What Happens After a Telemedicine Visit for Premenstrual Syndrome (PMS) / PMDD - Management

Audience: adult

After a telemedicine visit for Premenstrual Syndrome (PMS) or Premenstrual Dysphoric Disorder (PMDD), you will usually receive guidance on managing symptoms through lifestyle changes, medication options, and tracking your cycle. Your healthcare provider may suggest ways to reduce stress, improve diet, and increase physical activity. They might also discuss supplements or prescribe medications to help with mood swings, cramps, or other symptoms. Follow-up appointments may be scheduled to monitor your progress and adjust treatments if needed. It is important to keep track of your symptoms and share any changes or concerns with your provider. If you experience severe symptoms or new health issues, seek in-person care promptly. Telemedicine can support ongoing management but may not replace all types of care.

Red flags — go in person / ER

• Severe mood changes such as thoughts of self-harm or suicide — seek emergency care immediately.
• Sudden onset of chest pain, shortness of breath, or severe headaches — get urgent medical attention.
• Heavy vaginal bleeding or severe pelvic pain not relieved by medication — contact your healthcare provider or visit an emergency department.

What telemedicine can do

• Education about PMS and PMDD symptoms and management.
• Medication counseling and prescription for common treatments.
• Lifestyle advice including diet, exercise, and stress management.
• Symptom tracking guidance and follow-up planning.

What telemedicine cannot do

• Physical examinations or pelvic exams.
• Laboratory tests or imaging studies.
• Emergency care for severe symptoms or complications.
• Diagnosis of conditions that require in-person evaluation.

What to Expect Immediately After Your Telemedicine Visit

After your telemedicine visit, your provider will likely summarize the treatment plan and may send prescriptions electronically if needed. You might receive educational materials or instructions on lifestyle changes to help manage PMS or PMDD symptoms. Make sure you understand how to take any prescribed medications and when to follow up.

Managing Symptoms at Home

Common recommendations include regular exercise, balanced nutrition, stress reduction techniques like mindfulness or yoga, and maintaining a consistent sleep schedule. Over-the-counter pain relievers may be suggested for cramps or headaches. Tracking your symptoms daily can help identify patterns and improve treatment.

When and How to Follow Up

Your provider may schedule a follow-up telemedicine or in-person visit to assess how you are responding to treatment. If symptoms persist or worsen, or if you have side effects from medications, contact your healthcare provider promptly. Regular monitoring helps tailor your care effectively.

Limitations of Telemedicine for PMS/PMDD

While telemedicine is useful for education and management, some tests or physical exams cannot be done remotely. If your symptoms suggest other health issues, or if you need blood tests or specialized care, an in-person visit may be necessary.

Support and Resources

Your provider may connect you with counseling services or support groups if emotional symptoms are significant. Reliable online resources and apps for symptom tracking may also be recommended to support your care.

How to prepare for your tele-visit

• List your symptoms, including their severity and timing.
• Have a calendar or app ready to show your menstrual cycle details.
• Prepare a list of current medications and supplements.
• Write down questions or concerns you want to discuss.
• Ensure you have a private, quiet space with a reliable internet connection.
• Have a pen and paper or device ready for notes.

After your tele-visit

• Follow the treatment plan and lifestyle recommendations provided.
• Take prescribed medications as directed and report any side effects.
• Track your symptoms daily to monitor changes.
• Schedule and attend follow-up appointments as advised.
• Seek in-person care if red-flag symptoms develop.
• Use recommended resources for additional support.

FAQs

Can telemedicine visits fully replace in-person care for PMS or PMDD?

Telemedicine can effectively support education, management, and follow-up for PMS and PMDD. However, some evaluations, tests, or treatments require in-person visits. Your provider will advise if you need to see a healthcare professional face-to-face.

What should I do if my symptoms get worse after the telemedicine visit?

If your symptoms worsen or new concerning signs appear, contact your healthcare provider promptly. Severe mood changes, heavy bleeding, or intense pain may require urgent in-person care.

Are there medications commonly prescribed for PMS or PMDD during telemedicine visits?

Yes, providers may prescribe medications such as hormonal treatments, antidepressants, or pain relievers to help manage symptoms. They will discuss benefits and possible side effects with you.

How can I best prepare for my telemedicine visit about PMS or PMDD?

Prepare by tracking your symptoms and menstrual cycle, listing your medications, and writing down questions. A quiet, private space with a good internet connection helps ensure a smooth visit.

Can lifestyle changes really help with PMS or PMDD symptoms?

Yes, lifestyle changes like regular exercise, healthy eating, stress management, and good sleep often help reduce symptom severity. Your provider can guide you on effective strategies.

Sources

1. Premenstrual Syndrome (PMS) — MedlinePlus, U.S. National Library of Medicine.
2. Premenstrual Dysphoric Disorder (PMDD) — National Library of Medicine.
3. Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) — Mayo Clinic.
4. Premenstrual Syndrome (PMS) — Centers for Disease Control and Prevention (CDC).

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you have severe symptoms or urgent health concerns, seek immediate medical attention.