XXXX . Tactics for intervention.

@entity1 @entity2847 @entity2245 @entity270 @entity1420 @entity1872 @entity17562 @entity3010 @entity1482
@entity3010 ( @entity3010 ) is a very common disorder. It is diagnosed by excluding other disorders, including psychopathology, and with use of a menstrual diary. Although the cause of @entity3010 remains unknown, treatment is usually effective. For the majority of @entity1 , reassurance, dietary changes, and regular exercise are all that is necessary. If this is ineffective, @entity2245 and, if indicated, @entity270 or @entity17562 should be added to the regimen. If therapy still is not effective, a diuretic (preferably @entity1482 [ @entity1482 ]) or natural @entity1420 should be added. This may also be done during the three to six months required for dietary therapy to achieve maximum effectiveness. Diuretics are less expensive, easier to use, and easier to obtain than natural @entity1420 , which is not widely available. If oral contraceptives are desirable for the @entity1 , progestin-dominant pills may be tried instead of a diuretic or natural @entity1420 . For those @entity1 whose symptoms are resistant to all of the aforementioned therapy, @entity2847 ( @entity2847 ) or @entity1872 ( @entity1872 ) can be added to the regimen; these drugs, however, should be prescribed only by practitioners experienced in their use.
