Premenstrual dysphoric disorder

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Summary of Premenstrual dysphoric disorder

Premenstrual dysphoric disorder (PMDD) is a severe and disabling form of premenstrual syndrome characterized by a "cluster of affective, behavioral and somatic symptoms" that recur monthly during the luteal phase of the menstrual cycle and result in impairment in function or clinically significant distress. First-line treatment consists of selective serotonin reuptake inhibitors.

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Premenstrual dysphoric disorder

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Premenstrual dysphoric disorder

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USMLE® Step 2 style questions USMLE

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An 18-year old woman comes to your clinic because of excessive mood lability that recurs every month, for the past 3 months. She describes these episodes as week-long bouts of anger, irritability, and sadness that interfere with her concentration. She also experiences breast tenderness and swelling, joint pain, and other muscle aches. Which of the following is the most appropriate initial step in management?

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