L.S.
I spoke to my OB but she was little help believe it or not. She said it was hormones or SSRIs. Thanks. I left feeling really ignored. I mean, I exercise, eat right and do all the things that are supposed to help but I still felt like more was needed. I finally talked to my family care Dr (after crying on the phone with the receptionist) about how I just wasn't me for a few weeks a month. I was yelling at my son, crying a bit too quickly, etc. I wasnn't having bad cramps or bad periods, it was everything else though.
She said the pill was good for regulating periods, helping with bloating, cramps, etc. For the emotional stuff, something like Sarafem would be better for me since, like you, I really didn't want to go on the pill. It's a very very low dose of Prozac (10 mg as opposed to 30+ mg that is used for depression) that you take 2 weeks a month. I told her that my life was really good -- good marriage, financial stability, no job stress, etc. -- so I just assumed that I didn't need an SSRI. She said a lot of people feel wierd about taking Prozac, but in low doses it's also used to treat other things like IBS since the gut has more nerve receptors than any other part of the body. So, it's not just in your head was her point I think. I know some people have a negative connotation with antidepressants. I know I did.
Like you, I didn't want to go on hormones and dealing with the side effects I've had. After researching and talking to my friend who takes Sarafem too and my Dr, I thought I would try it even though I was really really hesitant to take something like that. It has been a life saver!! It's very very low dose so it didn't change me. I just notice that I don't wig out like I used to. My husband has noticed that I seem a lot less stressed and able to cope better. I like that it's not the commitment that bcp or other antidepressants might be either. If I decide I don't like it, I can just stop and there's no withdrawl, etc. You might talk to your OB or PCP about it.