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Fourth consensus of the International Society for Premenstrual Disorders (ISPMD): auditable standards for diagnosis and management of premenstrual disorder

  • Elgerta Ismaili
  • , Sally Walsh
  • , Patrick Michael Shaughn O’Brien
  • , Torbjorn Bäckström
  • , Candace Brown
  • , Lorraine Dennerstein
  • , Elias Eriksson
  • , Ellen W. Freeman
  • , Khaled M.K. Ismail
  • , Nicholas Panay
  • , Teri Pearlstein
  • , Andrea Rapkin
  • , Meir Steiner
  • , John Studd
  • , Inger Sundström-Paromma
  • , Jean Endicott
  • , C. Neill Epperson
  • , Uriel Halbreich
  • , Robert Reid
  • , David Rubinow
  • Peter Schmidt, Kimberley Yonkers, Group of the International Society for Premenstrual Disorders Consensus Group of the International Society for Premenstrual Disorders
  • University Hospitals of North Midlands NHS Trust
  • Keele University
  • Umeå University
  • University of Tennessee Health Science Center
  • National Ageing Research Institute
  • University of Gothenburg
  • University of Pennsylvania
  • University of Birmingham
  • Chelsea and Westminster Hospital NHS Foundation Trust
  • Brown University
  • University of California at Los Angeles
  • McMaster University
  • Uppsala University
  • Columbia University
  • Yale University
  • Queen's University Kingston
  • University of North Carolina at Chapel Hill
  • National Institutes of Health

Research output: Contribution to journalArticlepeer-review

85 Scopus citations

Abstract

Whilst professional bodies such as the Royal College and the American College of Obstetricians and Gynecologists have well-established standards for audit of management for most gynaecology disorders, such standards for premenstrual disorders (PMDs) have yet to be developed. The International Society of Premenstrual Disorders (ISPMD) has already published three consensus papers on PMDs covering areas that include definition, classification/quantification, clinical trial design and management (American College Obstetricians and Gynecologists 2011; Brown et al. in Cochrane Database Syst Rev 2:CD001396, 2009; Dickerson et al. in Am Fam Physician 67(8):1743–1752, 2003). In this fourth consensus of ISPMD, we aim to create a set of auditable standards for the clinical management of PMDs. All members of the original ISPMD consensus group were invited to submit one or more auditable standards to be eligible in the inclusion of the consensus. Ninety-five percent of members (18/19) responded with at least one auditable standard. A total of 66 auditable standards were received, which were returned to all group members who then ranked the standards in order of priority, before the results were collated. Proposed standards related to the diagnosis of PMDs identified the importance of obtaining an accurate history, that a symptom diary should be kept for 2 months prior to diagnosis and that symptom reporting demonstrates symptoms in the premenstrual phase of the menstrual cycle and relieved by menstruation. Regarding treatment, the most important standards were the use of selective serotonin reuptake inhibitors (SSRIs) as a first line treatment, an evidence-based approach to treatment and that SSRI side effects are properly explained to patients. A set of comprehensive standards to be used in the diagnosis and treatment of PMD has been established, for which PMD management can be audited against for standardised and improved care.

Original languageEnglish
Pages (from-to)953-958
Number of pages6
JournalArchives of Women's Mental Health
Volume19
Issue number6
DOIs
StatePublished - Dec 1 2016

Keywords

  • PMD (premenstrual disorder)
  • PMDD (premenstrual disorder/premenstrual dysphoric disorder)
  • PMS (premenstrual syndrome)

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