CLINICAL MANIFESTATIONS

Part of “CHAPTER 99 – PREMENSTRUAL SYNDROME“

The symptoms of PMS fall into one of four temporal patterns (Fig. 99-1).5 The most severely affected women report having only one symptom-free week per month; some may experience such a disruption of lifestyle in the affected weeks that a return to normal relationships and activities in the postmenstrual week is virtually impossible.

FIGURE 99-1. Schematic diagram showing variability in the onset and duration of premenstrual symptoms. Most patients experience patterns A or B. (From Reid RL, Yen SSC. Premenstrual syndrome. Clin Obstet Gynecol 1983; 26:710.)

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