Treatment of premenstrual syndrome with gynecologist Ekaterina Vyacheslavovna Silantyeva in the city of Dnipro

Patients often present with complaints of mood swings, tenderness, and discomfort before menstruation, as well as feelings of general fatigue and sleep disturbances.

The physician conducts a clinical assessment, carefully analyzes the symptoms and medical history, and, if necessary, orders additional examinations to accurately understand the condition.

The patient receives a clear and accessible action plan — which measures to start immediately, which tests to undergo, as well as recommendations for monitoring and timely adjustment of the condition.

In managing premenstrual syndrome, special attention is paid to differential diagnosis, therapy adjustment, and dynamic monitoring, which helps to fully consider the individual characteristics of each patient.

When to See a Doctor

If you experience discomfort before your period or notice changes in your well-being, it is important to understand when it makes sense to consult a gynecologist. You should make an appointment with a specialist if you notice the following during premenstrual syndrome:

• constant mood swings and irritability
• pain in the abdominal or lower back area before menstruation
• pronounced fatigue and decreased productivity
• sleep disturbances or problems with concentration
• swelling and a feeling of heaviness in the body during the premenstrual period
• worsening symptoms that interfere with work or daily life
• recurring feelings of anxiety or nervousness before your period
• no improvement after self-care measures or previously prescribed treatment
• first-time appearance of symptoms that were not noticed before
• increase in unpleasant sensations after stress or emotional tension
• symptoms persisting for several consecutive cycles
• need to adjust therapy for concurrent medical conditions

If any of these signs cause concern or disrupt your usual routine, it is advisable to see a doctor. A specialist will help identify the causes of the symptoms and select the best options for support and treatment. It is important not to ignore recurring or worsening symptoms—even if they seem familiar, they may indicate the need for professional consultation.

Emergency Conditions or When to Seek Immediate Medical Attention

• Sudden onset of severe lower abdominal pain
• Sharp increase in pain or other symptoms that make movement difficult
• Occurrence of heavy bleeding outside of menstruation
• Combination of severe weakness, dizziness, and shortness of breath
• Sudden deterioration of overall condition with significant sleep disturbances or loss of consciousness

If you experience these symptoms, do not wait for a scheduled appointment — seek urgent medical help. Our clinic offers a home visit service for timely examination and support.

Causes and Risk Factors of Premenstrual Syndrome

Understanding the possible causes of premenstrual syndrome (PMS) helps to better comprehend the condition and determine which tests and examinations may be useful. A doctor evaluates various mechanisms and factors influencing the appearance of symptoms.

Main Causes / Mechanisms (Briefly)

• Hormonal changes during the cycle affecting mood and well-being
• Nervous system reactions to hormone fluctuations
• Imbalance of neurotransmitters responsible for emotional state
• The impact of stress and chronic fatigue on physiological processes
• Sensitivity of the body to progesterone and estrogen

Risk Factors

• Age between 20 and 40 years, when cycles are most active
• Hereditary predisposition to mood swings and discomfort
• Presence of chronic diseases, including gynecological conditions
• Emotional overstrain and frequent stressful situations
• Irregular or insufficient sleep
• Poor nutrition and vitamin deficiencies
• Excessive weight or rapid changes in body mass
• Lack of regular physical activity
• Smoking and alcohol abuse

Reversible Causes That Should Be Ruled Out

• Iron and vitamin deficiencies affecting overall condition
• Thyroid disorders that may exacerbate symptoms
• Hidden inflammatory processes in the body
• Side effects of certain medications affecting hormonal balance

Each case requires careful evaluation by a physician and, if necessary, additional examinations to understand the causes of premenstrual syndrome and select the most appropriate recommendations.

Diagnosis

The diagnosis of premenstrual syndrome (PMS) aims to identify possible causes of symptoms and determine the optimal plan for examinations. The doctor will carefully review your medical history and conduct necessary tests to understand your condition and select appropriate treatment.

Diagnostic Approach

• taking a detailed medical history with a description of symptoms and their relation to the menstrual cycle
• performing a gynecological examination to assess the condition of the reproductive system
• ordering basic laboratory tests as indicated
• additional examinations, such as pelvic ultrasound, if necessary
• analyzing the collected data and forming a preliminary plan for further actions
• discussing possible treatment options and recommendations with the patient
• monitoring and adjusting treatment as needed

Typical Tests as Indicated

May include:

• complete blood count and biochemical tests
• hormonal tests to assess levels of progesterone, estrogens, and other hormones
• ultrasound of the pelvic organs to exclude pathologies
• thyroid function evaluation if imbalance is suspected
• tests for vitamin and micronutrient deficiencies

What to Bring to the Appointment

• records of symptoms and their occurrence on different days of the cycle
• results of previous examinations and tests, if available
• a list of medications and supplements you are taking
• information about chronic illnesses and past surgeries
• questions or notes you want to discuss with the doctor

Diagnosing premenstrual syndrome requires a comprehensive and individualized approach to provide the best support and treatment.

