Premenstrual syndrome (PMS, premenstrual tension) are clinically significant physical symptoms and psychological manifestations during the second phase of the menstrual cycle, which spontaneously disappear after the onset of menstruation. Almost half of women suffer from premenstrual syndrome, and 20% have severe PMS that affects their daily activities. This syndrome occurs due to hormonal imbalances. The condition affects not only adult women but also teenagers. If you have severe PMS, you can undergo treatment of hormonal disorder in women during sexual maturation in Germany.
Content
- How often does PMS develop during sexual maturation?
- Diagnostics
- How is PMS treated in teenagers?
Patients are prescribed conservative therapy: hormonal agents, antidepressants, diuretics, and anti-inflammatory drugs. Drug methods are successfully combined with non-drug ones such as lifestyle correction, cognitive behavioral therapy, physiotherapy, and therapeutic exercises.
You can undergo your treatment in one of the following hospitals: University Hospital of Ludwig Maximilian University Munich, Hospital Neuperlach Munich, or University Hospital Carl Gustav Carus Dresden.
You don't have to organize your trip yourself. The Booking Health employees will take care of these tasks: they will recommend a clinic and a specialist, quickly make an appointment, help you to come to the clinic, take care of your accommodation in Germany, and translate your medical documents into German. You will communicate with your doctor through an interpreter, and you can contact your personal coordinator for any everyday issues.
How often does PMS develop during sexual maturation?
The younger the woman, the higher the risk of developing PMS. The peak of seeking medical attention for this syndrome occurs at the age of 20 years. But, in fact, most girls experience symptoms even earlier, during their sexual maturation. Studies have shown that PMS has the same prevalence among teenagers as among adults.
Risk factors for this condition in children include:
- obesity;
- calcium and vitamin B deficiency;
- smoking;
- emotional and physical abuse in childhood;
- early menarche.
How does a hormonal disorder in women manifest itself?
The main symptoms of PMS are as follows:
- loss of appetite;
- weight gain;
- abdominal, back and lower back pain;
- headache;
- swelling and pain in the mammary glands;
- fatigue;
- emotional lability;
- anxiety;
- irritability.
The most severe variant of PMS is premenstrual dysphoric disorder, which develops in 5% of women. These are pronounced mental symptoms. Infact, this is a variant of depression. Possible manifestations include anger, interpersonal conflicts, feelings of hopelessness, insomnia or drowsiness, loss of interest in daily activities, and difficulty concentrating. Some teenagers have suicidal thoughts and impulses.
Diagnostics
Here are the main tools that doctors use to diagnose hormonal imbalances:
- symptom assessment scales;
- hormone tests;
- ultrasound of the pelvic organs (uterus and ovaries).
Doctors use the following scales to assess the symptoms of PMS and premenstrual dysphoric disorder, as well as to evaluate them over time:
- PSST is a questionnaire with 19 questions;
- COPE includes 22 symptoms divided into 4 categories;
- visual analogue scales for assessing the severity of symptoms;
- DRSP is a daily symptom report, which is rated on a scale of 1 to 6;
- PROMIS is computerized adaptive testing.
How is PMS treated in teenagers?
Traditionally, conservative treatment for PMS includes the use of medications. Recent studies show that the best results can be achieved using a combination of drug and non-drug treatments.
The main goal of PMS therapy is to relieve symptoms and limit their impact on a patient's daily activities and social relationships. This syndrome is not life-threatening and does not cause any complications. But this can lead to serious psychological problems and a violation of the quality of sexual life.
There are no methods to cure this condition once and for all: treatment continues as long as the symptoms persist. Over time, they can be relieved or disappear under the influence of natural hormonal changes in a woman's body.
German medical centers use the following drugs for PMS treatment:
- nonsteroidal anti-inflammatory drugs to relieve pain;
- selective serotonin reuptake inhibitors to normalize the psychological state;
- anti-anxiety medications;
- drugs that eliminate hormonal imbalances and reduce swelling: gonadotropin-releasing hormone (GnRH) agonists, aldosterone receptor antagonists, and oral contraceptives.
Recommendations for lifestyle modifications:
- physical training;
- stress relief;
- healthy sleep, especially in the second phase of the cycle;
- increasing the content of complex carbohydrates in the diet.
Non-pharmacological methods include:
- cognitive behavioral therapy;
- massage;
- physiotherapy.
You are welcome to book your medical program through the Booking Health service to undergo your treatment and rehabilitation for gynecologic diseases in one of the German hospitals. Doctors in Germany successfully cope even with severe forms of PMS, including premenstrual dysphoric disorder. Pediatric gynecologists use safe drugs that do not disrupt the sexual maturation process and do not cause any severe side effects.
When making your treatment appointment through the Booking Health service, the cost of medical services will be lower for you. The price will be reduced due to the absence of additional fees for foreign patients. Our experts will select the best clinics in Germany for you and arrange your trip.
Authors:
The article was edited by medical experts, board-certified doctors Dr. Vadim Zhiliuk and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
Sources:
Verywell Health
Web MD
Science Direct
