PMDD - at my WITS END!!! -updated

I’m at my wits end with how my hormones affect my mental health. For two weeks each month I either want to yell or cry every five minutes. I was diagnosed with PMDD but I feel like no doctor understands how seriously this affects my life and are quick to prescribe a treatment plan without any real thought. I’ve had hormone levels tested FIVE times and they barely look at them. I’ve tried FOUR different treatment methods the last two years: bio-identical hormone balancing, hormone replacement with bc (patch and pill), lifestyle changes (including diet, exercise, job, city in living in!). Nothing has helped, only made it worse. And I’ve stuck through at least four months of each method. I’ve seen four different doctors about it and I’ve now had to switch to Medicaid so my resources are limited and it takes 6 months to see ANY specialist of ANY kind where I live, like even the shittiest OBGYN takes that long. Does anybody have any resources, advice, or anything that they’d recommend that has helped them with PMDD?

UPDATE: I forgot to mention I have also tried four different antidepressants, and three anti-psychotics to accompany them. None of that has worked either

My last doctor also wants me to get an MRI to see if it’s endometriosis because I sometimes get aches and pains in my arms/back/butt, but none in my uterus pelvic region. And honestly the aches could possibly be explained by my job being pretty physical. And I’ve told her, the physical pain is not my biggest problem, it’s the emotional and she keeps saying, let’s do a hormonal IUD to help the pelvic pain, and I’m like I TOLD YOU THREE TIMES I DONT HAVE PELVIC PAIN! AND the physical pain is not my biggest problem!!!