Treatment

Treatment of premenstrual syndrome is aimed at relieving symptoms and improving the patient’s quality of life. The therapy plan is tailored individually, taking into account the specific condition and accompanying factors.

Therapy Goals

• Reduce the severity of unpleasant symptoms before menstruation
• Correct possible causes and related conditions
• Restore normal daily rhythm and work capacity
• Prevent complications and future exacerbations

Main Treatment Approaches

• Medical therapy as indicated to reduce symptoms and improve condition
• Lifestyle recommendations, including nutrition and activity regimen
• Psychoemotional support and stress reduction techniques
• Monitoring and regular follow-up to assess therapy effectiveness
• Possible use of additional non-pharmacological methods based on individual indications

What the Doctor Does

• Analyzes complaints and examination results to adjust treatment
• Considers comorbidities when selecting therapy
• Monitors possible side effects and changes the plan if necessary
• Explains criteria for evaluating effectiveness and next steps
• Coordinates treatment with other specialists if needed

What to Expect: Plan and Monitoring

• Approximate assessment of symptom dynamics with regular visits
• Therapy adjustment if no improvements or side effects occur
• Gradual improvement in quality of life and reduction of discomfort
• Continued observation to prevent recurrent exacerbations

For detailed information about treatment options for premenstrual syndrome, you can consult with Dr. Ekaterina Vyacheslavovna Silantyeva.

Prevention

Prevention is important in premenstrual syndrome (PMS) to reduce the severity of symptoms and improve overall well-being. The prevention plan is tailored individually, taking into account the specific characteristics of each patient.

Primary prevention measures

• controlling and reducing stress levels using relaxation techniques
• maintaining a regular sleep and rest schedule
• keeping a balanced diet with an adequate amount of vitamins
• engaging in regular physical activity within the doctor’s recommendations
• avoiding smoking and limiting alcohol consumption
• monitoring and managing comorbid chronic conditions

Screening and secondary prevention / regular monitoring

• regular gynecological examinations as indicated
• hormonal balance assessment when necessary
• monitoring overall health status and blood tests as recommended by the doctor
• discussing symptom changes with the doctor and adjusting the prevention plan accordingly

Practical advice

• pay attention to changes in how you feel before menstruation
• keep a symptom diary for more accurate monitoring and consultations
• discuss with your doctor options for supporting psycho-emotional health
• follow the dietary and lifestyle recommendations provided by your doctor
• if you have comorbid conditions, consult your doctor regularly

Prevention of premenstrual syndrome helps to reduce its impact on quality of life and requires regular monitoring and an individualized approach.

Important to Know

Treatment of premenstrual syndrome requires a careful approach and assessment not only of the symptoms themselves but also of the possible underlying causes. Consulting a specialist will help identify triggering factors and select the most appropriate treatment plan. It is important not to delay seeking treatment, as early evaluation reduces the risk of condition worsening and complications. It is also essential to understand that treatment often requires ongoing observation with regular adjustments to the plan. General factors such as stress, workload, sleep quality, and comorbidities can affect the course of the condition and the effectiveness of therapy. Self-treatment can complicate diagnosis, lead to side effects, and delay receiving qualified care.

• Identifying causes helps to choose accurate and effective treatment
• Early consultation reduces the risk of progression and complications
• Ongoing monitoring is important for timely therapy adjustment
• Stress, sleep patterns, and comorbidities influence the course of the condition
• Self-treatment can cloud the clinical picture and delay proper care
• Dr. Ekaterina Vyacheslavovna Silantyeva focuses on a detailed complaint analysis and comprehensive evaluation
• Comprehensive monitoring helps control changes and adapt treatment

Understanding these aspects will help better manage premenstrual syndrome and make the treatment process more effective. For detailed information and a comprehensive approach, it is recommended to consult a specialist.

Self-Care Before the Appointment: What You Can and Cannot Do

Before your appointment with Dr. Ekaterina Vyacheslavovna Silantyeva, you can take safe steps to relieve your condition and prepare for the consultation. If your symptoms worsen or alarming signs appear, you should seek help from a specialist immediately.

