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작성자스토크 조회 7회 작성일 2021-01-23 20:15:40 댓글 0

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우울,폭식,무기력증···월경전증후군(PMS) 원인&극복법!

우울, 폭식, 무기력증, 부종 등
월경전증후군(PMS)으로 고민이신분들!
PMS의 원인과 극복법을
어니스트여성의원 조혜진원장님이 알려드립니다!

#월경전증후군 #생리전증후군 #PMS

어니스트여성의원 ▼
http://www.honestclinic.com

If You Suffer from Premenstrual Dysphoria - Watch This

PMDD stands for premenstrual dysphoric disorder. This is not to be confused with Premenstrual Syndrome or PMS. PMS is changes in mood during certain parts of the menstrual cycle. It affects 80% of women. The mood changes can be mild to moderate. In fact, some women will just see it as feeling a little moody the week before their menstrual cycle.

PMDD is a severe form of PMS. It’s almost like turning into the werewolf when the full moon rises. For some people, it’s just that drastic. It affects 3% - 8% of women. So it’s not as common as PMS.

We treat PMDD with antidepressants or hormone therapy. I show you why some women get PMDD and why the antidepressants help. I discuss the difference between intermittent and continuous dosing with antidepressants. I also discuss the two main hormone treatments.
If you do not want to take any kind of medication, you can try lifestyle changes. The first are diet modifications such as eliminating caffeine, sugar, nicotine and alcohol and minimizing sodium. You would combine this with sleeping 7-9 hours a night and getting regular exercise – like 3-5 times a week.

Some nutritional supplements have shown to be helpful. These would be Calcium 1200mg/day, Vitamin B6 50-100mg/day. Other supplements would be Magnesium 200 – 360mg/day, Vitamin E 400 IU/day.

There are some herbal remedies that have been shown in studies to be helpful.
Agnus castus fruit extract, also known as chasteberry and Gingko biloba.


To download the mood diary go here:
http://markspsychiatry.com/mood-diary/

Video on Brain Zaps from medication withdrawal
http://www.youtube.com/watch?v=KrcUEarpx-s

Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. If you don’t want to miss a video, click here to subscribe. https://goo.gl/DFfT33

References:
Article about how SSRI’s increase allopregnalone
Griffin LD, Mellon SH. Selective serotonin reuptake inhibitors directly alter activity of neurosteroidogenic enzymes. Proc Natl Acad Sci U S A. 1999;96(23):13512–13517.
Bäckström T, Bixo M, et. al. Allopregnanolone and mood disorders. Prog Neurobiol. 2014 Feb; 113:88-94. Epub 2013 Aug 23.

Schiller CE, Schmidt PJ, Rubinow DR. Allopregnanolone as a mediator of affective switching in reproductive mood disorders. Psychopharmacology (Berl). 2014;231(17):3557–3567. doi:10.1007/s00213-014-3599-x

Griffin LD, Mellon SH. Selective serotonin reuptake inhibitors directly alter activity of neurosteroidogenic enzymes. Proc Natl Acad Sci U S A. 1999;96(23):13512–13517.

Khine K, Rosenstein DL, Elin RJ, Niemela JE, Schmidt PJ, Rubinow DR. Magnesium (Mg) retention and mood effects after intravenous Mg infusion in premenstrual dysphoric disorder. Biol Psychiatry. 2006 Feb 15;59(4):327-33.

Yonkers KA, Pearlstein TB, Gotman N. A pilot study to compare fluoxetine, calcium, and placebo in the treatment of premenstrual syndrome. J Clin Psychopharmacol. 2013 Oct; 33(5):614-20.

Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.

PREMENSTRUAL SYNDROME (PMS), Causes, Signs and Symptoms, Diagnosis and Treatment.

Premenstrual syndrome (PMS) refers to physical and emotional symptoms that occur in the one to two weeks before a woman's period.Symptoms often vary between women and resolve around the start of bleeding.Common symptoms include acne, tender breasts, bloating, feeling tired, irritability, and mood changes.Often symptoms are present for around six days.A woman's pattern of symptoms may change over time.Symptoms do not occur during pregnancy or following menopause.

Diagnosis requires a consistent pattern of emotional and physical symptoms occurring after ovulation and before menstruation to a degree that interferes with normal life.Emotional symptoms must not be present during the initial part of the menstrual cycle.A daily list of symptoms over a few months may help in diagnosis. Other disorders that cause similar symptoms need to be excluded before a diagnosis is made.

The cause of PMS is unknown.Some symptoms may be worsened by a high-salt diet, alcohol, or caffeine.The underlying mechanism is believed to involve changes in hormone levels. Reducing salt, caffeine, and stress along with increasing exercise is typically all that is recommended in those with mild symptoms.Calcium and vitamin D supplementation may be useful in some.Anti-inflammatory drugs such as naproxen may help with physical symptoms.In those with more significant symptoms birth control pills or the diuretic spironolactone may be useful.

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#pms

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