علاج متلازمة ما قبل الحيض الشديدة جداً والمقاومة للعلاج

References

• When treating women with severe PMS, hysterectomy and bilateral salpingo-oophorectomy has been shown to be of benefit.
• When treating women with PMS, surgery should not be contemplated without pre-operative use of GnRH analogues as a test of cure and to ensure that HRT is tolerated.
• It is essential that adequate hormone therapy is given (including consideration of testosterone replacement) to prevent simply replacing one set of symptoms with another.