I had a complete hysterectomy in 2006, because my PMDD was severe. The only change from that was no more periods. I still have cramps, mood swings, cycstic acne; not once but twice a month. I don’t have ovaries and I have tried every hormone replace (pellets, creams, compounded bio identical hormones). Nothing helps. My doctors have opened me up and cleaned the surgery area, but have given up on a answer for me. I’m a life long type 1 diabetic with thyroid dis order. Any help is greatly appreciated. After 18 years, I’m ready to give up and live alone in a cave :(