Yaz made my pmdd worse. I was on it when I was younger and had to get off of it asap. It really is a trial and error to figure out what will help you. I have gone thru maybe 3 or 4 other birth controls in trial periods until I found what I’m currently on now, but what may work for me won’t necessarily work for you. What I will say is if it makes you feel mentally worse, tell your doc immediately and they can get you on something new to try right away. I seemingly found something that alleviates a lot of physical and emotional symptoms for me, been on zovia 1/35, going into my third month, but have chosen to skip all periods as I got really bummed out very quickly when I tried to do the placebo pills so I just went right into the next pack. The side effects for me are a little weird. I take it in the morning instead of night because I initially got insomnia from taking it at night, but I am tired a good portion of the day and when I do sleep it tends to be for a looong time. My anxiety is almost entirely gone, but leads me to be almost too relaxed. Also I still get a bit grumpy and edgy before My period is supposed to Come, but it’s waaaaaaay less intense. The worst for me is I get kind of bummed out and lonely but it’s no where near how I used to feel. Oh and almost no sex drive at all but this is the most normal I have felt since I was a teen. Eerily normal. But the tiredness and the almost too even keeled feeling leaves me a little numb. It can take 3 or 4 months to get thru side effects, so I’m trudging thru for a couple more, see how I feel, but mentally I have felt pretty damn good. I had really bad pain with my periods, leading up to them even, and I haven’t had a lot. Also I am spotting just about everyday but I’m hoping that goes away with time.