ISPMD consensus on the management of premenstrual disorders

Consensus Group of the International Society for Premenstrual Disorders; Nevatte, Tracy; O’Brien, Patrick Michael Shaughn; Bäckström, Torbjorn; Brown, Candace; Dennerstein, Lorraine; Endicott, Jean; Epperson, C. Neill; Eriksson, Elias; Freeman, Ellen W.; Halbreich, Uriel; Ismail, Khalid; Panay, Nicholas; Pearlstein, Teri; Rapkin, Andrea; Reid, Robert; Rubinow, David; Schmidt, Peter; Steiner, Meir; Studd, John; Sundström-Poromaa, Inger; Yonkers, Kimberly

doi:10.1007/s00737-013-0346-y

Cited by 211Menstrual Health and DisordersMaternal Mental Health During Pregnancy and PostpartumMenopause: Health Impacts and Treatments

ISPMD consensus on the management of premenstrual disorders

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Consensus Group of the International Society for Premenstrual Disorders, Nevatte, Tracy, O’Brien, Patrick Michael Shaughn, Bäckström, Torbjorn, Brown, Candace, Dennerstein, Lorraine, Endicott, Jean, Epperson, C. Neill +14 more·2013·Archives of Women s Mental Health

DOI 10.1007/s00737-013-0346-yPMC PMC3955202

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Abstract

The second consensus meeting of the International Society for Premenstrual Disorders (ISPMD) took place in London during March 2011. The primary goal was to evaluate the published evidence and consider the expert opinions of the ISPMD members to reach a consensus on advice for the management of premenstrual disorders. Gynaecologists, psychiatrists, psychologists and pharmacologists each formally presented the evidence within their area of expertise; this was followed by an in-depth discussion leading to consensus recommendations. This article provides a comprehensive review of the outcomes from the meeting. The group discussed and agreed that careful diagnosis based on the recommendations and classification derived from the first ISPMD consensus conference is essential and should underlie the appropriate management strategy. Options for the management of premenstrual disorders fall under two broad categories, (a) those influencing central nervous activity, particularly the modulation of the neurotransmitter serotonin and (b) those that suppress ovulation. Psychotropic medication, such as selective serotonin reuptake inhibitors, probably acts by dampening the influence of sex steroids on the brain. Oral contraceptives, gonadotropin-releasing hormone agonists, danazol and estradiol all most likely function by ovulation suppression. The role of oophorectomy was also considered in this respect. Alternative therapies are also addressed, with, e.g. cognitive behavioural therapy, calcium supplements and Vitex agnus castus warranting further exploration.

