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Premenstrual SyndromeDescription Premenstrual syndrome is a constellation of symptoms that occurs prior to menstruation and is severe enough to interfere significantly with the patient's life. The premenstrual symptom complex can be divided into four subgroups. The most common subgroup, PMS Type A, consists of premenstrual anxiety, irritability and nervous tension, sometimes expressed in behavior patterns detrimental to self, family and society. Elevated blood estrogen and low progesterone have been observed in this subgroup. The second-most-common subgroup, PMS Type H, is associated with symptoms of water and salt retention, abdominal bloating, mastalgia and weight gain. The severe form of PMS Type H is associated with elevated serum aldosterone. PMS Type C is characterized by premenstrual craving for sweets, increased appetite and indulgence in eating refined sugar followed by palpitation, fatigue, fainting spells, headache and sometimes the shakes. PMS Type C patients have increased carbohydrate tolerance and low red-cell magnesium. PMS Type D is the least common but most dangerous because suicide is most frequent in this subgroup. The symptoms are depression, withdrawal, insomnia, forgetfulness and confusion. PMS Type D has been associated with low estrogen and high progesterone levels, and high lead levels in hair tissue and chronic lead intoxication.. Causes The most common subgroup, PMS Type A, consists of premenstrual anxiety, irritability and nervous tension, sometimes expressed in behavior patterns detrimental to self, family and society. Elevated blood estrogen and low progesterone have been observed in this subgroup. The second-most-common subgroup, PMS Type H, is associated with symptoms of water and salt retention, abdominal bloating, mastalgia and weight gain. The severe form of PMS Type H is associated with elevated serum aldosterone. PMS Type C is characterized by premenstrual craving for sweets, increased appetite and indulgence in eating refined sugar followed by palpitation, fatigue, fainting spells, headache and sometimes the shakes. PMS Type C patients have increased carbohydrate tolerance and low red-cell magnesium. PMS Type D is the least common but most dangerous because suicide is most frequent in this subgroup. The symptoms are depression, withdrawal, insomnia, forgetfulness and confusion. PMS Type D has been associated with low estrogen and high progesterone levels, and high lead levels in hair tissue and chronic lead intoxication..
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