What You Can Do Before the Appointment

• Note when and how your symptoms began, and what worsens or alleviates them
• Keep a symptom diary: intensity, frequency, and possible triggers
• Bring a list of all medications and supplements you are taking to the appointment
• If possible, measure and record your temperature and blood pressure
• Reduce physical activity and ensure rest if you experience general weakness or discomfort
• Maintain hydration to avoid dehydration
• Pay attention to sleep quality and try to normalize your sleep routine
• Avoid stressful situations and any methods that could worsen your symptoms
• Do not start using new remedies on your own without consulting a doctor

What You Should Not Do Before the Appointment

• Do not stop or change medications without your doctor's approval
• Do not begin taking several new medications at the same time
• Do not rely on unverified remedies or quick “folk recipes”
• Do not try to diagnose yourself or interpret test results on your own
• Do not ignore worsening symptoms or delay seeing a doctor
• Do not use strong painkillers or hormonal drugs without a prescription
• Do not subject yourself to intense physical exertion or stress
• Do not neglect the management of any existing medical conditions before the consultation

If you experience alarming or escalating symptoms, contact Dr. Ekaterina Vyacheslavovna Silantyeva immediately to avoid complications and receive timely support.

How I Can Help as a Doctor with Premenstrual Syndrome

Premenstrual syndrome requires a comprehensive approach to understand its causes and develop an effective treatment plan. During a consultation, I help analyze symptoms, assess your condition, and choose a strategy that takes into account your individual characteristics. It is important not only to perform an initial diagnosis but also to monitor progress and adjust therapy if needed.

In a consultation for premenstrual syndrome, I can assist you with the following:

• Reviewing symptoms and medical history to identify possible causes
• Assessing the severity of symptoms and potential health risks
• Analyzing any treatment already prescribed and its tolerability
• Developing a plan for further steps, including examinations, treatment, and monitoring
• Considering comorbidities and medications when selecting therapy
• Providing lifestyle and regimen recommendations, if relevant for you
• Discussing criteria for monitoring your condition and timing for follow-up visits
• Conducting an initial diagnosis and ruling out other conditions
• Adjusting the treatment plan if there is insufficient effect or side effects

This comprehensive approach helps make the treatment as effective and safe as possible. If necessary, I can consult you on test results, offer a second opinion, and assist in preventing complications. Ongoing monitoring and timely therapy adjustments are crucial for maintaining a stable condition.

What questions can you ask a doctor about premenstrual syndrome

During a consultation regarding premenstrual syndrome, you can discuss the following issues with Ekaterina Vyacheslavovna Silantyeva:

• Persistent mood swings and irritability before menstruation
• Pain and discomfort in the lower abdomen or lower back
• Severe fatigue and sleep disturbances during the premenstrual period
• Worsening symptoms that interfere with work and daily life
• Lack of effect from self-administered measures or previously prescribed treatments
• Recurring episodes of unpleasant sensations before menstruation
• Questions about choosing effective methods for managing and correcting the condition

In case of sudden severe pain, a sharp increase in bleeding, or pronounced weakness — urgent medical attention is needed; do not wait for a scheduled appointment.

During the consultation, you might also want to discuss questions such as:

1. What is happening to me and why have these symptoms appeared?
2. Why does my condition worsen specifically before menstruation?
3. How can I be sure this is premenstrual syndrome and not another condition?
4. What examinations are needed in my case to clarify the diagnosis?
5. Which tests and investigations are truly necessary, and which can be skipped?
6. How should I prepare for the examinations and the initial appointment?
7. What treatment or support options exist for premenstrual syndrome?
8. Is this condition fully controllable or is it a chronic issue?
9. What should I do if the prescribed treatment does not bring relief?
10. Is it possible to manage without medication and use only non-drug methods?
11. How long does treatment usually last and how often is follow-up required?
12. What signs indicate that my condition is improving or worsening?
13. What should I do in case of sudden deterioration or symptom flare-up?

If your complaints go beyond premenstrual syndrome or if urgent symptoms arise, the doctor will help guide you and, if necessary, refer you to other specialists or for additional examinations.

How the Consultation Proceeds

A consultation with an obstetrician-gynecologist for premenstrual syndrome is a detailed review of your complaints, an assessment of your overall condition, and the development of a plan for further action. The extent of necessary examinations is determined individually, depending on specific indications. It is not always possible to get all the answers in one visit, but the doctor will help prioritize diagnostics and treatment.

