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Many of these recommendations are based on poor research with loose definitions of the disorder and uncontrolled open trials. This paper reviews the literature on treatment methods with emphasis on recent random, placebo controlled, double-blind studies. The most effective current management of PMS is a conservative one including accurate diagnosis, stress control, sensible levels of diet and exercise and perhaps the use of alprazolam in the premenstrual period. Other approaches such as the use of mefenamic acid and evening oil of primrose remain unproven. Progesterone has been proven uneffective. Further research is required into the value of antidepressant medication.<\/jats:p>","DOI":"10.1177\/070674379003500301","type":"journal-article","created":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T04:17:17Z","timestamp":1493180237000},"page":"199-206","source":"Crossref","is-referenced-by-count":6,"title":["Problems in the Treatment of Premenstrual Syndrome"],"prefix":"10.1177","volume":"35","author":[{"given":"Gail Erlick","family":"Robinson","sequence":"first","affiliation":[{"name":"Women's Clinic, Department of Psychiatry, Toronto General Hospital; University of Toronto, Toronto, Ontario."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul E.","family":"Garfinkel","sequence":"additional","affiliation":[{"name":"Toronto General Hospital; University of Toronto, Toronto, 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