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Thursday, May 7, 2009

Premenstrual dysphoric disorder (PPMD) or Pre Menstruasion Syndrome: Definition, Causes, Diagnosis, and Medicine

Definition
Premenstrual dysphoric disorder (PPMD) or Pre Menstruasion Syndrome ) is a situation where a number of symptoms occur regularly and in touch with the cycle menstruasi; symptoms usually occur 7-10 days before menstruasi and disappear when menstruasi started.

Causes
Pre Menstruasion Syndrome may be related to increased estrogen-degree descent and progesteron that occur during the cycle menstruasi.
Estrogen causes fluid containment, it is likely that the increase in body weight, the network swelling, breast pain and flatulence.

The cause of the syndrome is not known but may be related to factors of social, cultural, biological and psychological. This syndrome occurs in approximately 70-90% of women in fertile age. More often found in women aged 20-40 years.

Symptoms
Weight and type of symptoms vary in each woman and vary in each month. Women who suffered from epilepsy may be more often experience cramps. Women who suffered ligament disease network (such as lupus or arthritis rematoid) may experience this.

Symptoms that may be found are:

1. Physical changes
- Pain Management back
- Flatulence
- Breast feel full and painful
- Changes in appetite
- Constipation
- Headaches
- Unconscious
- Pain Management head
- Regional pelvic droop or depression
- Hot flashes (skin of the face, neck, chest, and looks red hot teraba)
- Insomania
- Not equipped with a
- Nausea and vomiting
- Exhaustion of extremes
- Skin aberration (eg, whelk and neurodermatitis)
- Painful swelling or a network socket
- The weight
2. Changes in mood
- Easy to anger
- Worry
- Depression
- Easy umbrageous
- Nervous
- Seated sad, happy moment
3. Mental changes
- Chaotic
- It's hard to concentrate
- Forgetful.

Diagnosis
The diagnosis based on symptoms that occur several days before the mentruation.

Medicine
Combination of contraception pills containing estrogen and progesteron can help reduce the increase-decrease in estrogen level and progesteron.

To reduce the fluid containment and flatulence, people should reduce the salt and consume food with diuretic light (eg, spironolactone). People can also reduce sugar, alcohol and cafein; add carbohydrate and eat more often.

To reduce the headaches, pain due to cramps womb and joint pain, can be given anti-inflammation drugs non-steroid.

Feeling anxious and nervous can be assisted with a relaxation exercise and meditation.
Fluoxetine can reduce depression and other symptoms.

Usually given vitamin B6, calcium and magnesium.

1 comment:

mark said...

Yes if this problem arise and not treated on time it may get more complicated and can develop hysterectomy.Or there may be any problem in ovaries then Laparoscopic ovarian surgery is a procedure in which ovaries are removed through laparoscopic instrument.when surgery is done through this there is less blood loss.