Предменструальный синдром определяется как сочетание физических и психических симптомов, которые оказывают значимое влияние на качество жизни женщины и развиваются во II фазу менструального цикла. Многим пациенткам не установлен диагноз, в связи с чем не проводится патогенетического лечения, хотя данные жалобы могут нарушать повседневную жизнь больных и отношения с окружающими. В статье представлен обзор литературы и исследований, в которых проводилась оценка эффективности различных вариантов лечения (антидепрессанты, гормональная терапия, модификация образа жизни и растительные препараты).
Premenstrual syndrome is defined as a combination of physical and mental symptoms that have a significant impact on a woman’s quality of life and develop into the second phase of the menstrual cycle. Many patients have not been diagnosed, and therefore pathogenetic treatment is not carried out, although these complaints may disrupt the daily lives of patients and relationships with others. The article presents a review of the literature and studies that assessed the effectiveness of various treatment options (antidepressants, hormone therapy, lifestyle modification and herbal therapy).
1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed). Arlington VA: 2013. American Psychiatric Publishing.
2. Hartlage S, Freels S, Gotman N, Yonkers K. Criteria for premenstrual dysphoric disorder: secondary analyses of relevant data sets. Arch Gen Psychiatry 2012; 69: 300–5. DOI: 10.1001/archgenpsychiatry.2011.1368
3. Вольфф М. Гинекологическая эндокринология и репродуктивная медицина. Пер. с нем. под общ. ред. Е.Н.Андреевой. М.: МЕДпресс-информ, 2017.
[Vol'ff M. Ginekologicheskaia endokrinologiia i reproduktivnaia meditsina. Per. s nem. pod obshch. red. E.N.Andreevoi. Moscow: MEDpress-inform, 2017 (in Russian).]
4. Appleton SM. Premenstrual Syndrome: Evidence-based Evaluation and Treatment. Clin Obstet Gynecol 2018; 61 (1): 52–61. DOI: 10.1097/GRF.0000000000000339
5. Heinemann LA, Mihn TD, Heinemann K et al. Intercountry assessment of the impact of severe premenstrual disorders on work and daily activities. Health Care Women Int 2012; 33: 109–24. DOI: 10.1080/07399332.2011.610530
6. Chocano-Bedoya PO, Manson JE, Hankinson SE et al. Dietary B vitamin intake and incident premenstrual syndrome. Am J Clin Nutr 2011; 93 (5): 1080–6. DOI: 10.3945/ajcn.110.009530
7. Hashemi S, Ramezani Tehrani F, Mohammadi N et al. Comparison of Metabolic and Hormonal Profiles of Women With and Without Premenstrual Syndrome: A Community Based Cross-Sectional Study. Int J Endocrinol Metab 2016; 14: e28422. DOI: 10.5812/ijem.28422
8. Bertone-Johnson E, Hankinson S, Willett W et al. Adiposity and the development of premenstrual syndrome. J Womens Health (Larchmt) 2010; 19: 1955–62. DOI: 10.1089/jwh.2010.2128
9. Perkonigg A, Yonkers K, Pfister H et al. Risk factors for premenstrual dysphoric disorder in a community sample of young women: The role of traumatic events and posttraumatic stress disorder. J Clin Psychiatry 2004; 65: 1314–22.
10. Graze K, Nee J, Endicott J. Premenstrual depression predicts future major depressive disorder. Acta Psychiatr Scand 1990; 81: 201–5.
11. Kendler K, Silberg J, Neale M et al. Genetic and environmental factors in the aetiology of menstrual, premenstrual and neurotic symptoms: a population-based twin study. Psychol Med 1992; 22: 85–100.
12. Schmidt P, Martinez P, Nieman L et al. Premenstrual Dysphoric Disorder Symptoms Following Ovarian Suppression: Triggered by Change in Ovarian Steroid Levels But Not Continuous Stable Levels. Am J Psychiatry 2017: appiajp201716101113. DOI: 10.1176/appi.ajp.2017.16101113
13. Bixo M, Ekberg K, Poromaa IS et al. Treatment of premenstrual dysphoric disorder with the GABAA receptor modulating steroid antagonist Sepranolone (UC1010)-A randomized controlled trial. Psychoneuroendocrinology 2017; 80: 46–55. DOI: 10.1016/j.psyneuen.2017.02.031
14. Gracia C, Freeman E, Sammel M et al. Allopregnanolone levels before and after selective serotonin reuptake inhibitor treatment of premenstrual symptoms. J Clin Psychopharmacol 2009; 29: 403–5. DOI: 10.1097/JCP.0b013e3181ad8825
15. Eriksson E. SSRIs probably counteract premenstrual syndrome by inhibiting the serotonin transporter. J Psychopharmacol 2014; 28: 173–4. DOI: 10.1177/0269881113512910
16. Hiroi R, Mcdevitt R, Neumaier JF. Estrogen selectively increases tryptophan hydroxylase-2 mRNA expression in distinct subregions of rat midbrain raphe nucleus: association between gene expression and anxiety behavior in the open field. Biol Psychiatry 2006; 60: 288–95.
