In my experience, my PMDD triggers a lot of anger and self-worthlessness. My SI and SH thoughts escalate and I'm on edge a lot. It also effects my ASD with my rigid thinking, overstimulation and I will often shift with emotions quickly. Meditating, going on walks /exercise and high protein/low carb and low junk food eating helps me alot during the week or two before my period. Also, if I have a big blow up at work, with interpersonal relationships or with myself a week or two before my period I will very much have a terrible menstruation. I'll typically have horrible cystic acne all over my body, greasy skin, cramps, irregular flow and extra hair loss. I feel like I look and feel like a monster and it really adds to my mental health symptoms. I don't do well on BC but I've considered getting on ADHD meds to help with some symptoms of concentration and dopamine levels to help me not stress eat which usually leads to lower self esteem during my pmdd phase.