RT Book, Section A1 Shushan, Asher A2 DeCherney, Alan H. A2 Nathan, Lauren A2 Laufer, Neri A2 Roman, Ashley S. SR Print(0) ID 1159958229 T1 Complications of Menstruation & Abnormal Uterine Bleeding T2 CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 12e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9780071833905 LK obgyn.mhmedical.com/content.aspx?aid=1159958229 RD 2024/03/28 AB ESSENTIALS OF DIAGNOSISSymptoms include mood symptoms (irritability, mood swings, depression, anxiety), physical symptoms (bloating, breast tenderness, insomnia, fatigue, hot flushes, appetite changes), and cognitive changes (confusion and poor concentration).Symptoms must occur in the second half of the menstrual cycle (luteal phase).There must be a symptom-free period of at least 7 days in the first half of the cycle.Symptoms must occur in at least 2 consecutive cycles.Symptoms must be severe enough to require medical advice or treatment.