L36 Premenstrual syndrome

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Public Health & Medical Academy

Premenstrual syndrome

Health & Medicine

Symptoms
 Symptoms cyclical and relieved by menstruation ,Symptom-free week And
affects quality of life
 Psychological symptoms: Depression, irritability, anxiety, tension, aggression,
feeling out of control
 Physical symptoms: Bloatedness, mastalgia, headache

Pathophysiology
 sensitivity to physiological levels of progesterone
 Low activity of GABA (neurotransmitter )

Diagnosis
 Symptoms diary for 2 cycles
A symptom diary should be completed by the patient prior to commencing treatment.
 Gonadotrophin-releasing hormone (GnRH) analogues test for 3 months if the
completed symptom diary alone is inconclusive

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Preterm labor is defined as the onset of labor before 37 weeks of gestation. It is a leading cause of neonatal morbidity and mortality, and can lead to long-term health problems for the baby. Risk factors for preterm labor include a history of preterm labor or delivery, multiple gestations, cervical incompetence, uterine anomalies, and infections. Symptoms of preterm labor can include regular contractions, pelvic pressure or pain, backache, vaginal bleeding or discharge, and a change in vaginal discharge. If preterm labor is suspected, immediate medical attention is required. Treatment may include medications to stop or slow down labor, steroid injections to help speed up fetal lung development, and bed rest. Prevention of preterm labor can be achieved through good prenatal care, including regular prenatal visits, proper nutrition, and management of underlying medical conditions. Avoiding certain risk factors, such as smoking and substance abuse, can also help reduce the risk of preterm labor. In cases where preterm labor cannot be prevented, the goal is to delay delivery as long as possible to give the baby the best chance of survival and good health. This may involve hospitalization for bed rest, medication, and close monitoring of the mother and baby. Preterm labor is a serious and potentially life-threatening complication of pregnancy, but with appropriate management and early intervention, the risk of morbidity and mortality can be minimized.

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