequate management. The diagnostic categories as per the Consensus Group of the International Society for Premenstrual Disorders (ISPD) divide PMDs to Core PMDs and Variant PMDs and can be clinically useful.  Non-pharmacological methods like exercise, dietary modifications and cognitive behavioral therapy may be used for PMDs associated with mild distress, but the evidence base remains inadequate. Evidence indicates that that serotonin re-uptake inhibitors citalopram, escitalopram, fluoxetine, paroxetine and sertraline, and the serotonin and noradrenaline reuptake inhibitor venlafaxine are effective for severe PMDs.

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