Symptom patterns in women with premenstrual syndrome complaints: a prospective assessment using a marker for ovulation and screening criteria for adequate ovarian function


Ms Herdis sveinsdottir, Eirbergi, Eirikgötu 34 101 Reykjavik, Iceland


This study examined the symtom patterns of women seeking help for Premenstrual Syndrome (PMS) complaints Seven women who were less than 35 yrs, within 10% of ideal body weight and who had experienced a full-term pregnancy, completed a daily health diary during an ovulatory menstrual cycle In the luteal phase, symptom summary scores of the PMS group increased (P<0 05) and were markedly higher (P<0 5) from baseline acyclic scores of four ovulatory women who denied menstrual-related distress To examine seventy changes in individual symptoms, a total of 399 cases representing 57 symptoms from the seven 45-day diaries were evaluated for menstrual cycle entrainment Of the 246 symptoms that met the criteria for a cycle phase change (62%), the classic PMS pattern of low/high seventy was the most common (40%) Seven different subtypes of the PMS pattern were identified, four of these subtypes demonstrated a seventy score elevation at ovulation as well as during the premenstruum For individual women, the majority of symptoms (65%) displayed only two pattern types, suggesting a common rhythmic entrainment of symptom intensity