### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I am a 38 yr old woman with 2 kids, suffering from PMDD. I approached several gynecologists and no one could really understand my problem nor help. When I say PMS (since many dont understand PMDD term), all I get is "oh its normal" , take B6, take it easy, keep your mind occupied, take up a job etc kind of responses. My family might pretty soon break if I dont get help. I get uncontrollable anger, crying for hours for no reason, yell, edgy. My whole personality changes. Once the period starts I am back to normal. I become like this every month about one week to 10 days before my period starts. After period starts, I am so exhausted by all this, start feeling miserably guilty. On the whole, half of my life is spent feeling miserable. I quit jobs, I am loosing on my relationships with husband, kids, I have terrible guilt. I am desperate for help now. Pl advice. I live in India, Hyderabad. Any doctors in Hyderabad who can treat this condition? Any other suggestions? Pl help.

### output:

Hello, You will feel better with desvenalafaxine 25-100 mg, daily. The response usually starts coming in pms with in few days...one need to complete one menstrual cycle to know its effect or if there is a need to increase Chat Doctor. I have seen many such patients in our poly clinic where the gynecologists refer them to me when there is no response to multivitamins and symptoms are troublesome. Also getting TSH level and Sr. It. B12 will help to make situation more clear. I also advice the females to see if they can stop OC pills (if they are on them) & use other modes of contraception. Good luck