Mild warning signs of the onset of menstruation, as Dalton describes (see Premenstrual Syndrome (PMS)), are a valuable gift of nature. The need to restore mental and physical health related to the menstrual cycle through formal clinical intervention occurs only when
Table III Objectives in Caring for Women's Health: PREVENTION
P Prevention—Prevention of illness, high-risk behaviors, stresses associated with sexuality R Resources—Provision of resources for safety, learning, and social support
E Evaluation —Evaluation of signs and symptoms, sexual history and practices V Violence—Exploration of issues surrounding violence and coercive sexuality E Esteem —Assessment of esteem and well-being associated with sexuality and intimacy N Nonjudgmental—Communication in a nonjudgmental, open manner
T Treatment—Prompt and appropriate treatment of identified illnesses
I Intervention—Intervention when necessary to ensure physical and emotional safety O Options—Provision of therapeutic options surrounding sexual health (e.g., contraception) N Nonexploitative—Establishment of a nonexploitative, ethical relationship with patient these warning signs, or the experience of menstruation itself, become especially uncomfortable. In such cases, it is essential to take a clinical approach that remains mindful of the objectives in providing clinical care for women's sexual health (Table III) and involves three elements: prevention, accurate diagnosis, and appropriate treatment interventions.
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