Diagnosis, pathophysiology and management of premenstrual syndrome

Key content An overview of current information available on premenstrual syndrome ( PMS ), which is in accordance with the new RCOG Green‐top Guideline. Definition of PMS and explanation about the different types of premenstrual disorders. How to accurately diagnose PMS. Discussion about various treatment options available in accordance with the current literature. Learning objectives Develop an understanding of the pathophysiology behind PMS . How to diagnose PMS accurately and understand the different classifications of PMS . How to treat PMS , including the different treatment options available and discussion about side effects and benefits. Ethical issues Discussion about the long‐term risks of Gn RH analogue use, and the impact of long‐term estrogen deficiency following a bilateral salpingoophorectomy. Misdiagnosed PMS in patients with underlying psychiatric and medical conditions.