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This Concept Map, created with IHMC CmapTools, has information related to: 142_PMS, Symptoms resolved to patient's satisfaction? No Medical Referral, Obtain medical/medication history, including type, severity & timing of symptoms. Ask about use of hormones & any association between onset of hormones use & onset or worsening of symptoms. Discuss previous treatments, current use of calcium/other minerals, vitamims B6, D&E, diuretics, & other OTC menstral products., Exclusion for self treatment? No Discuss nondrug, OTC and CAM treatment options. Elicit patient preference for treatment approach. An approach may blend treatment options (e.g., dietary modification, calcium and vitamin D). Suggest potetially helpful lifestyle modifications., Symptoms resolved to patient's satisfactoin? Yes Continue therapy. Reinforce patient education about PMS., OTC or herbal therapy: Advise use for several cycles before assessment ofbenefit; onset & max benefit of vitamins/minerals & herbal products occurs after several months of therapy. Symptoms resolved to patient's satisfactoin?, Exclusion for self treatment? Yes Medical Referral, Woman with PMS symptoms Obtain medical/medication history, including type, severity & timing of symptoms. Ask about use of hormones & any association between onset of hormones use & onset or worsening of symptoms., Symptoms resolved to patient's satisfaction? Yes Continue therapy. Reinforce patient education about PMS., Reevaluate. Consider trail with alterantive OTC or herbal products ot a combination of agents. Symptoms resolved to patient's satisfaction?, Discuss previous treatments, current use of calcium/other minerals, vitamims B6, D&E, diuretics, & other OTC menstral products. Exclusion for self treatment?, Symptoms resolved to patient's satisfactoin? No Reevaluate. Consider trail with alterantive OTC or herbal products ot a combination of agents., Discuss nondrug, OTC and CAM treatment options. Elicit patient preference for treatment approach. An approach may blend treatment options (e.g., dietary modification, calcium and vitamin D). Suggest potetially helpful lifestyle modifications. OTC or herbal therapy: Advise use for several cycles before assessment ofbenefit; onset & max benefit of vitamins/minerals & herbal products occurs after several months of therapy.