lol i thought you meant menstrual cycle.

in my experience, pdocs tend to add or increase meds for an extreme point in your cycle, but then don't reduce or eliminate them after that point passes. then they do the same thing for the next extreme. leads to lots of meds all the time. i think they don't want to take the time to try to head off an extreme when it's starting (or have it start on a weekend, etc.), so they just leave you on the meds full-time.