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Premenstrual Tension Syndrome
Medical Questions » Premenstrual Tension Syndrome
| Name: Premenstrual Tension Syndrome |
| Also known as: PMT |
| May vary from a slight discomfort for a couple of hours before the onset of a woman' s menstrual period to a severely distressing condition. |
Causes of Premenstrual Tension Syndrome
During the two weeks leading up to a menstrual period, the body retains fluid. If the balance between the sex hormones oestrogen and progestogen is not quite right, an excessive amount of fluid may be retained in the pelvis, brain, breasts, hands and feet. |
Symptoms of Premenstrual Tension Syndrome
Gradually increasing discomfort in the pelvis and breasts, with swelling of the hands and feet, pounding headaches and depression. The worst sufferers will experience abdominal pain, swollen tender breasts, anxiety, irritability and clumsiness, and may be unable to concentrate, work or exercise effectively. |
Tests for Premenstrual Tension Syndrome
None normally necessary. |
Treatment for Premenstrual Tension Syndrome
The oral contraceptive pill or similar hormones regulate the hormonal balance and prevent excess fluid retention. Diuretics (tablets that remove fluid from the body) may be used alone or in combination with the contraceptive pill. Other medications that may be beneficial include vitamin B6, mefenamic acid, naproxen, indomethacin and evening primrose oil. Other approaches include a sensible balanced diet, and avoiding coffee, chocolate and rich foods in the two weeks before the period.
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Complications of Premenstrual Tension Syndrome of its treatment
Depression, very rarely severe enough to lead to suicide, and a psychosis that has been used in court as a defense for murder. |
Likely Outcome of Premenstrual Tension Syndrome
Disappears within a few hours when the period starts. The majority of women can be helped adequately by good treatment. |
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