Premenstrual syndrome

Premenstrual syndrome - a disorder of the nervous, cardiovascular and endocrine system in the second half of the menstrual cycle. There is usually at the age of 16-20 years and after 35 years. Impaired function gipotapamo-pituitary system leads to changes in the second phase of the cycle (failure of the corpus luteum hormone) and increased release of antidiuretic hormone, which leads to the breakdown of adrenal function: increase allocation apdosterona, fluid retention, accumulation of sodium, potassium depletion.

Symptoms within. For 7-10 days before menstruation, headache, insomnia, decreased disability, depression, irritability, increased weight Tepa, swelling; sometimes observed tachycardia, cardiac arrhythmias, false angina, dyspnea, low-grade fever. With the onset of menstruation, all these symptoms have subsided. Diagnosis is based on a strictly cyclical manifestations of this syndrome.

Treatment. Restorative therapy: physiotherapy; multivitamins; tranquilizers (elenium, trioxazine, seduksen 1 tablet per day). On the 15th day of the cycle - for hydrochlorothiazide 12.5-25 mg per day, spironolactone (veroshpiron, aldactone) to 0.05 g per day or more diuretics (for diakarb 0.125-0.25 g per day) and 10 % potassium acetate and 1 tablespoon 4 times a day or potassium orotate by 0.25-0.5 g 2 times a day. Prerequisites treatment - salt-free diet, reducing fluid intake, consumption of potassium-containing foods (raisins, dried apricots, cabbage, potatoes). Correction of ovarian function: 10 days prior to menstruation administration of 10 mg of progesterone or 30 mg daily pregnina; Sometimes you can use a combination of estrogenogestageny (bisekurin, non-ovlon) from the 5th to the 26th day of the cycle. Drug treatment is carried out for 3-4 cycles and then allowed only diet therapy.