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EN
Introduction and aim. A symptom complex of cyclic irritability, depression and lethargy is known as the premenstrual syndrome (PMS). Since ages women suffered from PMS. As varied as the etiology, innumerable treatment modalities have been put forward for PMS. Stress is accompanied most closely associated in PMS. Practicing yoga and meditation significantly important for PMS symptoms in reducing its symptoms and period crams as well. The present study aims the impact of meditation in people with PMS. The aim of the study was to see any effect of Shavasana (meditation) training on stress parameters in premenstrual syndrome in female medical students. Material and methods. The present study was approved by institutional ethical committee. Thirty clinically healthy female medical students who were suffering from PMS selected using a premenstrual questionnaire. The values of heart rate, systolic and diastolic blood pressure, and serum cortisol were measured before meditation. Subjects were then taken through Shavasana (meditation) session for 4 weeks at the same time daily. On the last day of meditation session all above parameters were again recorded and the data was analyzed statistically. Results. The baseline values of all parameters in premeditation session compared to post meditation session. The basal SBP, DBP and HR of female medical students with PMS were significantly higher in pre meditation session than post meditation session with p value of SBP=0.0002, DBP=0.0001, HR<0.0001 respectively which indicated the presence of stress. Following a 4 weeks of Shavasana meditation a significant fall in baseline SBP, DBP, HR and the serum Cortisol value was observed. Conclusion. These findings proves that Shavasana is an effective treatment modality to get rid of stress during premenstrual phase
PL
Zespół napięcia przedmiesiączkowego (premenstrual syndrome – PMS) jest stanem manifestującym się problematycznymi objawami fizycznymi, psychicznymi oraz behawioralnymi występującymi cyklicznie w fazie lutealnej cyklu menstruacyjnego oraz ustępującymi całkowicie lub znacznie wraz z końcem krwawienia miesiączkowego. Poznanych zostało ponad 200 symptomów PMS. Około 20–80% kobiet w wieku reprodukcyjnym doświadcza zespołu napięcia przedmiesiączkowego. Cięższą postacią PMS jest przedmiesiączkowe zaburzenie dystroficzne (premenstrual dysphoric disorder – PMDD), które manifestuje się bardziej nasilonymi objawami psychicznymi i dotyka 2–6% kobiet. Etiologia PMS/PMDD jest wieloczynnikowa i nie została do końca poznana. Biologiczne, genetyczne, psychologiczne, środowiskowe oraz socjalne czynniki odgrywają znaczącą rolę w występowaniu zespołu. Do określenia diagnozy zaleca się analizę objawów występujących podczas dwóch cykli menstruacyjnych. The Daily Record of Severity of Problems (DRSP) jest skalą używaną w celu diagnostyki zespołu napięcia przedmiesiączkowego. Pomimo braku leku na PMS/PMDD, istnieje wiele metod farmakologicznego i niefarmakologicznego radzenia sobie z jego objawami. Leczenie ciężkiej postaci PMS oraz PMDD przebiega krok po kroku rozpoczynając od strategii niefarmakologicznych, leków antydepresyjnych, hormonoterapii oraz kończąc w skrajnych przypadkach na leczeniu operacyjnym.
EN
Premenstrual syndrome (PMS) is a condition that manifests with problematic physical, psychological and behavioral symptoms that occur cyclically in the luteal phase of the menstrual cycle and that subside or significantly buffer with the end of menstrual bleeding. Over 200 symptoms have been recognized as PMS symptoms. About 20–80% of women of reproductive age experience symptoms of premenstrual syndrome. A more severe form of PMS is premenstrual dysphoric disorder (PMDD), which is manifested by more serious psychological symptoms and affects 2–6% of women. The etiology of PMS/PMDD is multifactorial and has not been fully known. Biological, genetic, psychological, environmental and social factors play a significant role in the occurrence of syndrome symptoms. To make the diagnosis, it is recommended to analyze the symptoms occurring during two menstrual cycles. The Daily Record of Severity of Problems (DRSP) is a scale used to diagnose premenstrual syndrome. Although there seems to be no definitive PMS/ /PMDD cure, there are many pharmacological and non-pharmacological methods to deal with its symptoms. Treatment of severe PMS and PMDD begins step by step starting from non-pharmacological strategies, antidepressants, hormonotherapy and ending in extreme cases on surgical treatment.
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