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Views of Dutch general practitioners about premenstrual symptoms: A qualitative interview study. | LitMetric

Views of Dutch general practitioners about premenstrual symptoms: A qualitative interview study.

Eur J Gen Pract

Gender and Women's Health Unit, Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands.

Published: December 2021

AI Article Synopsis

  • Dutch GPs often lack understanding of premenstrual symptoms (PMS), affecting their care approach and suggesting a need for improved education and resources.
  • A study in 2017 involving 27 GPs revealed common themes, such as considering PMS a physiological issue requiring symptom relief, with many advocating for treatments like oral contraceptives and lifestyle advice.
  • The research highlights that GPs typically view PMS through the lens of functionality and suggest that better training on the condition and the use of symptom diaries as diagnostic tools could enhance care for affected women.

Article Abstract

Background: General practitioners (GPs) encounter women suffering from premenstrual symptoms. Often women with premenstrual problems experience little understanding from GPs. Views of GPs will influence their approach to these women and their care. Insight into these views is lacking but could help in designing educational programmes for GPs.

Objectives: To explore the views of Dutch GPs towards aetiology, diagnostic process, and preferred treatment of premenstrual symptoms.

Methods: In 2017, we conducted a qualitative, semi-structured, interview survey among 27 GPs, varying in age, gender, and practice setting.

Results: Important themes emerged from the interviews: 'no need for a symptom diary,' 'PMS defined as illness' exclusively in case of disruption of normal functioning, and 'symptomatic treatment' as preferred approach. Most GPs considered PMS to be a physiological phenomenon, with taking history as an adequate diagnostic tool. Almost all GPs regarded a normal cyclical hormonal cycle as causal; many also mentioned the combination with personal sensitivity. Some pointed to a dividing line between physiological condition and illness if women could not function normally in daily life. Lastly, the approach GPs preferred was focussing on relieving symptoms of individual patients. In addition to explaining the hormonal cycle and lifestyle advice, all GPs advocated oral contraceptives, and if necessary psychological support. GPs expressed negative feelings about prescribing antidepressants.

Conclusion: GPs considered physiological changes and personal sensitivity as aetiological factors. We recommend more training to improve GPs knowledge and more insight into the burden of women with PMS. A symptom diary is an essential diagnostic tool for GPs.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7971273PMC
http://dx.doi.org/10.1080/13814788.2021.1889505DOI Listing

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