by Scholten A

Diagnosis of Premenstrual Syndrome (PMS)

Since premenstrual syndrome (PMS) includes a wide range of symptoms, a specific diagnosis may be difficult to make. Therefore, it is necessary to keep a record of your monthly physical and emotional symptoms. This will help your doctor to make an accurate diagnosis. The symptoms will most likely occur 1-2 weeks before you menstruate. When symptoms occur at about the same time each month, PMS is likely the condition.

Initial Assessment

Your doctor will ask you about your symptoms and medical history. The timing of your symptoms and their impact on daily activities are very important to consider. You may be given a questionnaire or a chart to keep track of your discomforts.

Physical Examination and Tests

A complete physical exam will provide important information. Although there is no single finding that confirms the diagnosis of PMS, your doctor will want to look for signs that may indicate another conditions. Examples include thyroid disorders, diabetes, chronic fatigue syndrome, endometriosis, perimenopause (if you are over 40), or medication side effects.

Psychological Assessment

Sometimes an underlying mental health condition may be present. The symptoms may get worse during the premenstrual phase of your cycle. Screening for depression, anxiety, or other mental health conditions may be recommended.

References

Premenstrual syndrome. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T113966/Premenstrual-syndrome. Updated June 9, 2016. Accessed October 4, 2016.
Premenstrual syndrome (PMS). Family Doctor—American Academy of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/premenstrual-syndrome-pms.html. Updated April 2014. Accessed August 18, 2016.
Premenstrual syndrome (PMS) fact sheet. Office on Women's Health website. Available at: http://www.womenshealth.gov/publications/our-publications/fact-sheet/premenstrual-syndrome.html. Updated December 23, 2014. Accessed August 18, 2016.

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