I'm not an expert and I'm assuming since you're asking here its effecting work and home. You could ask your GP and GYN to get two medical opinions. Perhaps a therapist as an alternate route to hormones. Also ask about getting labs done for hormone levels. For me a prescription of progesterone was what I needed instead of birth control although I was trying to get pregnant at the time. It took a little trial and error but I felt so much better, more balanced once I did.