1. Clarifying complaints and the purpose of the visit: the doctor asks which symptoms are bothering you, how long they have been present, what worsens or alleviates your condition, and what you expect from the appointment.
2. Collecting medical history and risk factors: discussion of menstrual cycle characteristics, accompanying diseases, stressful situations, and lifestyle features.
3. Reviewing previous treatments and examinations: the doctor clarifies whether any medications were previously prescribed or tests performed and asks you to bring any results or a list of medications.
4. Examination and basic tests as indicated: if necessary, a gynecological examination is carried out and pelvic ultrasound or basic lab tests may be recommended.
5. Preliminary conclusions and exclusion of serious conditions: the doctor explains what is most likely causing the symptoms and which possibilities require further investigation.
6. Diagnostic plan: this may include a complete blood count, hormone tests, ultrasound, and other studies depending on your symptoms and history.
7. Treatment and management plan: general approaches to reducing symptoms and improving quality of life are discussed, taking into account your situation and preferences.
8. Follow-up and next steps: the doctor explains when it is best to come for a repeat visit, what changes to monitor, and when to seek earlier care in case of alarming signs.

If this is your first time seeking help for such symptoms, special attention during the consultation is given to clarifying complaints and identifying possible causes. In cases where previous treatments have been ineffective, the doctor focuses on analyzing the reasons and adjusting the approach to improve outcomes.

This approach helps make the appointment as informative and comfortable as possible, and the plan of action clear and transparent.

Preparation for the Appointment

To ensure that your consultation with the obstetrician-gynecologist regarding premenstrual syndrome is effective and helps to quickly determine the plan of action, it is important to prepare properly. This will speed up the diagnosis process and allow for a more detailed discussion of your condition.

• Bring a list of all current medications, including names and dosages if known.
• Take with you the results of previous examinations and tests — ultrasound of the pelvic organs, hormonal tests, general blood tests.
• Write down your main complaints: when symptoms start, what worsens or alleviates your condition.
• Do not stop taking prescribed medications without consulting your doctor.
• Arrive for the appointment prepared for a physical examination — avoid applying makeup and creams before your visit.
• If you have any doubts about preparation details, clarify them when scheduling or by phone.
• If necessary, the doctor will inform you whether you need to come fasting (no eating or drinking for about 8–12 hours, unless otherwise advised).
• Bring a list of questions you want to discuss during the appointment so you don’t forget anything.

If you have any doubts about preparation, it is better to clarify the details in advance with the reception or your doctor. Do not change your medication regimen on your own — this is important for an accurate assessment of your condition.

About the Doctor

Ekaterina Vyacheslavovna Silantyeva is an obstetrician-gynecologist with over 10 years of professional experience. She specializes in the prevention and diagnosis of issues related to the female reproductive system and frequently works with patients who seek help for premenstrual syndrome, especially in cases of recurrent symptoms and difficulties in finding effective treatment.

In her practice, Ekaterina Vyacheslavovna places special emphasis on differential diagnosis and dynamic monitoring. She helps patients understand the causes of changes in their condition and develops a clear action plan.

During the consultation, you will receive a clear analysis of the situation and recommendations that enable you to manage and improve your quality of life.

Why Patients Choose Dr. Ekaterina Vyacheslavovna Silantyeva

Choosing a doctor for the treatment of premenstrual syndrome is crucial for accurate diagnosis and developing an effective therapy plan. Ekaterina Vyacheslavovna focuses on a thorough analysis of symptoms and factors affecting the patient’s condition, which helps avoid unnecessary tests and concentrate on the truly important aspects. The doctor takes into account the specifics of concomitant diseases and medications to make the treatment as safe and convenient as possible. If needed, a detailed review of previous analyses and prescriptions is conducted to adjust the therapy and enhance its effectiveness. Special attention is paid to monitoring the dynamics of the patient’s condition and timely adjusting the plan, allowing flexible responses to changes in well-being.

• A clear action plan with defined stages of treatment and monitoring ensures patient comfort and understanding
• Tests are prescribed strictly based on indications, reducing burden and eliminating unnecessary procedures
• Consideration of comorbidities and drug interactions increases therapy safety
• Monitoring treatment response and prompt adjustments help achieve state stability
• Reviewing previous prescriptions reveals possible side effects and obstacles to recovery
• Emphasis on primary diagnostics and differential identification of symptom causes ensures accuracy of approach
• Ongoing management with regular follow-ups helps timely detect and prevent exacerbations

This systematic and attentive approach allows for maximum consideration of individual characteristics, making the treatment of premenstrual syndrome clearer and more manageable. By booking an appointment with Ekaterina Vyacheslavovna, you will receive comprehensive support in addressing your concerns with attention to all vital health aspects.

