birth control
"I am 39 and have never had PMS to speak of.  I have been on birth control pills for over a decade (Estrostep, OrthoTricyclen) with no problems.  Went on Gianvi and it was a nightmare.  I stuck it out for 3 months as my body adjusted thinking it would get better but if anything, it got worse.  The 10 days or so before my period I was tense, stressed and depressed. It had such a negative impact on my life.  And no sex drive to speak of.  The only positive thing I can say is that I did not notice worsening of any weight or acne problems.  "