17. Bertone-Johnson ER, Whitcomb BW, Rich-Edwards JW et al. Premenstrual Syndrome and Subsequent Risk of Hypertension in a Prospective Study. Am J Epidemiol 2015; 182 (12): 1000–9. DOI: 10.1093/aje/kwv159
18. Bertone-Johnson ER, Houghton SC, Whitcomb BW et al. Association of Premenstrual Syndrome with Blood Pressure in Young Adult Women.
J Womens Health (Larchmt) 2016; 25 (11): 1122–8.
19. Liu R, Mi B, Zhao Y et al. Effect of B Vitamins from Diet on Hypertension. Arch Med Res 2017; 48 (2): 187–94. DOI: 10.1016/j.arcmed.2017.03.011
20. Bender A, Hagan KE, Kingston N. The association of folate and depression: A meta-analysis. J Psychiatr Res 2017; 95: 9–18. DOI: 10.1016/j.jpsychires.2017.07.019
21. Briguglio M, Dell'Osso B, Panzica G et al. Dietary Neurotransmitters: A Narrative Review on Current Knowledge. Nutrients 2018; 10 (5). pii: E591. DOI: 10.3390/nu10050591
22. Isgin-Atici K, Buyuktuncer Z, Akgül S, Kanbur N. Adolescents with premenstrual syndrome: not only what you eat but also how you eat matters! J Pediatr Endocrinol Metab 2018; 31 (11): 1231–9. DOI: 10.1515/jpem-2018-0125
23. Farasati N, Siassi F, Koohdani F et al. Western dietary pattern is related to premenstrual syndrome: a case-control study. Br J Nutr 2015; 114: 2016–21. DOI: 10.1017/S0007114515003943
24. Endicott J, Nee J, Harrison W. Daily record of severity of problems (DRSP): reliability and validity. Arch Womens Ment Health 2006; 9: 41–9.
25. Daley A. Exercise and premenstrual symptomatology: a comprehensive review. J Womens Health (Larchmt) 2009; 18: 895–9. DOI: 10.1089/jwh.2008.1098
26. Green L, O' Brien P, Panay N, Craig M. Gynaecologists RCOOA. Management of premenstrual symptoms. Br J Obst Gynaecol 2016; 124: e73-e105.
27. Hunter M, Ussher J, Browne S et al. A randomized comparison of psychological (cognitive behavior therapy), medical (fluoxetine) and combined treatment for women with premenstrual dysphoric disorder. J Psychosom Obstet Gynaecol 2002; 23: 193–9.
28. Whelan AM, Jurgens TM, Naylor H. Herbs, vitamins and minerals in the treatment of premenstrual syndrome: a systematic review. Can J Clin Pharmacol 2009; 16: e407–e429.
29. Schellenberg R. Treatment for the premenstrual syndrome with agnus castus fruit extract: prospective, randomised, placebo controlled study. BMJ 2001; 322: 134–7.
30. Atmaca M, Kumru S, Tezcan E. Fluoxetine versus Vitex agnus castus extract in the treatment ofpremenstrual dysphoric disorder. Hum Psychopharmacol 2003; 18: 191–5.
31. Marjoribanks J, Brown J, O’Brien PM, Wyatt K. Selective serotonin reuptake inhibitors for premenstrual syndrome. Cochrane Database Syst Rev 2013; 6: CD 001396. DOI: 10.1002/14651858. CD001396.pub3
32. Freeman EW, Rickels K, Yonkers KA et al. Venlafaxine in the treatment of premenstrual dysphoric disorder. Obstet Gynecol 2001; 98 (pt 1): 737–44.
