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Guidelines for the management of PMS

The algorithm below can be followed in the medical treatment of moderate to severe PMS. These treatments should be discussed with your GP and you may require referral to hospital. Strategies for treatment of mild to moderate PMS should also be used even if the PMS is severe.

 

 

 

Mild/Moderate PMS

Encouragement of healthier lifestyle 

Improved nutrition and regular exercise 

Less fat, sugar, salt, caffeine & alcohol 

¦ 

 ¦

Psychological & Physical PMS

Progesterone

Pessaries

Gel

 ¦

Psychological & Physical PMS

Oestrogen patches

 ¦

Psychologicalm PMS Symptoms

Antidepressant tablets

e.g. Prozac

 

Moderate/Severe PMS 

 ¦

Psychological & Physical PMS

Progesterone

Pessaries

Gel

 ¦

Psychological & Physical PMS

Oestrogen patches

 ¦

Psychologicalm PMS Symptoms

Antidepressant tablets

e.g. Prozac

 ¦ 

Resistant severe PMS
Injections to stop periods
with add back hormone therapy

 ¦ 

Surgery for very severe PMS
Hysterectomy with ovary removal
with hormone therapy   

We are grateful to the National Association for Pre-Menstrual Syndrome for their help in compiling this section.