Rus Articles Journal

PMS eyes of the doctor

So developed that in most cases the negative emotions, irritability, and at times, and aggression, women began to write off for PMS, a so-called premenstrual syndrome to which most of modern women are subject. What is PMS and how to fight against it?

the Premenstrual syndrome (PMS) is a difficult complex of the negative symptoms arising at women in the days preceding periods. Monthly, some days before approach of periods, millions of women feel unpleasant feelings which power can vary from an easy indisposition to the wild uncontrollable pain which is followed by hypersensibility of mammary glands, an abdominal distension, irritability, tearfulness, all body pain, temperature, a headache or attacks of unclear concern from which there is a wish “to climb on a wall“. And all this can be combined in absolutely different combinations. At one they disappear from the beginning of periods, at others, on the contrary, with its termination.

Statistically such concept as PMS of very well familiarly about 90% of women at the age from about 13 to 50 years. But only about 10% suffer from very strongly expressed symptoms. The peak of manifestations of PMS is the share of age about 30 - 35 years. Most of women as all same statistics shows, does not struggle with this temporary physical and emotional discomfort in any way, believing that all will pass. And meanwhile, if to count how many approximately on average the woman is in a condition of PMS, then the figure reaches about 7,5 years of self-tortures.

it is As if strange sounded, but to a uniform conclusion that is the reason of PMS, the modern medicine did not come yet. Today physicians around the world PMS admits as the diagnosis of an exception. It means that first of all at the patient all possible somatic and/or psychiatric diseases are excluded, and, having only excluded everything, the diagnosis of PMS is made. Most of physicians inclined that at PMS it is all about hormones, more precisely that from 21 to 28 day of a menstrual cycle the level of women`s hormones in blood sharply changes that is connected with an ovulation, and it carries out to strong changes not only an organism in general, but also influences health of the woman. This hormonal theory was offered R. Frank in 1931. The theory modern and most “fashionable“ now about emergence of PMS, is connected with an exchange in a brain of special substances which are responsible for mood. For this reason, at the expressed symptoms of PMS connected with psycho - the emotional sphere, consultation of the psychiatrist is necessary for selection of adequate therapy.

However, some incline to the theory that PMS has purely psychological roots. It is considered that neuropathic, hysterical women with unstable mentality generally suffer from PMS. And though this point of view is not especially popular, many doctors agree that the stress really strengthens manifestations of a premenstrual syndrome.

However, despite all above-stated theories, modern doctors allocated more than 150 symptoms of PMS which fortunately, for us, women, cannot meet at the same time in one organism. Most of young women says about what in the days preceding periods they often test not only physical, but also emotionally - psychological discomfort. Many test attacks of unreasonable aggression, inadequate behavioural reactions, tearfulness, frequent change of moods can be observed. At the same time it is noticed that some women unconsciously feel fear of approach of PMS and periods and therefore they become even more irritable and closed, even before this period.


in the middle of 80 - x years of the last century by the Russian obstetricians - gynecologists offered the following classification: four most common forms of a premenstrual syndrome were allocated. The first form - neuro - mental, characterized by weakness, tearfulness, a depression or, on the contrary, excessive and unreasonable irritability, and at times, even aggression. And the last, as a rule, prevails at young girls whereas women of advanced age are more often subject to melancholy and a depression.

the Second PMS form (or so-called, edematous) represents coarsening, swelling and morbidity of mammary glands, puffiness a subject and the increased perspiration. Besides at the woman suffering from this PMS form sharply expressed sensitivity to smells, and sometimes and variability of flavoring feelings is observed.

the PMS Following form - tsefalgichesky at which the woman feels headaches, dizziness and even nausea. Approximately at a third heartaches, and also unexpectedly suppressed psychological state are observed.

, at last, the last form of a premenstrual syndrome (krizovy) is shown by

I in emergence of adrenalovy crises which begin with feeling of squeezing under a breast and are followed considerably by tachycardia, a sleep, a cold snap of extremities and an incontience. This PMS form is the heaviest and demands obligatory medical intervention.

the Direction of treatment of PMS in many respects are defined by specific features of a female organism and those symptoms which she tests. The general for all PMS forms is council of a message a menstrual calendar where it is possible to write down also the feelings in days before periods. This calendar method will help to understand whether is at the woman of PMS, or the reasons of an indisposition are covered in other, not gynecologic violation.

From the point of view of evidential medicine only 2 groups of the preparations which proved to be effective concerning treatment of PMS exist. These are hormonal contraceptives and psychotropic drugs - antidepressants. All others (diuretic, vitamins, hypotensive preparations and so on) are remedies for the main diseases, but by no means - not PMS.

Aganezova Natalia, the doctor the obstetrician - the gynecologist, to. m of N, associate professor SPBMAPO, expert of the There Are No Surprises -! program :“ Around the world widespread option of treatment of PMS is application of the combined hormonal contraceptives. Oral hormonal contraceptives and a vaginal contraceptive ring, being well-tried remedies of protection against undesirable pregnancy, suppress cyclic changes of a hormonal background in the woman`s organism, and promote simplification of manifestations of such cyclic syndrome (i.e. connected with a menstrual cycle of the woman) as PMS. Consultation of the obstetrician - the gynecologist before use of hormonal contraceptives is obligatory.

Lyudmila Artsybysheva, the obstetrician - the gynecologist, the expert of the educational program “Happiness of Motherhood - Each Woman!“ :“ At a premenstrual syndrome, besides medicines, daily exercises, observance of a low-calorie diet, walk in the fresh air, restriction a salty, sweet, 8 - 9 hour dream is recommended. From exercises strengthening of muscles of a press, muscles of a pelvic bottom, respiratory gymnastics, swimming are recommended. At a similar way of life it is possible to cope with that simptomokompleks which is called PMS of easy degree quickly enough, and in several months and absolutely to forget about it“.

But first of all, it is necessary to remember that as if PMS hard did not proceed, you should not give up. In - the first, you can improve the state positive emotions with assistance of relatives. Only you remember that you should not use abundance of preparations for treatment of PMS independently, the main step on the way to the decision it a difficult problem will be your visit to the expert.