PMS - Prementrual Syndrome Information
The syndrome occurs in about 40% of women and 10% of these women have severe symptoms. The incidence PMS peaks in the mid-thirties, but the symptoms tend to be the worst in the fourth decade.
The symptoms usually occur 2-3 days before the onset of the menses and end with its occurrence. It can be present a week before starting and rarely may be a problem the whole second half of the cycle. If the symptoms are present more than 2 weeks out of the month, or if they continue past the menses, the diagnosis is in doubt and another problem may be the culprit.
Currently, serotonin re-uptake inhibitors are a global treatment that covers many symptoms with one treatment. These are now the standard proven treatment for bad PMS. These are also used as anti-depressants: Prozac, Zoloft and Paxil. These are very familiar meds in the North Dallas area and they are especially good for the emotional upheavals of PMS. The dose for PMS is generally less than that for depression. These meds have changed the lives of many women who suffer with severe PMS. The down side is you must take them every day month in and month out.