Hi, Im struggling with this issue myself. I was told to go to a obgyn, ive been on 3-4 diff. birth controls since this summer. That's all they have to offer there, just birth control. Well that's not enough to really help my symptoms. I'm looking into going to a doctor, getting tests done. I've heard some antidepressants could help. Also heard of hormone injections(which i dont want). It's frustrating to go to an ob and they don't even know what pmdd is or even how to treat regular pms. I've done all the things i need, exercise, steady sleep schedule, cut down on caffeine/sugers. I'm researching right now, will let you know what i come up with.