Скачать с ютуб Hormones and Mental Illness in Women - PMDD / Depression and the Pill / Perimenopausal Depression в хорошем качестве

Hormones and Mental Illness in Women - PMDD / Depression and the Pill / Perimenopausal Depression

There are Psychiatric illnesses that are hormone-related. PMS PMDD Perimenopausal Depression / Late-onset Borderline Psychosis Relapse Depression and the Pill Premenstrual Dysphoric Disorder 80% of women have some challenges relating to menses, 40% have PMS, 10-15% have PMDD For PMDD hormone treatments are very important Suggested the first line 1. OCP –continuous. We favor Zoely – natural estradiol + nomegestrol acetate 2. OCP + estradiol 2nd Line treatments 1. SSRI’s – use short half-life drugs, less agitating ones – citalopram, sertraline. Agomelatine. pharmacogenomics testing to ensure sensitivity and reactivity to medication. 3rd line treatments SSRI+ estradiol SSRI + aldosterone 4th line GnRH agonist drugs (e.g Synarel) + add back estradiol (chemical menopause) General Treatment Issues in Women: Short Half-life SSRI’s SNRI’s more effective in postmenopausal women Agomelatine & Votrioxetine is useful for women. perimenopause and Depression 16 times increased rate of depression in Perimenopausal period The brain changes occur well before the body changes of menopause The CNS changes may occur up to 5 years before hot flushes and amenorrhoea Full article: https://psychscenehub.com/video/hormo...