Hellish PMT probably PMDD I need help

[YouCantTourniquetTheTaint]

I have horrendous PMT, it lasts for weeks, 3/4 weeks when really bad, it's bad every other month, and renders me useless, absolutely useless.

I get :
Foggy headed
I can't make a decision (if you offered me a Mars bar or Snickers, I'd probably cry)
Anxiety
Depression
Feeling like I want to end it all
Panic attacks
Paranoid
I get a feeling of absolute terror and fear
Bloated
Angry
Hot flushes
Fever like feeling of being cold
Boils/cysts - not sure what they are TBH
I cry at the drop of a hat
My ADHD gets exponentially worse

I know that in the leutal (sp?) phase, the hormone responsibile for dopamine production drops, my brain doesn't make enough dopamine in the first place, so a drop in it makes my life hell.

I have tried :
The pill - made it worse
CBT
Breathing exercises
Evening primrose oil & every other herbal/vitamin supplement
Change in diet
More exercise
Walking
Several antidepressants 5 different ones to be exact, currently on duloxetine
Giving up caffeine
Fucking writing my feelings down

I am at the end of my rope, I want to get my tubes tied, whip out my ovaries, or my womb whatever, I just can't take this any more. I know I need to see the Dr, but what do I say, give him this list and ask? Is there anything I can ask for? As in tests or whatnot? Hormone tests?

Anything else that isn't hormone related, that it could be?

Any wise MN's with advice would be amazing

I know I posted late in the evening, but has anyone got any advice on what I should do

This Dr really helped me with my terrible PMT - I also have adhd.
maryonstewart.com/
It seems she specializes in menopause now but she used to do telephone consultations for PMT. she uses diet, exercise and supplements - I was very sceptical. But after 3 months of her Programme the PMT was gone. Her book No more PMS is available on Amazon

How old are you ?

@GeneLovesJezebelm I'm 36, and it's gotten really bad over the last couple of years. I've never been regular with my periods, for example I had my period on the 15th December, the next one came at the start of February, and I had 4 weeks of feeling like the above.

Thank you @NrlySp I will check her out, I can't afford private treatment though

I was thinking peri menopause because my PMT went very bad then, but you’re perhaps a bit too young. Do you know what age your mother started ?

I have the same, often instructive thoughts. I am on citalopram. It's not really under control but was better when I had that combined with eloine combined pill.

I haven't found any supplements that help me at all.

I used to find exercise eased it a lot and ran at least 3 times a week, 10 miles + on a weekend but I now have fibromyalgia so that's not happening!

I wish I could help you!

My doctor is really good and when I went on the pill he'd researched recommended ones for PMDD. I'm going to go back on it. I stopped as I was smoking and I'm overweight, that combined with the possibility of increased clot risk from covid vaccine. Also it affects my libido but I've realised a low libido is not as bad for my marriage as believing I want to either get divorced or die for a week every month!

@GeneLovesJezebel she was in her 50's when she started the menopause. So I might be too young.

@wearewizardsofoz I'm sorry you're going through this too, it's just horrible. I've been on citalopram, Mirtazapine, quitiapine, fluoxetine, duloxetine, and another one that I can't remember the name. The Mirtazapine helps me sleep, and the duloxetine is OK, but nothing helps when the monstrous pmt starsts.

I used to run too, I did couch to 5k, and I was probably the most healthy I'd ever been. Then I fucked my back up, properly, multiple herniated disks, and damage to the bones, muscles, the biggest issues are with my nerves, my sciatic nerve in my left leg is fucked, I can't feel my leg, it affects my bladder, and my sexual function, and the constant burning feeling, that's fun.

I just don't know what to do, it's gotten to the point where I want a hysterectomy. It's literally ruining my life.

I'm currently reading the balance plan by
Angelique something ,
I'll link it below. Might be worth checking out the reviews

The Balance Plan: Six Steps to Optimize Your Hormonal Health https://www.amazon.co.uk/dp/1912023784/ref=cmswwrcppapiglttiBZH0437516DF9R6NSG0M

Have you tried Sertraline? My GP recently put me on this for two weeks before each period and it has really helped me. Sorry to hear you are going through this. It's awful isn't it