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Depression, chronic fatigue, and the premenstrual syndrome
Authors:L Gonsalves  J Domb  G Gidwani
Affiliation:Department of Psychiatry and Psychology, Cleveland Clinic Foundation, Ohio.
Abstract:Depression, chronic fatigue, and premenstrual syndrome often coexist in women seeking treatment for premenstrual distress. A reliable diagnosis can be made by prospectively rating symptoms for two cycles, taking a careful history, performing physical and gynecologic examinations, and obtaining basic laboratory test results and a psychosocial evaluation. Appropriate dietary, hormonal, or antidepressant treatment provided in a caring and competent manner can benefit many women suffering from this otherwise disabling/condition.
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