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Diagnosis and management of premenstrual disorders

Shaughn O'Brien, Andrea Rapkin, Lorraine Dennerstein and Tracy Nevatte
BMJ: British Medical Journal
Vol. 342, No. 7810 (11 June 2011), pp. 1297-1303
Published by: BMJ
Stable URL: http://www.jstor.org/stable/23050100
Page Count: 7
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Abstract

SUMMARY POINTS Premenstrual disorders can considerably impair functioning at work or school and affect interpersonal relationships The cause of premenstrual disorders is not understood but symptoms are clearly related to ovulation Precise diagnosis and classification are key to successful treatment of most patients Severity of symptoms, pregnancy and contraceptive needs, and the patient's wishes will dictate the invasiveness of treatment Patients may be treated effectively using non-drug based interventions, suppression of ovulation, or specific psychotropics, often in general practice Given the disorder's complexity, a tailored empirical approach, based on evidence and good clinical judgment, is preferable

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