By J. B. Day, R. W. Taylor (auth.), Pieter A. van Keep, Wulf H. Utian (eds.)
Despite a plethora of theories, premenstrual syndrome (PMS) has remained an enigma. There has persevered within the literature a relentless clash as to the lifestyles of the syndrome, a query to whether it truly is one syndrome or numerous, and a debate to whether the foundation is psychic, somatic, or either. Advances in endocrinology, particularly in radioligand assays, taking into account exact hormone measurements, have caused a extra clinical evaluate of PMS in recent times. still, diffi culties have endured in amassing well-documented info end result of the protean nature of the syndrome. certainly, even at the present, the query of what calls for size in the course of the follicular section of the cycle and the premenstrual section continues to be unresolved, and is hard to put in point of view. In view of the persisting clash among the natural and the mental faculties of notion, we, the editors of this publication, thought of the 6th overseas Congress of Psychosomatic Obstetrics and Gynecology to be an amazing venue for a workshop during which either events will be inspired to take part. in the direction of this finish, the organizing committee of the Inter nationwide Society of Psychosomatic Obstetrics and Gynecology (ISPOG) used to be approached, and their reaction was once super encouraging. during this recognize, we want to list our due to the medical Committee oflSOPG for permitting this workshop to be geared up less than their auspices, yet absolutely below our course. We, in flip, stand accountable for the layout and content material of the workshop.
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Additional resources for The Premenstrual Syndrome: Proceedings of a workshop held during the Sixth International Congress of Psychosomatic Obstetrics and Gynecology, Berlin, September 1980
Turning to the statistical, heuristic, exercise carried out on the French data, the surprising emergence of three such distinct groups of women leads to the speculation that it is perhaps not one premenstrual syndrome with which we are dealing - but three. It would not be unthinkable that each of these three syndromes has its own aetiology, and, therefore, that each requires a different therapy. This might explain the variety in the ways in which women expenence the premenstrual syn40 AN EPIDEMIOLOGICAL AND STATISTICAL EXERCISE drome.
An analysis of the women who suffered skin problems showed that this was primarily a complaint of women over the age of 48; one wonders if this is not, in fact, a climacteric symptom rather than a premenstrual one. This is purely a matter of conjecture, however. 37 THE PRE'VIE"STRUAL SY:-\OROME The next question was: Are there any explanations in the data available which might 'explain' why a woman is in one group as opposed to another, or rather, given the nature of the data available, are there any factors which dominate in any of the groups which might indicate the likelihood of a woman being in that group as opposed to any of the others?
The severity of the syndrome will be the product of the degree of changes in the internal environment and the reaction of the patient as determined by her personality, stability and emotional state. ' Any rationale for progesterone therapy for premenstrual syndrome must be to alter what Rees describes as the 'internal environment'. e. progesterone, although it has some sedative properties, is not an anxiolytic, analgesic or antidepressant. The double-blind controlled trials suggest that progesterone given in the luteal phase is as effective as placebo, and this would suggest it is affecting the 'reaction of the patient' and not the 'internal environment'.
The Premenstrual Syndrome: Proceedings of a workshop held during the Sixth International Congress of Psychosomatic Obstetrics and Gynecology, Berlin, September 1980 by J. B. Day, R. W. Taylor (auth.), Pieter A. van Keep, Wulf H. Utian (eds.)