Premenstrual syndrome is a common problem although for the majority of women the symptoms are only mild (Premenstrual Syndrome - PMS). Some women, however, have more major and sometimes debilitating difficulties. oestrogens, estrogens, often given as a small implant introduced under the skin with local anaesthetic, can alleviate symptoms but if the uterus is present progestogens must also be given to prevent the lining of the womb becoming too thick. Until recently, the progestogens had to be administered as tablets taken cyclically for about 12 days each month ( to produce a withdrawal bleed and this could reproduce PMS type problems. If a LNG-IUS is introduced, there will be no cyclical thickening of the lining of the womb and no cyclical progestogen tablets are required.


women's health





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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.

I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.



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