Charts are available, which can assist you to record your PMS symptoms. They may help to prove or disprove the relationship between symptoms and the menstrual cycle. These charts can also be helpful in demonstrating whether treatments are providing benefit. Suitable charts are usually available on re quest in reproductive endocrinology clinics. Figure 25. 1shows a PMS chart used in my own clinic. This shows example cases to provide a guide for PMS patients and allows for the patients to assess their own symptoms on a severity level from 0 to 3.

Suppression of the menstrual cycle by gonadotrophin releasing analogues (e.g. Goserelin –gonadotrophins) has been described as a means of diagnosing PMS when there is doubt about the diagnosis. The menstrual cycle is suppressed for three cycles so that if symptoms are truly cyclically related they should disappear. The test has been advocated for evaluating the potential benefits of removing the ovaries for patients with possible PMS problems who are coming tohysterectomy . From a practical point of view it is apparent that the “Goserelin test’ will create a temporary menopause-like state; many symptoms (e.g. depression and anxiety) which may be attributable to PMS can also occur with the menopause. This potential difficulty may be overcome by add-back therapy (HRT-Add-Back).


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This is the personal website of David A Viniker MD FRCOG, retired Consultant Obstetrician and Gynaecologist - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.

I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.

The aim of this web site is to provide a general guide and it is not intended as a substitute for a consultation with an appropriate specialist in respect of individual care and treatment.

David Viniker retired from active clinical practice in 2012.
In 1999, he setup this website - www.2womenshealth.com - to provide detailed
information many of his patients requested. The website attracts thousands of visitors every day from around the world.
Website optimisation (SEO) has became more than an active hobby. If you would like advice on your website, please visit his website Keyword SEO PRO or email him on david@page1-on-google.com.
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