About PMS (cont)
The way forward
Taking all this into account, NAPS trustees have reached the following consensus which is in line with the information in the recently published Royal College of Obstetricians and Gynaecologists’ Green Top Guidelines on PMS.2
- NAPS will change its name to the National Association for Premenstrual Syndromes from “…Syndrome” to reflect the variation in definitions and severities of this disorder.
- Current PMS terminology should however be maintained because
- PMDD refers to only one type of severe form of PMS
- PMDD excludes some women with severe PMS due to the strict criteria
3. Education of public and healthcare professionals is the key issue going forward.
4. It is vital that there is universal recognition of the severe impact that PMS can have, whatever terminology is used to define this.
If PMS symptoms affect physical, psychological, social and economic wellbeing, then this should be regarded as being clinically significant PMS, warranting prompt diagnosis, appropriate recognition and evidence based medical care.
Some cases of PMS will qualify for a PMDD diagnosis, but in non-PMDD cases of severe PMS, symptoms may have an equally or even more serious impact on the sufferer.
1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-V), 5th edn. Washington DC: APA; 2013.
2. Green L J, O’Brien PMS, Panay N, Craig M on behalf of the Royal College of Obstetricians and Gynaecologists. Management of premenstrual syndrome. BJOG 2017 ;124:e73–e105.