What to do about premenstrual anxiety

Premenstrual anxiety disorder is also a common manifestation of anxiety disorder. It refers to the anxiety that mature women will experience before menstruation. When this happens, the first thing to do is to seek psychological counseling in a timely manner. You can consult a psychologist, and then strengthen conditioning and health care in this regard. If it is more serious, some anti-anxiety drugs can be used for treatment.

What to do about premenstrual anxiety

1. Strengthen health education:

Make patients realize that PMS is a common phenomenon among women of childbearing age, and that relief can be achieved through a series of lifestyle adjustments and simple drug treatments, thereby eliminating patients' concerns about the disease and unnecessary mental burden, and allowing them to be mentally prepared before symptoms appear and take the following preventive measures in life and nutrition.

(ii) Supplement minerals and vitamins:

It has been widely used to treat PMS. It is reported that taking 1000 mg of Ca and 360 mg of Mg daily can improve negative emotions, water retention and pain during the luteal phase, but its mechanism of action is not understood and the treatment effects vary greatly. Some patients experienced significant improvement in their symptoms after treatment, while others experienced no effect at all.

3. Correcting water retention:

Due to the lack of experimental confirmation, PMS patients do have fluid retention, so it is not necessary to give diuretics immediately. If symptoms do not improve after reducing salt intake and supplementing calcium and magnesium minerals, or if weight gain during the luteal phase is >2500g, the diuretic spironolactone (spironolactone) 25mg can be given 4 times a day, taken from the 18th to the 26th day of the cycle. The amount of potassium excreted is small, no potassium supplementation is needed, and dependence is not likely to occur. In addition to reducing swelling and weight, it can also relieve mental symptoms, including drowsiness, lethargy, depression, and sadness.

4. Breast pain:

Supporting the breasts with a bra, reducing caffeinated beverages, and taking oral contraceptives can help relieve symptoms. The most economical and least side-effect agent is oral gestrinone, a synthetic 19-norsteroid with androgenic and anti-E and P properties. By blocking the E receptors of the breast and eliminating the cyclical changes of the breast, it can effectively relieve breast pain and tenderness, and can dissipate breast nodules or reduce the size of nodules. The main side effects are acne caused by its androgenic properties. Danazol can be used for critically ill patients.

5. Control of psychoneurological symptoms:

The diagnosis and treatment of PMS is often related to psychiatry. Patients with severe emotional disorders must be treated together with a psychiatrist. Drug treatment can only alleviate symptoms, make patients feel better, and improve functional status, but cannot completely eliminate symptoms. And because individuals vary greatly in their responses to drugs, it is impossible to predict in advance which regimen will be more effective for a particular patient. Therefore, experimental treatment is needed before a regimen is finalized. Each treatment regimen is best applied for three cycles to be clear.