TY - CHAP M1 - Book, Section TI - Complications of Menstruation & Abnormal Uterine Bleeding A1 - Shushan, Asher A2 - DeCherney, Alan H. A2 - Nathan, Lauren A2 - Laufer, Neri A2 - Roman, Ashley S. PY - 2019 T2 - CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 12e AB - ESSENTIALS OF DIAGNOSISSymptoms include mood symptoms (irritability, mood swings, depression, anxiety), physical symptoms (bloating, breast tenderness, insomnia, fatigue, hot flushes, appetite changes), and cognitive changes (confusion and poor concentration).Symptoms must occur in the second half of the menstrual cycle (luteal phase).There must be a symptom-free period of at least 7 days in the first half of the cycle.Symptoms must occur in at least 2 consecutive cycles.Symptoms must be severe enough to require medical advice or treatment. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1159958229 ER -