An Osteopathic Approach to Diagnosing and Treating Perimenstrual Disorders
Premenstrual syndrome (PMS), premenstrual dysphoric disorder (PMDD), and dysmenorrhea are Perimenstrual disorders that cause significant physical and emotional distress to reproductive-aged women. The hormonal imbalance associated with perimenstrual disorders impacts multiple organs and somatic structures throughout the body. Many pharmacologic treatments are currently used to treat the various symptoms of perimenstrual disorders, however, these treatments can have a multitude of undesirable side effects. Osteopathic manipulative treatment (OMT) can be incorporated in the treatment of somatic and visceral components of PMS, PMDD, and dysmenorrhea. Osteopathic treatments can target multiple organs and structural components affected by these disorders holistically and with limited potential side effects to the patients. This article describes relevant OMT techniques, which encompass the five models of osteopathic medicine that can be used for specific perimenstrual symptoms.