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ARTICLE |

Premenstrual Syndrome: A Clinician's Guide

Leslie Hartley Gise, MD
JAMA. 1990;264(1):95-96. doi:10.1001/jama.1990.03450010103044.
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ABSTRACT

Although some clinicians still doubt the existence of premenstrual syndrome (PMS), it is regarded as a legitimate medical condition. Furthermore, all practicing physicians, whatever the specialty, should know about the premenstrual syndromes, which can present with over 150 different symptoms that pertain to every specialty in medicine.

Unfortunately, the diagnosis of a PMS is complicated. First, it is made differently from the way we are used to making most of our diagnoses in clinical medicine. Second, there is a spectrum from normal premenstrual changes to a full-blown premenstrual disorder that interferes with functioning, so distinguishing the different types of syndromes may be difficult. Third, without knowing it, women frequently either exaggerate or underestimate their symptoms.

First, most diagnoses in clinical medicine are made retrospectively, that is, on the basis of a history, physical examination, and relevant laboratory tests. The diagnosis of a PMS, however, is not made on the basis

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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