33. Nevatte T, O’Brien PM, Backstrom T et al.; Consensus Group of the International Society for Premenstrual Disorders. ISPMD consensus on the management of premenstrual disorders. Arch Womens Ment Health 2013; 16: 279–91. DOI: 10.1007/s00737-013-0346-y
34. Hunter MS, Ussher JM, Browne SJ et al. A randomized comparison of psychological (cognitive behavior therapy), medical (fluoxetine) and combined treatment for women with premenstrual dysphoric disorder. J Psychosom Obstet Gynaecol 2002; 23: 193–9.
35. Joffe H, Cohen LS, Harlow BL. Impact of oral contraceptive pill use on premenstrual mood: predictors of improvement and deterioration.
Am J Obstet Gynecol 2003; 189: 1523–30.
36. Pearlstein TB, Bachmann GA, Zacur HA, Yonkers KA. Treatment of premenstrual dysphoric disorder with a new drospirenone-containing oral contraceptive formulation. Contraception 2005; 72: 414–21.
37. Lopez LM, Kaptein AA, Helmerhorst FM. Oral contraceptives containing drospirenone for premenstrual syndrome. Cochrane Database Syst Rev 2012; 2: CD006586. DOI: 10.1002/14651858.CD006586.pub4
38. Yonkers KA, Simoni MK. Premenstrual disorders. Am J Obstet Gynecol 2018; 218 (1): 68–74. DOI: 10.1016/j.ajog.2017.05.045
39. Giribela CR, Consolim-Colombo FM, Nisenbaum MG et al. Effects of a combined oral contraceptive containing 20 mcg of ethinylestradiol and 3 mg of drospirenone on the blood pressure, renin-angiotensin-aldosterone system, insulin resistance, and androgenic profile of healthy young women. Gynecol Endocrinol 2015; 31 (11): 912–5. DOI: 10.3109/09513590.2015.1062860
40. Dinger J, Bardenheuer K, Heinemann K. Cardiovascular and general safety of a 24-day regimen of drospirenone-containing combined oral contraceptives: final results from the International Active Surveillance Study of Women Taking Oral Contraceptives. Contraception 2014; 89: 253–63. DOI: 10.1016/j.contraception.2014.01.023
41. Wang M, Hammarbäck S, Lindhe BA, Bäckström T. Treatment of premenstrual syndrome by spironolactone: a double-blind, placebo-controlled study. Acta Obstet Gynecol Scand 1995; 74: 803–8.
42. Brown CS, Ling FW, Andersen RN et al. Efficacy of depot leuprolide in premenstrual syndrome: effect of symptom severity and type in a controlled trial. Obstet Gynecol 1994; 84: 779–86.
43. Cronje WH, Vashisht A, Studd JW. Hysterectomy and bilateral oophorectomy for severe premenstrual syndrome. Hum Reprod 2004; 19: 2152–5.
________________________________________________
1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed). Arlington VA: 2013. American Psychiatric Publishing.
2. Hartlage S, Freels S, Gotman N, Yonkers K. Criteria for premenstrual dysphoric disorder: secondary analyses of relevant data sets. Arch Gen Psychiatry 2012; 69: 300–5. DOI: 10.1001/archgenpsychiatry.2011.1368
3. Vol'ff M. Ginekologicheskaia endokrinologiia i reproduktivnaia meditsina. Per. s nem. pod obshch. red. E.N.Andreevoi. Moscow: MEDpress-inform, 2017 (in Russian).
4. Appleton SM. Premenstrual Syndrome: Evidence-based Evaluation and Treatment. Clin Obstet Gynecol 2018; 61 (1): 52–61. DOI: 10.1097/GRF.0000000000000339
5. Heinemann LA, Mihn TD, Heinemann K et al. Intercountry assessment of the impact of severe premenstrual disorders on work and daily activities. Health Care Women Int 2012; 33: 109–24. DOI: 10.1080/07399332.2011.610530
6. Chocano-Bedoya PO, Manson JE, Hankinson SE et al. Dietary B vitamin intake and incident premenstrual syndrome. Am J Clin Nutr 2011; 93 (5): 1080–6. DOI: 10.3945/ajcn.110.009530
7. Hashemi S, Ramezani Tehrani F, Mohammadi N et al. Comparison of Metabolic and Hormonal Profiles of Women With and Without Premenstrual Syndrome: A Community Based Cross-Sectional Study. Int J Endocrinol Metab 2016; 14: e28422. DOI: 10.5812/ijem.28422
8. Bertone-Johnson E, Hankinson S, Willett W et al. Adiposity and the development of premenstrual syndrome. J Womens Health (Larchmt) 2010; 19: 1955–62. DOI: 10.1089/jwh.2010.2128
9. Perkonigg A, Yonkers K, Pfister H et al. Risk factors for premenstrual dysphoric disorder in a community sample of young women: The role of traumatic events and posttraumatic stress disorder. J Clin Psychiatry 2004; 65: 1314–22.
