PMS is an affliction faced by many women of reproductive age. There are many studies, both cross-sectional and focusing on selected cases, which point to certain patterns associated with the occurrence of symptoms. Strict criteria must be met in order to make a diagnosis. There are a number of therapeutic approaches that follow a specific regimen. In addition to pharmacology and surgery, there are also alternative forms of treatment.
Alternative therapies
There are also a number of alternative therapies, which include acupuncture, which has been accepted as an effective therapeutic method, supplementation with B vitamins and vitamin D.
In addition,cognitive-behavioural therapy is used to understand the pattern of such symptoms in PMS when psychotic symptoms occur.
Another aspect is the use of herbal treatment as an adjunctive therapy. In PMS, herbs such as immaculate and ginkgo biloba are effective in relieving symptoms. St John's wort is effective in relieving psychotic symptoms by promoting the secretion of serotonin, but in this case caution should be exercised in its use. Liquorice root also has a positive effect in relieving PMS symptoms, through its corticosteroid-like action.
In addition, an increase in physical activity as well as a change in diet may be necessary to alleviate PMS symptoms.
Operative treatment
Removal of the uterus together with the adnexa is the definitive form of treatment for PMS and should only be used when all other therapeutic methods have been exhausted. It is aimed at a specific group of women, only in justified cases.
Psychiatric treatment
In some cases, female patients suffering from PMS face very strong psychological complaints. Improvements in the patients' condition are observed with the use of drugs from the selective serotonin and norepinephrine reuptake inhibitor group. This has a positive effect on both the alleviation of somatic and psychological symptoms. If long-term therapy is required, it is recommended that the dose is gradually reduced so that treatment is withdrawn. [1]
