PhD, MRPharmS, pharmacist consultant, women's health and older people, at North West London Hospitals NHS Trust
Advising on premenstrual syndromeSubscription
Case: A woman has premenstrual syndrome if she complains of recurrent psychological or somatic symptoms during the luteal phase of the menstrual cycle. These symptoms include irritability, aggression, bloatedness and mastalgia.
Around 80 per cent of women diagnosed with breast cancer are over 50 years of age so many are likely to be menopausal. Many will have the classic vasomotor symptoms of hot flushes and sweats (see Panel 1) and may already be on hormone replacement therapy to help control