If you are experiencing some or all of the problems such as premenstrual abdominal swelling, breast tenderness, anxiety, tension, crying spells, depression, fatigue, lack of energy, unreasonable anger or tension, difficulty concentrating, appetite changes and varying degrees of swelling in the hands and feet. You may have Premenstrual Tension Syndrome. This situation may affect your lifestyle and work, but the complaints disappear completely in the days following menstruation. Premenstrual tension syndrome is a condition faced by many women.
Premenstrual tension begins after the ovulation period. Although the main cause is still unknown, it is thought to be caused by periodic changes in hormones. In particular, it has been suggested that fluctuations in the level of serotonin, a brain chemical (neurotransmitter), contribute to symptoms such as fatigue, appetite changes and sleep problems seen in premenstrual tension syndrome. Premenstrual tension syndrome symptoms have also been linked to inadequate intake of vitamins and minerals. Excessive salt consumption, alcohol and caffeinated drinks, which cause fluid retention, can also cause premenstrual tension syndrome by causing disorders in mood and energy level.
Complaints Accompanying Premenstrual Tension
For diagnosis. At least five of the following are required, and one of the complaints must be one of the first four:
- Marked depressed mood, feeling of hopelessness
- Marked anxiety or tension
- Marked emotional lability, such as sudden onset of sadness, crying, irritability or anger
- Persistently marked anger or irritability or interpersonal disagreement
- Decreased interest in normal daily activities
- Easily getting tired or significant lack of energy
- Concentration problem
- Appetite changes, eating more than usual or craving for excessive sweets
- Sleeping too much or insomnia
- The feeling of being crushed or out of control
50 to 60% of women with severe premenstrual syndrome have an underlying psychiatric disorder.
Premenstrual tension syndrome The first step in the treatment is for both the patient and the physician to believe that the problem occurs in monthly periods. is. Today, the only diagnostic tool is the menstrual calendar. A record that will last at least 2-3 months, if possible with the contributions of other observers such as family members, is necessary to document the recurring problem that occurs in the second half of the menstrual period, affects work and lifestyle, and is followed by a completely comfortable period. During this period, a solid relationship between the patient and the doctor should be established and thus the patient should be educated as much as possible.
Changes in treatment that allow people to have more control over their own lives have positive effects. It has been shown that lifestyle adjustments in the treatment of premenstrual tension syndrome can reduce or even eliminate the need for medication in some patients. Dietary changes, regular exercise, a life away from alcohol, cigarettes and caffeine, and increasing control over one's own life instead of life circumstances controlling the person can help cope with or reduce the symptoms of premenstrual tension syndrome. If the person perceives fluid accumulation as the main problem, diuretic treatment is tried, and if the person perceives painful menstruation as a problem, painkillers or birth control pills are tried. In addition to the diet, calcium and magnesium supplements, restriction of salt intake and the use of herbal regulators (black cohosh, ginger, berry leaf, dandelion tea, chaste tree berry and evening primrose oil) are thought to be good for the symptoms of premenstrual tension syndrome.
If you have tried to control your premenstrual tension complaints with changes in your lifestyle and have not been successful or have had little success, if your signs and symptoms are seriously affecting your life and daily activities, do not let this problem control your life, consult your doctor.
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