title: Interdisciplinary consensus on management of premenstrual disorders in Switzerland.
abstract: Premenstrual disorders (PMD) can affect women throughout their entire reproductive years. In 2016, an interdisciplinary expert meeting of general gynecologists, gynecological endocrinologists, psychiatrists and psychologists from Switzerland was held to provide an interdisciplinary algorithm on PMD management taking reproductive stages into account. The Swiss PMD algorithm differentiates between primary and secondary PMD care providers incorporating different levels of diagnostic and treatment. Treatment options include cognitive behavioral therapy, alternative therapy, antidepressants, ovulation suppression and diuretics. Treatment choice depends on prevalent PMD symptoms, (reproductive) age, family planning, cardiovascular risk factors, comorbidities, comedication and the woman's preference. Regular follow-ups are mandatory.
authors.affiliation: a Department of Obstetrics and Gynecology , Inselspital, University of Bern , Bern , Switzerland.
authors.forename: Petra
authors.initials: P
authors.lastname: Stute
authors.affiliation: b Office for Women's Health, Bethesda Spital , Basel , Switzerland.
authors.forename: Christine
authors.initials: C
authors.lastname: Bodmer
authors.affiliation: c Institute for Psychology, UZH , Zürich , Switzerland.
authors.forename: Ulrike
authors.initials: U
authors.lastname: Ehlert
authors.affiliation: d Swiss Society for Phytotherapy, SMGP , Grüental, Wädenswil , Switzerland.
authors.forename: Roger
authors.initials: R
authors.lastname: Eltbogen
authors.affiliation: e Psychiatry and Psychotherapy, University of Bern , Bern , Switzerland , and.
authors.forename: Ankica
authors.initials: A
authors.lastname: Ging
authors.affiliation: f Unité de médecine de la reproduction et d'endocrinologie gynécologique, HUG , Genève , Geneva , Switzerland.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Streuli
authors.affiliation: a Department of Obstetrics and Gynecology , Inselspital, University of Bern , Bern , Switzerland.
authors.forename: Michael
authors.initials: M
authors.lastname: von Wolff
mesh_terms: D000465:Algorithms; D000529:Complementary Therapies / Q000379:methods / Q000592:standards; D032921:Consensus; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D008517:Phytotherapy / Q000379:methods / Q000592:standards; D011293:Premenstrual Syndrome / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D013557:Switzerland
keywords: Algorithm; Switzerland; consensus; diagnostic; interdisciplinary expert meeting; premenstrual dysphoric disorder; premenstrual syndrome; treatment