So I have always experienced disruptive PMS symptoms during my cycle since adolescence. Recently however (I am 44) it has gotten pretty severe. I was recently diagnosed by my GYNO with PMDD and since I am also getting further imaging done on my breasts (abnormal masses) and have BRCA mutation she doesn't want to introduce hormones and made the recommendation that I start a cyclical SSRI 1 week prior to my period. I am considering it but during treatment of an unrelated mental health issue a genetic test for antidepressants suggested SSRI were potentially dangerous for me at worst and ineffective at the least.

I am really feeling bad and feel desperate right now. Day 1 of my most recent cycle. It has been about 2 years of increasing emotional dysregulation and also severe bleeding and pain. (Yes to fibroids. The plan for that is fibroid emoblization and endometrial ablation.)

I need advice of other meds. Supplements. Diet changes. Sympathy. Comisseration. Anything you can offer.

My mood is really bad. Bordering in self harming ideations, etc that is completely illogical and irrational and not at all like my typical thoughts. I feel like a completely different person every month at this point in my cycle.

Puppy picture for attention and cute tax.

Thank you in advance.