Premenstrual Syndrome (PMS) - Anna Fenton

Date Published: 
Monday, July 9, 2018

Anna Fenton discusses the management of premenstrual syndrome in primary care. Anna is a gynaecological endocrinologist at Canterbury DHB where she is clinical lead for bone densitometry. She is a member of the pharmacology and therapeutic advisory committee for endocrinology and is past president of the Australasian Menopause Society.




  • Statistics for PMS
  • Are there specific diagnostic criteria?
  • What causes PMS?
  • Why are some women more vulnerable to PMS?
  • Are there predisposed risk factors?
  • What differentials to consider
  • Is hormone profiling necessary?
  • Management options – lifestyle
  • Wide range of options - Don’t reach for the contraceptive pill
  • Other drug measures
  • Evidence for mineral supplements
  • Complementary therapies
  • Is there an evidence base for CBT, light therapy, massage?
  • Surgical intervention a last resort.


Take home messages

  • PMS is common
  • PMS can have a significant effect.
  • We now have a fantastic range of products to treat PMS effectively.





Anna Fenton
Gynaecological Endocrinologist

To contact Anna Click here.

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