Surgical managememnt on premenstrual syndrome
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(PMS) is primarily pharmacologic and behavioral, with an emphasis on relief of symptoms. No single pharmacologic treatment is universally effective, and studies with all therapies have not produced consistent results. Current recommendations in the literature regarding oral contraceptive pills are conflicting. At present, selective serotonin reuptake inhibitors (SSRIs) are commonly considered suitable first-line therapy for premenstrual disorders.
Because of the difficulty of treating PMS and the variations in response to treatments experienced by patients, complementary and alternative strategies have been explored for patients with PMS. These include the following:
Relaxation response - This technique consists of quiet sitting, progressive muscle relaxation, and the repetition of a constant stimulus, such as the word "one" during each inhale and exhale; practicing for 10-20 minutes daily is recommended
Biofeedback and guided imagery
Cognitive behavioral therapy and group therapy
Light therapy - Bright-light therapy uses 10,000 lx cool-white fluorescent light daily for 30 minutes
Massage
Chiropractic therapy
Homeopathy and herbal medicines - Studies have examined the efficacy of various homeopathic and herbal medicines, including Crocus sativus L (saffron) and Chinese herbal medications; one pilot study found that 90% of patients receiving a homeopathic treatment regimen experienced improvement in symptoms, compared with 37.5% of those receiving placebo ; several studies have concluded that some alternative methods may be beneficial in symptom alleviation and that further research is warranted
Because of the difficulty of treating PMS and the variations in response to treatments experienced by patients, complementary and alternative strategies have been explored for patients with PMS. These include the following:
Relaxation response - This technique consists of quiet sitting, progressive muscle relaxation, and the repetition of a constant stimulus, such as the word "one" during each inhale and exhale; practicing for 10-20 minutes daily is recommended
Biofeedback and guided imagery
Cognitive behavioral therapy and group therapy
Light therapy - Bright-light therapy uses 10,000 lx cool-white fluorescent light daily for 30 minutes
Massage
Chiropractic therapy
Homeopathy and herbal medicines - Studies have examined the efficacy of various homeopathic and herbal medicines, including Crocus sativus L (saffron) and Chinese herbal medications; one pilot study found that 90% of patients receiving a homeopathic treatment regimen experienced improvement in symptoms, compared with 37.5% of those receiving placebo ; several studies have concluded that some alternative methods may be beneficial in symptom alleviation and that further research is warranted
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