Kathryn, I take Yasmin, a low dose of the birth control pill. My doctor prescribed it for cramps and excessive bleeding. Not only did it take care of those symptoms, but it has helped my mood tremendously. She shared that I should take it until I no longer have perimenopausal symptoms during my week of taking the placebos. I get hot flashes during that week and by the end of the week I begin feeling a little anxious and moody. You might want to mention it to your gyn.