Pmdd...can it get worse?

Claire

Im 16 and I know that I have PMDD and I know that it usually causes severe irritability, depression, or anxiety in the week or two before your period starts.(that’s usually how it goes for me). I don’t know if it has to deal with your actually cycle though, like my period have gotten heavier and heavier and my cramps have been getting worse. I don’t know if that is a part of PMMD or if it’s just getting worse. I can’t take birth control and I’m unsure of what to do? Sorry if this sounds dumb. I need to help/advice.