Our expert says:
There is actually a type of PMS that is classified as psychiatric condition called Premenstrual dysphoric disorder (see http://pmdd.factsforhealth.org/what/)
Please don't suffer one month longer but see a psychiatrist - not all antidepressants work for this and Fluoxetine/Paroxitine and Citalopram are probably the only ones that work. Sometimes it may be necessary to change/add a second antidepressant. You are on the right contraceptive and you can add Vit B 6 100mg, Calcium 600mg per day and Vit E 100 microgram per day. If this does not help it may help to suppress ovulation with something like Danazol.
I think you should ask your Gyne if she knows of a psychiatrist that has a special interest in PMDD in your area and to refer you if possible
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