10. Graze K, Nee J, Endicott J. Premenstrual depression predicts future major depressive disorder. Acta Psychiatr Scand 1990; 81: 201–5.
11. Kendler K, Silberg J, Neale M et al. Genetic and environmental factors in the aetiology of menstrual, premenstrual and neurotic symptoms: a population-based twin study. Psychol Med 1992; 22: 85–100.
12. Schmidt P, Martinez P, Nieman L et al. Premenstrual Dysphoric Disorder Symptoms Following Ovarian Suppression: Triggered by Change in Ovarian Steroid Levels But Not Continuous Stable Levels. Am J Psychiatry 2017: appiajp201716101113. DOI: 10.1176/appi.ajp.2017.16101113
13. Bixo M, Ekberg K, Poromaa IS et al. Treatment of premenstrual dysphoric disorder with the GABAA receptor modulating steroid antagonist Sepranolone (UC1010)-A randomized controlled trial. Psychoneuroendocrinology 2017; 80: 46–55. DOI: 10.1016/j.psyneuen.2017.02.031
14. Gracia C, Freeman E, Sammel M et al. Allopregnanolone levels before and after selective serotonin reuptake inhibitor treatment of premenstrual symptoms. J Clin Psychopharmacol 2009; 29: 403–5. DOI: 10.1097/JCP.0b013e3181ad8825
15. Eriksson E. SSRIs probably counteract premenstrual syndrome by inhibiting the serotonin transporter. J Psychopharmacol 2014; 28: 173–4. DOI: 10.1177/0269881113512910
16. Hiroi R, Mcdevitt R, Neumaier JF. Estrogen selectively increases tryptophan hydroxylase-2 mRNA expression in distinct subregions of rat midbrain raphe nucleus: association between gene expression and anxiety behavior in the open field. Biol Psychiatry 2006; 60: 288–95.
17. Bertone-Johnson ER, Whitcomb BW, Rich-Edwards JW et al. Premenstrual Syndrome and Subsequent Risk of Hypertension in a Prospective Study. Am J Epidemiol 2015; 182 (12): 1000–9. DOI: 10.1093/aje/kwv159
18. Bertone-Johnson ER, Houghton SC, Whitcomb BW et al. Association of Premenstrual Syndrome with Blood Pressure in Young Adult Women.
J Womens Health (Larchmt) 2016; 25 (11): 1122–8.
19. Liu R, Mi B, Zhao Y et al. Effect of B Vitamins from Diet on Hypertension. Arch Med Res 2017; 48 (2): 187–94. DOI: 10.1016/j.arcmed.2017.03.011
20. Bender A, Hagan KE, Kingston N. The association of folate and depression: A meta-analysis. J Psychiatr Res 2017; 95: 9–18. DOI: 10.1016/j.jpsychires.2017.07.019
21. Briguglio M, Dell'Osso B, Panzica G et al. Dietary Neurotransmitters: A Narrative Review on Current Knowledge. Nutrients 2018; 10 (5). pii: E591. DOI: 10.3390/nu10050591
22. Isgin-Atici K, Buyuktuncer Z, Akgül S, Kanbur N. Adolescents with premenstrual syndrome: not only what you eat but also how you eat matters! J Pediatr Endocrinol Metab 2018; 31 (11): 1231–9. DOI: 10.1515/jpem-2018-0125
23. Farasati N, Siassi F, Koohdani F et al. Western dietary pattern is related to premenstrual syndrome: a case-control study. Br J Nutr 2015; 114: 2016–21. DOI: 10.1017/S0007114515003943
24. Endicott J, Nee J, Harrison W. Daily record of severity of problems (DRSP): reliability and validity. Arch Womens Ment Health 2006; 9: 41–9.
25. Daley A. Exercise and premenstrual symptomatology: a comprehensive review. J Womens Health (Larchmt) 2009; 18: 895–9. DOI: 10.1089/jwh.2008.1098
26. Green L, O' Brien P, Panay N, Craig M. Gynaecologists RCOOA. Management of premenstrual symptoms. Br J Obst Gynaecol 2016; 124: e73-e105.
27. Hunter M, Ussher J, Browne S et al. A randomized comparison of psychological (cognitive behavior therapy), medical (fluoxetine) and combined treatment for women with premenstrual dysphoric disorder. J Psychosom Obstet Gynaecol 2002; 23: 193–9.
