Experience of Differentiated Approach to Treatment of Various Forms of Premenstrual Syndrome

Today treatment of premenstrual syndrome (PMS) is still debatable and requires an individual differentiated approach. The objective of research was to evaluate the effectiveness of differentiated treatment of PMS various forms. Material and methods. The study involved 200 women of reproductive age with diagnosis of PMS. Combined estrogen-progestagen drugs with drospirenone, selective serotonin reuptake inhibitors, Vitex agnus castus extract or traditional treatment were prescribed according to the form and severity of disease. Results of the research. Traditional therapy was quite effective for correction of psychological and somatic symptoms in patients with mild neuropsychic and edematous forms of PMS. However, it was not effective enough in the patients with severe PMS and persons with cephalgic and crisis forms. Differentiated treatment of neuropsychical and edematous forms with combined oral contraceptives containing drospirenone and the use of selective serotonin reuptake inhibitors in patients with cephalgic and crisis forms of PMS significantly helped to reduce the intensity and leveling of symptoms compared with traditional therapy. Herbal medicines with Vitex agnus castus were effective for correction of symptoms in women with mild neuropsychical form. Conclusions. Treatment of patients with PMS should be individual and differentiated and depend on the clinical form and severity of the disease.?