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PMS: CAN I DIAGNOSE MYSELF?
Self-diagnosis of PMS is notoriously unreliable. It is not true that you have PMS simply because you have periods. An accurate diagnosis is only possible if a diary of symptoms has been kept for at least two, preferably three, menstrual cycles and has shown that those symptoms only occur before a period and never in the seven days afterwards.
Dr Maureen Dalton, consultant gynaecologist at Sunderland Hospital in the UK and daughter of PMS pioneer Dr Katharina Dalton, says that only 50 per cent of the women who complain of PMS actually have it.
Women tend to remember the time that they lost their temper if their period started the day afterwards whereas at other times of the month they have nothing to help them remember, she says.
Accurate diagnosis is important to avoid incorrect and ineffective therapy. If you have a thyroid disorder, for example, which may cause symptoms similar to PMS such as fatigue and irritability, then you will gain little from therapies designed to relieve PMS.
Doing your own PMS chart. Record your two or three worst symptoms using a simple code for each symptom. For example breast tenderness could be denoted by the letter 'B' and headache by the letter 'If. You could distinguish between severe and mild symptoms by using a capital letter for severe and a small letter for mild. You must record the days of menstruation.
Give a chart to your husband or partner to fill in as well. At the end of the month see if they match up.
Although you may have more than two or three symptoms it is easier to keep the chart If you simply record.
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Womens health
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ALEXANDER TECHNIQUE IN PREGNANCY AND CHILDBIRTH: MISUSE
Originally, when Alexander discovered that he was stiffening his neck and pulling his head back, and creating tension throughout his body, he thought that he was the only person to do this, but his investigations confirmed that this pattern of 'misuse' is common to the vast majority of people.
The effect of this misuse is that it interferes with the head/neck/back relationship, which means that a high degree of muscular tension is needed to maintain upright posture and for movement. This muscular tension is distributed unevenly through the body, with an excessive amount in some areas and too little tension in others, and there is a lack of interaction between the muscle groups. Obviously this brings about the very opposite of what we find with good use: being upright becomes an effort, there is a limited range of movement, the joints are stiff and breathing is impaired.
As with good use, misuse refers to our 'thinking'. It involves performing activities in a habitual and automatic way that is harmful to overall use and functioning. This could mean that we allow our emotional state to affect our musculature adversely, for example if we are worried about something we let tension build up in the neck muscles. Or it could be how we perform everyday activities. Observing people in action, we often see a great deal of effort being used, in parts of the body that are not directly involved in the activity. Check for yourself how tightly you hold your toothbrush while cleaning your teeth - or how tightly you are holding this book right now! You will probably find that, like most people, you are using an excessive amount of effort in holding what is a very light object, and in a task that actually requires a minimum of force.
People misuse themselves in different ways. Broadly speaking, a person may hold himself up with too much tension - the 'sergeant major' approach - or he may 'collapse', with over-relaxed muscles. In practice, of course, it is not as clear cut as this; both forms of misuse involve a combination of excess tension and over-laxity. For example, even in someone with collapsed posture, only some muscles are 'over-relaxed', and therefore others have to work all the harder in compensation, and are over-tense.
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Womens health
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