Zamblera D. StuJ.


Department of Gynaecology, The Chelsea and Westminster Hospital,London;

United Kingdom.


Treatment of mild premenstrual syndrome (1993-584).


Contemporary Reviews in Obstetrics and Gynaecology. Vol 5(4) (pp14-220), 1993.


The severity of the premenstrual syndrome ranges from a mild but troublesome problem to a severe incapacitating disorder. The treatment of mild symptoms can often present a more difficult problem to the clinician than severe disease. There are multiple proposed treatments for mild premenstrual syndrome but few have been studied in prospective, placebo-controlled trials. The decision upon treatment must be made after weighing up the severity of symptoms and balancing these against the uncertain efficacy and side effects of treatment. Treatment is usually geared to the alleviation of individual symptoms rather than suppression of ovulation as is indicated for severe premenstrual syndrome. Available treatments include dietary and nutritional manipulation and exercise regimens. Other methods of behavioural therapy and relaxation techniques seem promising but await further evaluation. Hormonal treatment (e.g. the combined oral contraceptive pill) and non-hormonal treatments (e.g. diuretics) have been shown to produce relief of some symptoms. The treatment for mild premenstrual syndrome is unfortunately not yet clear-cut and usually prescribed empirically.

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