That's it really. Starts about 10 days before my period - exhaustion, feeling physically weak, feeling sleepy/confused, struggling and not managing things, sleeping a lot, nightmares, very very weepy and feel hopeless.
I already have mental health issues (currently not treated, am in the "not actively suicidal so meh" group to the NHS... currently fighting PIP appeal to pay for private help...) so I suppose that might be making it worse... but also it means I have a very reduced lifestyle already so it should be easier to deal with, but PMT reduces me further to just weeping in bed for the most part, between trying to manage normal things like shopping/cooking. (No DC.)
Just wondering if theres any treatment because going to GP about mental health stuff is so depressing and difficult as it is - I need to know what to ask for.
Oh also, I have endometriosis which I see a gynaecologist for now and then, have had two treatment laparoscopies. By an expert apparently. Pain is severe and tramadol isn't working, but one day of severe pain a month much easier to cope with than 10 days of severe depression. Just mentioning in case relevant.
Thanks
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General health
Severe PMT - is there any treatment?
BBCNewsRave · 30/01/2017 18:24
Hormonal contraception (specifically Yasmin) has helped me in the past, although it stopped working after a few years.
Agnus castus (herb) has apparently been proven to have an effect in the one, small, miserable medical trial I could find. I would certainly say it works for me, but has to be taken for a few months for the effects to kick in.
SSSRI antidepressants can work dramatically on PMT (because it's all about the serotonin receptors, apparently). IME I did take sertraline for PMT for a while, and the effect was amazing. PMT= instantly gone! However, nothing is without payback, and I found the sertraline side effects so hardcore that I decided I preferred the PMT! But.....if your PMT is that severe (and you're suffering from depression anyway) that could be the way to go?
Oh, plus all the boring stuff like not too much alcohol, exercise, getting enough sleep and eating properly helps a lot too....
Good luck! 
I have suffered with anxiety, depression, severe PMT and endometriosis.
I will never take the pill again due to the 'permanent PMT' effect.
My GP recommended the Mirena coil.
Pros: the hormone contained in the Mirena is localised only, thins the womb lining, reduces bleeding and I found I had virtually no PMT whatsoever (in comparison to normal severity of PMT for me).
Cons: increase in pain during sex, increased pain at certain points of my cycle regardless of high doses of Naproxen and loss of libido. I asked for the Mirena to be removed for these reasons plus wanting to try to conceive soon.
Now that my cycles are back to normal, I do find myself thinking I would use the Mirena again - despite the side effects - purely because I'm finding the PMT difficult to handle. It's as though I've been hit with deep depression/anxiety out of the blue. I almost made a GP appointment this month due to what I thought was a sudden decline in my mental health, then realised it was entirely hormonal and was back to normal within a couple of days. It's incredibly unnerving and causing a degree of stress just anticipating the next period.
One other thing springs to mind. A psychiatrist once recommended vitamin B6 supplements for my PMT, in conjunction with medication already prescribed for anxiety/depression. I seem to remember it helped me, although of course the improvement could have been down to the other medication or placebo effect! Perhaps worth looking into, however...
I wonder whether your gynaecologist could recommend anything? It sounds as though it would be worth a discussion, as it's affecting your quality of life so badly.
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