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Premenstrual Syndromes : PMS and PMDD - Rutuja :: The site ...

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levonorgestrol, with estradiol 156<br />

luteinizing hormone (LH) 64–5<br />

magnesium, diet supplements 145<br />

magnetic resonance spectroscopy (MRS) 102–3, 102, 105–6<br />

management of <strong>PMS</strong> 149–59<br />

measures of impairment 35<br />

menstrual cycle 63–81, 66<br />

endometrial changes 66–7<br />

ovarian <strong>and</strong> pituitary hormones 65, 66<br />

ovarian steroidogenesis 63–5<br />

phases 65<br />

pubertal onset 63<br />

milk, dietary 153<br />

model of <strong>PMS</strong>/<strong>PMDD</strong> 171–7<br />

monamine oxidase A (MAOA), <strong>and</strong> serotonin 162, 163, 165<br />

mood symptoms 86–8, 117–20, 162, 172–3<br />

affective adaptation, actions of ovarian steroids 86–8<br />

<strong>and</strong> GABA system 71–2<br />

5-hydroxyindole acetic acid (5-HIAA) 72<br />

negative mood, action of ovarian steroids 117–20<br />

progesterone-induced 117–18, 162, 172–3<br />

Moos MDQ scale 28<br />

neurocircuitry<br />

neuroimaging 87, 99–102<br />

targeting by ovarian steroids 173<br />

neuroimaging 99–102<br />

fMRI 100–1, 101, 175<br />

<strong>and</strong> GABA 99–107<br />

modulation of neurocircuitry by ovarian steroids 175<br />

MRS 102–3, 102, 105–6<br />

neurocircuitry 87<br />

PET 99, 101–2, 102,174<br />

SPECT 101, 102<br />

neuroregulation<br />

affective adaptation 86–8<br />

by ovarian steroids 86–8<br />

neurotransmitter physiology 69–81, 161–7<br />

endogenous opioid peptides 75–7<br />

GABA system 69–72, 75<br />

serotonin system 72–5, 162–6<br />

nomenclature of <strong>PMS</strong> 55<br />

obsessive–compulsive disorder 51<br />

Oenothera biennis (evening primrose) 144<br />

oophorectomy 126–7, 156–7, 172<br />

opioid peptides, endogenous 75–7<br />

affective symptoms 76<br />

oral contraceptives 109–11<br />

clinical trials 44, 110–11<br />

combined (COCP) 121, 153–4<br />

osteoporosis 126–7<br />

ovarian cycle suppression 121–9, 172<br />

COCP 121<br />

danazol 112, 124<br />

<strong>and</strong> estradiol 172–3<br />

estradiol patches <strong>and</strong> implants 122–4<br />

GnRH agonists 113, 155–6, 172<br />

GnRH analogues 124, 125<br />

hysterectomy <strong>and</strong> salpingo–oophorectomy 126–7,<br />

156–7, 172<br />

progesterone <strong>and</strong> progestogens 125–6<br />

ovarian steroids<br />

actions 85–6<br />

affective adaptation <strong>and</strong> <strong>PMS</strong> 86–8<br />

negative mood 117–20<br />

neuromodulatory effects 86–8<br />

steroid receptor function 177<br />

steroidogenesis 63–5, 83–97<br />

2-cell-2-gonadotropin hypothesis 64<br />

fluctuations in menstrual cycle 65–6<br />

synthetic pathways 84<br />

ovariectomy 126–7, 156–7, 172<br />

ovary, fetal 63<br />

panic disorder 51–2<br />

paroxetine, clinical trials 43<br />

pathophysiology of <strong>PMS</strong> 83–107, 171–7<br />

neuroimaging <strong>and</strong> GABA 99–107<br />

ovarian steroids 83–97, 117–20<br />

somatic symptoms 22, 24–5, 75, 161–6<br />

pituitary hormones 65, 66<br />

<strong>PMS</strong>/<strong>PMDD</strong>, definitions 49–50<br />

positron emission tomography (PET) scan 99, 101–2,<br />

102, 174<br />

pregnanolone<br />

<strong>and</strong> GABAA receptor 70, 176, 118<br />

properties 162<br />

structure <strong>and</strong> synthesis 71<br />

<strong>Premenstrual</strong> Symptoms Screening Tool 29–31, 33<br />

prevalence studies 37–9<br />

non-US countries 39<br />

with retrospective criteria 39<br />

with/without prospective confirmation 37–9<br />

progesterone 117–20, 125–6<br />

as hormone therapy 112, 156<br />

metabolites<br />

GABAA receptor 70, 117<br />

mediation of behavioral effects of ovarian<br />

steroids 162, 176<br />

symptom-provoking action 71, 117–18, 162, 176<br />

synthesis 71, 162<br />

see also allopregnanolone; pregnanolone<br />

<strong>and</strong> ovarian suppression 172–3<br />

progesterone receptor antagonist RU-486 172<br />

progesterone replacement<br />

historical aspects 3–6<br />

‘luteal phase abnormality’ 88, 125<br />

no deficiency exists 125, 172<br />

progesterone-induced mood symptoms 117–18, 162, 172–3<br />

progestogens, intolerance 123–4<br />

psychiatric illness, comorbidity of <strong>PMS</strong> 49–54<br />

psychopharmacology 154–5<br />

psychotropic therapies 131–9<br />

pubertal onset 63<br />

quality of life (QoL)<br />

disability adjusted life years (DALYs), epidemiology<br />

of <strong>PMS</strong> 11<br />

INDEX 183

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