{"id":128,"date":"2017-03-23T18:37:07","date_gmt":"2017-03-23T18:37:58","guid":{"rendered":"http:\/\/papergp.com\/index.php\/womens-health\/premenstrual-syndrome\/"},"modified":"2017-08-08T07:29:37","modified_gmt":"2017-08-08T07:29:37","slug":"premenstrual-syndrome","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/others\/genetics\/premenstrual-syndrome\/","title":{"rendered":"Premenstrual syndrome"},"content":{"rendered":"<div class=\"content-box-blue\">\n<p><strong>Data gathering<\/strong><\/p>\n<ul>\n<li>Red flags &#8211; none<\/li>\n<li>Others &#8211; alcohol, smoking, stress, menstrual history (LMP, cycle length, bleeding length, menorrhagia, dysmenorrhoea), smears, obstetric history<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<p><strong>Clinical management<\/strong><\/p>\n<ul>\n<li>Investigations\n<ul>\n<li>Symptom diary<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>common 1\/20 women, no test, cause is not known but ovulation with release of the egg appears to trigger symptoms<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Lifestyle &#8211; exercise, diet, stop smoking, reduce alcohol, reduce stress<\/li>\n<li>Medications &#8211; SSRI (second half of cycle), COCP<\/li>\n<li>Psychology &#8211; CBT<\/li>\n<li>PIL<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety net &#8211; if simple measures explored, can refer to gynae<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; none Others &#8211; alcohol, smoking, stress, menstrual history (LMP, cycle length, bleeding length, menorrhagia, dysmenorrhoea), smears, obstetric history &nbsp; Clinical management Investigations Symptom diary Explanation common 1\/20 women, no test, cause is not known but ovulation with release of the egg appears to trigger symptoms Treatment Lifestyle &#8211; exercise, diet, &hellip; <a href=\"https:\/\/papergp.com\/index.php\/others\/genetics\/premenstrual-syndrome\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Premenstrual syndrome<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":43,"menu_order":7,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-128","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/128","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=128"}],"version-history":[{"count":8,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/128\/revisions"}],"predecessor-version":[{"id":1680,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/128\/revisions\/1680"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/43"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=128"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}