I am a 35 yr old female. I have had four children and am not going to have any more. My PMS has of course got progressively worse over the last 10 yrs, as is normal for my age. I feel I now have the PPMD symptoms, as I am miserable for 10 days of the month. My GYN only offers anti-deppressants and Birth control pills. She is hesitant to start me on Hormones bc of my age. I do not want the mood pills, because depression is not my problem, pms is. I do not want the pill, bc my insurance does not cover it and my husband has had a vasectomy. I will try them if that is my only course. But, if hormones are what leads to my demise every month...shouldn't my hormones be treated??