Premenstrual Sendromun Yönetiminde Güncel Yaklaşımlar.

Premenstrual syndrome (PMS) is a health problem that occur physical and psychological symptoms that be present about five days before menstruation, end within a few days after the onset of menstruation. The most common symptoms are appetite changes, edema, breast tenderness, abdominal pain, back pain, headache, fatigue, insomnia, depressive affect, irritability, angry outbursts, anxiety. Most women's half of life go through with premenstrual problems and quality of life is affected negatively. PMS prevalence is notably high in the world and our country. In this respect, it is important that increasing awareness of health professionals and women about PMS. The aim of this review is to explain current approaches of PMS management in the context of international guidelines. Getting detailed anamnesis for the diagnosis of PMS, if necessary, consultations and laboratory investigations are carried out. In addition, the diagnosis of PMS is confirmed by assessing women's symptom records for at least two months that the type of symptoms and the time of appearance these in the menstrual cycle. PMS management is carried out gradually by multidisciplinary team that adopted an integrative holistic approach in the direction of individualized plan. In the first step, creating awareness about PMS, teaching to women self-screening, lifestyle changes, regulation of diet, methods of coping with stress. In the second step, cognitive behavioral therapy and complementary alternative therapies are implemented. If the problem continues, pass on pharmacological treatment in the third step. Finally surgical treatment is applied in the fourth step. [ABSTRACT FROM AUTHOR]