HLSU233 Nursing


Tracey Wilson’s Premenstrual Syndrome (PMS) Case Study

Tracey is a 38-year-old married woman, a mother of three healthy kids; two daughters, ages 10 and 12 and a four-year-old son. Tracey is a successful businesswoman, often smokes and only consumes alcohol in moderation at social events.

She runs Pizza hut at Belmont Village Shopping Centre. Tracey presented to Belmont Private Hospital, Belmont, complaining of a 4-month history of symptoms that include anger, irritability, breast tenderness, tiredness, nausea, acne and abdominal blotting. She also confirmed that she had food cravings for salty snacks lately.

These symptoms have been HIGHLY repetitive and predictable for the last three menstrual periods, usually, occur three days or one week before menses. Her menstrual cycle has been remarkably predictable for the last two years. However, her symptoms aggravated just before menstruation.

She had severe urinary tract infections 13 years ago, and her ovarian cyst was removed eight years ago. She was referred to the Family Planning Clinic based in Brisbane by her obstetrician and gynaecologist Dr Sarah Johnson.


1. Explain the pathophysiology of Premenstrual Syndrome and relate Tracey’s symptoms to its pathophysiology?

2. Discuss the common causes of Premenstrual

3. Describe the difference between clinical manifestations of Polycystic Ovary Syndrome and Premenstrual

4. Outline the most common therapies for Premenstrual Syndrome and discuss the lifestyle changes to help with PMS syndrome
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