I feel your pain -- My PMDD was so sever that I ended up with a full hysterectomy in hopes of finding some relief. The LITTLE BIT of relief I have found came 3 years after my hysterectomy when I finally found a doctor that shared my belief that quality of life was of more importance to me than quantity. I needed to be a wife and a mother. Once I started premarin, I saw some relief. I know that I have a higher risk of cancer and blah, blah, blah -- but to me, the benefit out weighed the risk. I was recently Dx with ADHD and I am searching for the correct medication. So many symptoms can be symptoms of the other so it is very confusing.
All of this to say -- I would NOT have done the hysterectomy knowing what I know now. I would have taken the steps that one would take during natural menopause with HRT. The bio identical and BCP work for some, for me they did not. I wasted 3 years worrying about the possibility of breast cancer when honestly, I think a breast cancer Dx would have been easier. Good luck.