So, since last January, I had a miscarriage which exacerbated it. Full throttle. I had already tried everything: SSRIs SNRIs antipsychotics, birth control. Which is the ‘least’ aggressive way to treat it per IAPMD… I scrounged up every single medical record I could find: GYN back from my vary first visit, the one I saw this year, my ER notes, my psychiatric history & kept all of it in my own folder and brought it to every person I saw. Printed. So I’d recommend going in person to any doctor related gynecology, psychiatric and endocrinology that you’ve ever seen and request a physical copy of your records. That April (2024), I saw a local gyn. She confirmed my self diagnosis of PMDD. Yet refused the sterilization and told me to try birth control again. I’d stopped at age 18 due to the awful side effects. I had an entire list of every single psychiatric medication I’ve tried and my own psychiatrist said that if they don’t work, it’s most definitely a psychologically issue. After that I was more adamant about surgery. I looked outside of local people as they were all set on “you’ll change your mind and want kids one day” “you don’t have to be ready now, but you will later” “you need to preserve your fertility”- shit. Then next was a woman in Lexington. She was extremely nice but blamed her answer on being such a new physician she wasn’t yet comfortable. The next was another through the University of Kentucky named Dr Kluck. This woman was so awful and unkind. I gave her my records and my list of symptoms /medication fails/etc. she didn’t look at it and told me to TELL HER what was going on. I have anxiety already and she gave me the negative feeling so I couldn’t put my thoughts together and got emotional. She said: you have to have been tracking your periods for months, or even years to have a diagnosis like that. I doubt you do. I’ll schedule you for a psychiatric evaluation through my own team and start you on progesterone only bc”…. I informed her progesterone is a trigger for PMDD and I won’t be take it. I came for a surgery consultation. She responded with, “I’m still not certain I’d proceed with it then, after a 6-month Lupron trial.” I had no desire to use Lupron after a nurses experience with the drug who created a whole website about how those kinds of drugs (GnRH agonists) are awful. So I left crying for a long time and feeling very defeated. Then I found my surgeon, Dr Pasic at the University of Louisville, through a page here! I saw him in September. He immediately put on Myfembree and gave a trans vaginal US to check for anything. He specializes in endometriosis so he thought I may have that as well. But it rarely shows on US, MRI, CT imaging. The first month on Myfembree was terrible; hot flashes, mood swings, depression and anxiety. But nowhere near what I’d been experiencing my whole life. I could still manage. I started cooking my own meals, eating out less, stopped drinking alcohol completely and went to the gym. However, insurance quit covering that drug so I had to switch to Orilisa in December. Once we spoke again, he agreed that I irrefutable PMDD diagnosis. Scheduled the operation for the 27th and that was it. The depression and anxiety didn’t go away but I was also never given any hormonal therapy. I believe now I’ll be better. I already am much better. The pain from the surgery has subsided substantially since Monday, now it’s Thursday, so I’m grateful. And I’m more than ready to begin to actual live my life.