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Research ArticleMedical Practice

Hormonal Therapy in the Management of Premenstrual Syndrome

Jeffrey D. Tiemstra and Krishna Patel
The Journal of the American Board of Family Practice September 1998, 11 (5) 378-381; DOI: https://doi.org/10.3122/15572625-11-5-378
Jeffrey D. Tiemstra
From the Family Practice Residency, Saint Joseph Medical Center (JDT),Joliet, and the Department of Pharmacy Practice, University of Illinois at Chicago (KP), Ill.
MD
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Krishna Patel
From the Family Practice Residency, Saint Joseph Medical Center (JDT),Joliet, and the Department of Pharmacy Practice, University of Illinois at Chicago (KP), Ill.
PharmD
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Abstract

Background: Premenstrual syndrome (PMS) is characterized by any of a number of physical and psychological symptoms consistently occurring in the late luteal phase. Progesterone therapy is often recommended based on anecdotal evidence, although controlled studies have shown it to be ineffective. Oral contraceptives are more often used with mixed results. When hormonal therapy for PMS is indicated, the most appropriate choice remains a challenge.

Methods: We describe a case report of successful hormonal therapy for PMS and a review of the literature on the effectiveness of hormonal therapies.

Results and Conclusions: Estrogen is clearly effective in relieving symptoms of PMS, whereas progesterone is ineffective and might even worsen symptoms. Combination oral contraceptives are effective, undoubtedly as a result of the estrogen component. While little comparative data exist to guide choice of an oral contraceptive, maximizing the relative estrogenic potency of the oral contraceptive seems logical. Depressive symptoms might not respond to hormonal treatment, and new research suggests that selective serotonin reuptake inhibitors might be particularly effective.

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The Journal of the American Board of Family     Practice: 11 (5)
The Journal of the American Board of Family Practice
Vol. 11, Issue 5
1 Sep 1998
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Hormonal Therapy in the Management of Premenstrual Syndrome
Jeffrey D. Tiemstra, Krishna Patel
The Journal of the American Board of Family Practice Sep 1998, 11 (5) 378-381; DOI: 10.3122/15572625-11-5-378

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Hormonal Therapy in the Management of Premenstrual Syndrome
Jeffrey D. Tiemstra, Krishna Patel
The Journal of the American Board of Family Practice Sep 1998, 11 (5) 378-381; DOI: 10.3122/15572625-11-5-378
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