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This book covers the management of the psychological symptoms of the premenstrual syndrome (PMS), but neglects the equally distressing physical symptoms. Management is approached on an ad hoc basis that does not take into consideration the chronicity of PMS, which may start at puberty and last until menopause. Nor is consideration given to the possibility of future biologic and hormonal findings that may alter management. There must surely be a better approach to therapy for teenagers than 30 years of treatment with psychotropic drugs, ovulation suppression, danazol, or gonadotropin-releasing hormone analogues. Women require long-term care that does not involve the
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