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Pre-intervention, the majority of women reported feeling angry, irritable and oversensitive.
“Pre-intervention, the majority of women reported feeling angry, irritable and oversensitive, which is central to clinical definitions of PMDs [3], and has been reported in previous qualitative PMDs research [7, 76, 77].”
From Evaluation of the relative efficacy of a couple cognitive-behaviour therapy (CBT) for Premenstrual Disorders (PMDs), in comparison to one-to-one CBT and a wait list control: A randomized controlled trial (2017) · cites this paper as [3]
Citation [3] is attached to the assertion that feeling angry, irritable and oversensitive is central to clinical definitions of PMDs, not to the citing study’s pre-intervention finding. The paper’s Introduction > Classification says that timing, rather than the nature of symptoms, is important for classifying core PMDs. Its Epidemiology section identifies irritability as a prevalent mood symptom, but that does not make the listed feelings central to the definition. (LLM, conf=0.82)
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Emotional and cognitive functional imaging of estrogen and progesterone effects in the female human brain: a systematic review.
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Self-citation
ACOG Clinical Practice Guideline No. 7: Management of Premenstrual Disorders
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Peters, J. R., Schmalenberger, K. M., Eng, A. G., Stumper, A., Martel, M. M., & Eisenlohr-Moul, T. A. (2024) · Molecular Psychiatry · doi:10.1038/s41380-024-02693-4 · Cited by 57 · see citing works
Sleep, premenstrual mood disorder, and women’s health
Meers, J. M., & Nowakowski, S. (2019) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2019.09.003 · Cited by 48 · see citing works
Diagnosis, pathophysiology and management of premenstrual syndrome
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Cao, S., Jones, M., Tooth, L. R., & Mishra, G. D. (2019) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2019.11.010 · Cited by 50 · see citing works
Neurosteroid replacement therapy for catamenial epilepsy, postpartum depression and neuroendocrine disorders in women
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The effects of acupressure and yoga for coping with premenstrual syndromes on premenstrual symptoms and quality of life
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Oboza, P., Ogarek, N., Wójtowicz, M., Rhaiem, T. B., Olszanecka‐Glinianowicz, M., & Kocełak, P. (2024) · Nutrients · doi:10.3390/nu16121911 · Cited by 56 · see citing works
Open-label placebo treatment of women with premenstrual syndrome: study protocol of a randomised controlled trial
Nascimento, A. F., Gaab, J., Kirsch, I., Kossowsky, J., Meyer, A. H., & Locher, C. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-032868 · Cited by 43 · see citing works
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The Madness of Women: Myth and Experience
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Resisting the Mantle of the Monstrous Feminine: Women’s Construction and Experience of Premenstrual Embodiment
Ussher, J. M., & Perz, J. (2020) · Springer eBooks · doi:10.1007/978-981-15-0614-7_19 · Cited by 40 · see citing works
Reactivity of alpha rhythms to eyes opening (the Berger effect) during menstrual cycle phases
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Positive GABA A receptor modulating steroids and their antagonists: Implications for clinical treatments
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Effects of reflexology on premenstrual syndrome: a systematic review and meta-analysis
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Moderie, C., Boudreau, P., Shechter, A., Lespérance, P., & Boivin, D. B. (2021) · SLEEP · doi:10.1093/sleep/zsab171 · Cited by 34 · see citing works
GABAA Receptor-Modulating Steroids in Relation to Women’s Behavioral Health
Bäckström, T. C., Bixo, M., & Strömberg, J. (2015) · Current Psychiatry Reports · doi:10.1007/s11920-015-0627-4 · Cited by 34 · see citing works
Anxiety and rumination moderate menstrual cycle effects on mood in daily life
Welz, A., Huffziger, S., Reinhard, I., Alpers, G. W., Ebner‐Priemer, U., & Kuehner, C. (2015) · Women & Health · doi:10.1080/03630242.2015.1101739 · Cited by 34 · see citing works
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Calcium Intake from Food and Supplemental Sources Decreased in the Canadian Population from 2004 to 2015
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Functional brain network topology across the menstrual cycle is estradiol dependent and correlates with individual well‐being
Liparoti, M., Lopez, E. T., Sarno, L., Rucco, R., Minino, R., Pesoli, M., Perruolo, G., Formisano, P., Lucidi, F., Sorrentino, G., et al. (2021) · Journal of Neuroscience Research · doi:10.1002/jnr.24898 · Cited by 27 · see citing works
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Authors: Consensus Group of the International Society for Premenstrual Disorders, Nevatte, T., O’Brien, P. M. S., Bäckström, T., Brown, C., Dennerstein, L., Endicott, J., Epperson, C. N., Eriksson, E., Freeman, E. W., Halbreich, U., Ismail, K., Panay, N., Pearlstein, T., Rapkin, A., Reid, R., Rubinow, D., Schmidt, P., Steiner, M., Studd, J., Sundström-Poromaa, I., & Yonkers, K.
Affiliations: Keele University (GB)
Royal Stoke University Hospital (GB)
University of Tennessee Health Science Center (US)
The University of Melbourne (AU)
Columbia University (US)
University of Pennsylvania (US)
University at Buffalo, State University of New York (US)
Queen Charlotte's and Chelsea Hospital (GB)
Brown University (US)
University of California, Los Angeles (US)
University of North Carolina at Chapel Hill (US)
National Institute of Mental Health (US)
Chelsea and Westminster Hospital (GB)
Uppsala University (SE)
Corresponding author: Nevatte, Tracy
ORCID: Nevatte, Tracy
Epperson, C. Neill
Eriksson, Elias
Freeman, Ellen W.
Halbreich, Uriel
Panay, Nicholas
Rapkin, Andrea
Reid, Robert
Rubinow, David
Schmidt, Peter
Steiner, Meir
Yonkers, Kimberly
Venue: Archives of Women s Mental Health
Publisher: Springer Science and Business Media LLC
Published: 2013-04-27
Volume: 16
Issue: 4
Pages: 279-291
ISSN: 1434-1816 (ISSN-L)
1435-1102
DOI: 10.1007/s00737-013-0346-y
PMC: PMC3955202
OpenAlex: W2024556146
Cited by: 211
References: 111
Citations by year: 2026: 8 · 2025: 13 · 2024: 16 · 2023: 21 · 2022: 16 · 2021: 17 · 2020: 45 · 2019: 16 · 2018: 5 · 2017: 19 · 2016: 10 · 2015: 14 · 2014: 10 · 2013: 1
FWCI: 11.90
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Archives of Women s Mental Health (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
UNC Libraries
Funders: National Institutes of Health
National Institute of Mental Health (ZIAMH002865)
National Institute on Drug Abuse (K24DA030301, R01DA018359)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
Keywords: premenstrual disorders, premenstrual dysphoric disorder, premenstrual syndrome, management recommendations, serotonin modulation, selective serotonin reuptake inhibitors, ovulation inhibition, oral contraceptives, GnRH agonist, danazol, estradiol, oophorectomy, sex steroids, cognitive behavioral therapy, calcium supplementation, Vitex agnus-castus, complementary and alternative medicine, diagnosis and classification
MeSH terms: Female, Group Processes, Humans, Premenstrual Syndrome, United States

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