28. Whelan AM, Jurgens TM, Naylor H. Herbs, vitamins and minerals in the treatment of premenstrual syndrome: a systematic review. Can J Clin Pharmacol 2009; 16: e407–e429.
29. Schellenberg R. Treatment for the premenstrual syndrome with agnus castus fruit extract: prospective, randomised, placebo controlled study. BMJ 2001; 322: 134–7.
30. Atmaca M, Kumru S, Tezcan E. Fluoxetine versus Vitex agnus castus extract in the treatment ofpremenstrual dysphoric disorder. Hum Psychopharmacol 2003; 18: 191–5.
31. Marjoribanks J, Brown J, O’Brien PM, Wyatt K. Selective serotonin reuptake inhibitors for premenstrual syndrome. Cochrane Database Syst Rev 2013; 6: CD 001396. DOI: 10.1002/14651858. CD001396.pub3
32. Freeman EW, Rickels K, Yonkers KA et al. Venlafaxine in the treatment of premenstrual dysphoric disorder. Obstet Gynecol 2001; 98 (pt 1): 737–44.
33. Nevatte T, O’Brien PM, Backstrom T et al.; Consensus Group of the International Society for Premenstrual Disorders. ISPMD consensus on the management of premenstrual disorders. Arch Womens Ment Health 2013; 16: 279–91. DOI: 10.1007/s00737-013-0346-y
34. Hunter MS, Ussher JM, Browne SJ et al. A randomized comparison of psychological (cognitive behavior therapy), medical (fluoxetine) and combined treatment for women with premenstrual dysphoric disorder. J Psychosom Obstet Gynaecol 2002; 23: 193–9.
35. Joffe H, Cohen LS, Harlow BL. Impact of oral contraceptive pill use on premenstrual mood: predictors of improvement and deterioration.
Am J Obstet Gynecol 2003; 189: 1523–30.
36. Pearlstein TB, Bachmann GA, Zacur HA, Yonkers KA. Treatment of premenstrual dysphoric disorder with a new drospirenone-containing oral contraceptive formulation. Contraception 2005; 72: 414–21.
37. Lopez LM, Kaptein AA, Helmerhorst FM. Oral contraceptives containing drospirenone for premenstrual syndrome. Cochrane Database Syst Rev 2012; 2: CD006586. DOI: 10.1002/14651858.CD006586.pub4
38. Yonkers KA, Simoni MK. Premenstrual disorders. Am J Obstet Gynecol 2018; 218 (1): 68–74. DOI: 10.1016/j.ajog.2017.05.045
39. Giribela CR, Consolim-Colombo FM, Nisenbaum MG et al. Effects of a combined oral contraceptive containing 20 mcg of ethinylestradiol and 3 mg of drospirenone on the blood pressure, renin-angiotensin-aldosterone system, insulin resistance, and androgenic profile of healthy young women. Gynecol Endocrinol 2015; 31 (11): 912–5. DOI: 10.3109/09513590.2015.1062860
40. Dinger J, Bardenheuer K, Heinemann K. Cardiovascular and general safety of a 24-day regimen of drospirenone-containing combined oral contraceptives: final results from the International Active Surveillance Study of Women Taking Oral Contraceptives. Contraception 2014; 89: 253–63. DOI: 10.1016/j.contraception.2014.01.023
41. Wang M, Hammarbäck S, Lindhe BA, Bäckström T. Treatment of premenstrual syndrome by spironolactone: a double-blind, placebo-controlled study. Acta Obstet Gynecol Scand 1995; 74: 803–8.
42. Brown CS, Ling FW, Andersen RN et al. Efficacy of depot leuprolide in premenstrual syndrome: effect of symptom severity and type in a controlled trial. Obstet Gynecol 1994; 84: 779–86.
43. Cronje WH, Vashisht A, Studd JW. Hysterectomy and bilateral oophorectomy for severe premenstrual syndrome. Hum Reprod 2004; 19: 2152–5.
Авторы
Е.Н. Андреева1,2, Ю.С. Абсатарова*1
1. ФГБУ «Национальный медицинский исследовательский центр эндокринологии» Минздрава России, Москва, Россия;
2. ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России, Москва, Россия
*korsil2008@yandex.ru
________________________________________________
Elena N. Andreeva1,2, Yulia S. Absatarova*1
1. Endocrinology Research Centre, Moscow, Russia;
2. A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
*korsil2008@yandex.ru