Journal
CLEVELAND CLINIC JOURNAL OF MEDICINE
Volume 71, Issue 4, Pages 303-+Publisher
CLEVELAND CLINIC
DOI: 10.3949/ccjm.71.4.303
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Prelmenstrual syndrome (PMS), is characterized by physical and behavioral symptoms that cause marked social impairment during the last half of the menstrual cycle. Symptoms are believed to result from the interaction of central neurotransmitters and normal menstrual hormonal changes. Treatment usually begins with lifestyle changes, over-the-counter medications, and if needed, selective serotonin reuptake inhibitors. Physicians should be aware of the risks of many of the alternative therapies commonly touted in the popular press.
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