Case Reports

Initial Consultation with Pronounced PMS Symptoms

A middle-aged patient presented with complaints of regular mood swings, irritability, and weakness, which significantly reduced her quality of life before menstruation. It was important to clarify that the symptoms appeared for the first time and were not associated with previously known conditions. After taking her medical history and conducting an examination, a comprehensive diagnostic workup was performed to exclude other possible causes. The physician developed a monitoring and support plan tailored to the patient’s individual characteristics. Over the following weeks, a reduction in symptom intensity and stabilization of her condition were observed. The patient is currently under ongoing supervision with regular visits and adjustments to recommendations as needed.

Treatment Adjustment in Case of Lack of Effect

A mature-aged woman sought help for premenstrual syndrome, for which previous treatment had not yielded adequate response. The main challenge was identifying the causes of treatment inefficacy and drug tolerability. The physician performed a thorough review of prior prescriptions and symptoms, selecting a new approach with an emphasis on considering comorbid factors and potential side effects. After one month, partial improvement was noted, with decreased symptom severity and increased overall vitality. Further management is based on monitoring response and timely modification of therapy.

Chronic Course with Comorbidities

A patient with a long history of premenstrual syndrome and concurrent endocrine disorders came for stabilization of her condition. It was important to take into account the impact of chronic diseases on symptoms and possible drug interactions. The physician conducted a comprehensive assessment, coordinated the treatment plan with specialized consultants, and emphasized the need for regular monitoring. The patient reported symptom stability and improved quality of life over subsequent cycles. Continuing comprehensive follow-up with consideration of changes in her condition was recommended.

Symptom Exacerbation and Control Plan

A young woman faced a sharp worsening of premenstrual syndrome symptoms, which disrupted sleep and emotional well-being. Rapid exclusion of other serious conditions and development of a strategy for managing the exacerbation were crucial. The physician held an urgent consultation, assessed risks, and created a control plan that included recommendations for reducing stress and supporting the nervous system. Gradual symptom stabilization was noted during follow-up visits. The patient received instructions on preventing recurrent exacerbations and ongoing management.

Second Opinion and Comprehensive Situation Analysis

A woman previously treated for premenstrual syndrome at another clinic sought an additional consultation. The physician carefully reviewed her medical history, prior examinations, and therapeutic approaches, conducting a more detailed analysis of complaints and symptom dynamics. As a result, a revised plan was developed, taking into account the patient’s individual characteristics and potential additional factors. Positive progress and improved well-being were observed over the following months. The patient remains under regular supervision.

How long does a consultation last?

A consultation usually takes between 30 and 60 minutes. Please check the exact duration when making an appointment.

How should I prepare for the appointment?

Preparation includes gathering information about symptoms, lifestyle habits, and, if necessary, following the doctor’s instructions regarding tests.

What should I bring to the appointment?

It is recommended to bring the results of previous examinations, a list of current medications, and records of symptoms.

Do I need to come on an empty stomach?

Usually no, unless the doctor advises otherwise when scheduling or during the consultation.

How many visits are usually required?

The number of visits depends on the complexity of the situation and the response to treatment; we discuss this individually.

When can I expect the first treatment results?

Timing varies individually and depends on the chosen approach and the specifics of your body.

What should I do if symptoms worsen before the appointment?

In case of urgent symptoms such as severe pain or heavy bleeding, seek emergency medical help immediately.

Can treatment be combined with my current medications?

Compatibility of medications is discussed during the appointment; do not change your therapy on your own.

Is it possible to have an online consultation?

Yes, online consultations are available with the transfer of necessary data and remote discussion of your condition.

Can I come with tests I’ve already completed?

Yes, bring all available test results; they will help the doctor to assess your situation more quickly.

Do I need to come for follow-up appointments?

Follow-up visits depend on the treatment plan and condition progress; the doctor will advise you when to return.

Can I get a second opinion?

Yes, you can obtain an additional consultation to confirm or adjust the treatment plan.

What should I do if symptoms return after improvement?

In this case, it is important to contact your doctor again for evaluation and possible treatment adjustment.

What tests are needed for diagnosis?

The required tests are determined individually based on the initial assessment.

How can I tell if my symptoms are related to premenstrual syndrome?

This requires a doctor’s evaluation considering your medical history and symptom patterns throughout the cycle.

Can I get a treatment plan immediately?

The plan is developed in stages after a comprehensive examination and evaluation of treatment response.

Are all age groups accepted?

Yes, the doctor works with patients of different ages, taking into account individual characteristics.

What happens if I miss an appointment or check-up?

This may complicate proper monitoring of your condition and timely adjustments to your treatment.