Interventions for Premenstrual Syndrome

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Age Cohort: 12 - 24 years

Health Promotion	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Educate community to create awareness on Premenstrual syndrome and the need for family/partner support	Recognition of Premenstrual syndrome signs and symptoms	NSAID Health diet Physical activity Referral to next-level health care facility Primary level	Physical activity counselling and exercise training	Behavioural, mood, attitude, and emotional support by family members
Primary Care
Health education on the physical and emotional symptoms of the syndrome and on seeking care	Presence of classic symptoms Fasting blood glucose Random blood glucose HbA1c Urine test	NSIAD Healthy diet Physical activity	Physical activity counselling and exercise training	Physical, emotional and social support
Referral Facility: General
Health education on the physical and emotional symptoms of the syndrome and on seeking care	History Physical examination Diary for premenstrual symptoms Complete blood count Thyroid function test Hormone levels	Life style modification NSAID Serotonin reuptake inhibitor (SSRI) Anxiolytics Gonadotropin-releasing hormone (GnRH) agonists Oral contraceptive pills cognitive behaviour therapy (CBT)	Physical activity counselling and exercise training	Physical, emotional and social support
Referral Facility: Specialist
Health education on the physical and emotional symptoms of the syndrome and on seeking care	History Physical examination Diary for premenstrual symptoms Complete blood count Thyroid function test Hormone leve	Life style modification NSAID Serotonin reuptake inhibitor (SSRI) Anxiolytics Cognitive behaviour therapy (CBT) Gonadotropin-releasing hormone (GnRH) agonists Oral contraceptive pills Oophorectomy	Physical activity counselling and exercise training	Physical, emotional and social support