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ПРЕДМЕНСТРУАЛЬНЫЙ СИНДРОМ: КЛИНИКА, ДИАГНОСТИКА И ТЕРАПЕВТИЧЕСКИЕ ПОДХОДЫ

https://doi.org/10.21518/2079-701X-2017-2-106-111

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Аннотация

Предменструальный синдром (ПМС) – это сложный, циклический, полиэтиологичный, многофакторный комплекс соматических и психических нарушений, которые возникают у некоторых женщин репродуктивного возраста во второй, лютеиновой фазе менструального цикла и, в свою очередь, негативно сказываются на привычном для женщины образе жизни. Предменструальное дисфорическое расстройство (ПМДР) – это тяжелая форма ПМС, при которой превалирует психоневрологическая симптоматика.

Для постановки диагноза ПМДР Американской психиатрической ассоциацией были разработаны специальные критерии DSM-5, согласно которым наличие пяти и более симптомов у женщины в течение недели, предшествующих менструации, и их исчезновение через несколько дней после начала менструации подтверждают данный диагноз. Эти симптомы должны присутствовать по крайней мере в двух циклах.

Лечение женщины с ПМС/ПМДР прежде всего должно начинаться с нормализации образа жизни, включения регулярных умеренных физических нагрузок в повседневную деятельность. Эффективность назначения витаминов B6, E и кальция в проведенных исследованиях не была доказана.

В качестве медикаментозной терапии препаратами первой линии являются СИОЗС или комбинированные оральные контрацептивы, содержащие дроспиренон, а затем агонисты гонадотропин-рилизинг гормона.

Об авторах

Л. П. Гулиева
Первый Московский государственный университет им. И.М. Сеченова
Россия
Москва


С. В. Юренева
Научный центр акушерства, гинекологии и перинатологии им. В.И. Кулакова
Россия

д.м.н.,

Москва



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Для цитирования:


Гулиева Л.П., Юренева С.В. ПРЕДМЕНСТРУАЛЬНЫЙ СИНДРОМ: КЛИНИКА, ДИАГНОСТИКА И ТЕРАПЕВТИЧЕСКИЕ ПОДХОДЫ. Медицинский Совет. 2017;(2):106-111. https://doi.org/10.21518/2079-701X-2017-2-106-111

For citation:


Guliyeva L.P., Yureneva S.V. PREMENSTRUAL SYNDROME: CLINICAL PATTERN, DIAGNOSTICS AND THERAPEUTIC APPROACHES. Medical Council. 2017;(2):106-111. (In Russ.) https://doi.org/10.21518/2079-701X-2017-2-106-111

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ISSN 2079-701X (Print)
ISSN 2658-5790 (Online)