I hope you can find a doctor -- just print out this page, I'd say, and hand it to the doctor, if you can't think of a way to tell them that you are having REALLY BAD "PMS." (For the vaginismus, you probably want a Pelvic Pain Specialist, or a Physiotherapist specializing in the pelvic floor.)
I would suggest getting tested for your vitamin levels. B and D, ferritin while they're doing it (get the numbers; low normal can use more iron!), and thyroid because it's my pet hobby-horse and because thyroid problems can cause depression. (For thyroid, also get the numbers; some labs use out-of-date values. Your TSH should be between .4 and 4, and ideally no higher than around 2-ish.)
If your B is low, taking extra B might help, albeit slowly. (It helped my PMS depression a lot, though mine wasn't as bad as yours sounds.) It might not fix everything, but if your B is low, getting that up would likely at least help.
It's also possible that going back on some form of HBC would help ameliorate the progesterone-crash effects. You might consider trying the mini-pill, even, which is progesterone-only. That's potentially a stop-gap measure, but being able to function is important, and makes it easier to plan the next step -- especially if you don't get a good doctor right off the bat, who wants to Solve The Problem instead of just do some tests, go "it isn't that," and forget that the goal is Solve Problem and not "Do Tests."
*offers hugs and luck-wishing* I hope others will post with better ideas! (And I'm glad the rash seems to be clearing up!)
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Date: 2012-08-08 01:47 am (UTC)I would suggest getting tested for your vitamin levels. B and D, ferritin while they're doing it (get the numbers; low normal can use more iron!), and thyroid because it's my pet hobby-horse and because thyroid problems can cause depression. (For thyroid, also get the numbers; some labs use out-of-date values. Your TSH should be between .4 and 4, and ideally no higher than around 2-ish.)
If your B is low, taking extra B might help, albeit slowly. (It helped my PMS depression a lot, though mine wasn't as bad as yours sounds.) It might not fix everything, but if your B is low, getting that up would likely at least help.
It's also possible that going back on some form of HBC would help ameliorate the progesterone-crash effects. You might consider trying the mini-pill, even, which is progesterone-only. That's potentially a stop-gap measure, but being able to function is important, and makes it easier to plan the next step -- especially if you don't get a good doctor right off the bat, who wants to Solve The Problem instead of just do some tests, go "it isn't that," and forget that the goal is Solve Problem and not "Do Tests."
*offers hugs and luck-wishing* I hope others will post with better ideas! (And I'm glad the rash seems to be clearing up!)