The aim of this short paper will be to guide the clinician through the plethora of possible interventions to help them to individualize treatment for their patients with PMS. The discussion will highlight management principles rather than evidence per se. It uses as its basis an updated version of the treatment algorithm published by the RCOG in its Green Top Guideline no. 48 on the management of PMS.
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O'BrienS, RapkinA, DennersteinL, NevatteT. Diagnosis and management of premenstrual disorders. BMJ2011;342:d2994
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O'BrienPM, BäckströmT, BrownC, Towards a consensus on diagnostic criteria, measurement and trial design of the premenstrual disorders: the ISPMD Montreal consensus. Arch Womens Ment Health2011;14:13–21
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National Association for Premenstrual Syndrome: Advice for Sufferers and Health Professionals. See www.pms.org.uk (last checked 1 April 2012)