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    PMS and PDS

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    ifer_018

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    PMS and PDS

    Uploaded by

    ifer_018
    17 views24 pages

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    Copyright:

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    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    17 views24 pages

    PMS and PDS

    Uploaded by

    ifer_018

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 24

    PMS

    ●
    Premenstrual Syndrome

    PMDD

    ●
    Premenstrual Dysphoric Disorder
    PMS
    ●
    Premenstrual Syndrome

    PMS
    ●
    Characterized by a range of physical,
    emotional symptoms which usually
    manifest 2 weeks before the onset
    of menstrual period and disappear
    after the period begin.

    PMS and PMDD


    ●
    Premenstrual Dysphoric Disorder

    PMDD
    ●
    symptoms of PMDD start 7-14 days
    before a woman's period and go away
    once the period starts. Unlike PMS,
    PMDD can seriously affect a
    woman's daily activities. PMDD is
    diagnosed as a mental health disorder.
    PMS

    ●
    occurs during luteal phase of menstrual cycle

    PMS

    ●
    last 14-28 days of normal menstrual cycle
    PMS:Incidence: woman of child bearing
    age; 3-8 % woman
    What Causes PMS?

    PMS
    Estrogen and
    progesterone

    Luteal
    phase
    PMS

    Decreased
    endorphins
    during luteal
    phase

    Decrease
    Hormonal
    serotonin
    fluctuation
    in the brain
    Serotoni ●
    ● Women with PMS have fluctuations in
    serotonin levels

    n:
    ●
    ● These changes may cause depression and
    carbohydrate cravings.

    GABA: 
    ●
    ●stands for gamma-aminobutyric acid.
    ●This neurotransmitter is important in
    ●

    feeling calm.

    Endorphi ●
    ●Endorphins are important in the experience of
    pain and pleasure

    ns
    ●Estrogen and progesterone change endorphin
    ●

    levels.

    Norepine ●
    ● Norepinephrine and epinephrine are also
    neurotransmitters that influence mood. In

    phrine: 
    addition, these substances play a role in blood
    pressure and heart rate.
    Signs and Symptoms of PMS

    Behav Physic
    Mood
    ior al
    MOO
    D
    Insomia
    Insomia Anxiety

    Confusi
    Confusi Nervous
    Nervous
    on
    on ness
    ness

    Forgetfu
    Forgetfu Mood
    Mood
    llness
    llness swing
    swing

    Depressi
    Depressi Irritabilit
    Irritabilit
    on
    on y
    y
    PMS
    PMS
    Behavior
    Behavior

    changes Craving
    Craving
    changes
    to
    to alcohol
    alcohol for
    for
    tolerance.
    tolerance. sweets
    sweets

    sensitivit
    sensitivit Increase
    Increase
    y
    y to
    to d
    d eating
    eating
    noise
    noise

    Poor
    Poor Crying
    Crying
    concentr
    concentr
    ation spells
    spells
    ation
    PMS
    PMS
    PHYSICA
    PHYSICA
    L
    L

    Dizzines
    Dizzines Wt.
    Wt. gain,
    gain,
    s
    s bloating,
    bloating,

    Headache,
    Headache,
    heart
    heart Constipatio
    Constipatio
    pounding,
    pounding, n
    n and
    and
    fatigue
    fatigue diarrhea.
    diarrhea.

    swelling
    swelling
    and
    and
    tenderness
    tenderness
    breast
    breast
    Lifestyle Nutritional
      Exercise modification Supplement Medication
    Advised the
    Advised to have
    ●
    ●

    patient to avoid
    sweet foods,
    PMS
    small frequent
    salty and caffeine feeding

    ●
    . Advised patient to
    ●
    Advised pt. to seek OB-GYNE if
    symptoms continue to
    have a 3-4 days after
    menstrual diary menstrual
    ●
    period.
    PMDD
    PMDD
    PMDD

    A woman may have PMDD if she has 5


    or more of the following symptoms
    during the premenstrual week and for
    most cycles during the past year:
    PMDD
     Depression (feeling despair or
    hopelessness, not just sadness)
     Anxiety
     Severe mood swings (feeling suddenly
    sad or extremely sensitive to rejection)
     Anger or irritability
     Decreased interest in usual activities
    (work, school, friends, hobbies)
     Difficulty concentrating
    PMDD
     Appetite changes (overeating or
    cravings for certain foods)
     Sleep problems (can’t sleep or wake
    up early,
    or oversleeping)
     Feeling overwhelmed or out of
    control
     Physical symptoms, such as bloating,
     breast tenderness or headaches
    PMDD
    REMEMBER!!!!!!!!!!!!!!
    If these symptoms do not occur in sync
    with the menstrual cycle, the woman may
    have some other medical or mental
    health condition.
    The symptoms of PMDD end with 
    menopause, when menstruation stops
    and the levels of hormones that regulate
    menstruation no longer rise and fall each
    month.
    PMDD
    PMDD
    SEE YOU ALL NEXT WEEK!!!!!!

    QUIZ WILL BE NEXT WEEK!!!!

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