Yes, I have noticed that my anxiety and depression do increase around that time of the month. I wouldn't really call it PMS - I don't experience bloating or cramps or anything. It's a change in hormones that causes a spike in anxiety and if I'm already depressed, then it causes a spike in depression as well.

I have talked to my pdoc about this, and we've talked about different ways to manage it. He's suggested upping my Xanax as needed and he also suggested getting on a birth control pill that limits periods to once every three months. Because my body doesn't react well to bc pills, I've gone with just increasing Xanax at this point, and that seems to help. Maybe once I'm more stable on my other meds, I'll consider bc pills again, but I want to be totally stable on everything else first.

I will say that my pdoc was totally fine with discussing this, and he's a guy. He just treated it like any other symptom I experience.