Nuevos parámetros clínicos del síndrome premenstrual

Premenstrual symptoms probably constitute the physical and psychological alteration that affects more people than any other, including both women and the men in their environment. Up to 90% of women of childbearing age report one or more symptoms during the days before menstruation. These symptoms can alter women's behavior and well-being and can therefore affect their family, social and work circles. Despite its widespread prevalence, premenstrual syndrome as a clinical entity has not been clearly defined, and consensuated and proven diagnostic methods are lacking. Treatment recommendations supported by experimental and clinical evidence are only slowly beginning to appear. In the present review, we discuss recently published experimental data on the possible etiology of premenstrual syndrome. We propose a new symptom register, the Premenstrual Profile, tobe used for the diagnosis of the three forms in which this alteration can manifest itself. Finally, we review evidence-based recommendations from reliable sources on the treatment of «normal» and «abnormal» premenstrual symptoms.