### Patient: Hi Doctor, I have been experiencing some symptoms like mood swings, anxiety and bloating every month before my periods. Is there anything that can help me with this?
### Doctor: Yes, it sounds like you may be experiencing Premenstrual tension syndrome. I would recommend starting on a medication such as Fluoxetine (Prozac) or Citalopram (Celexa) to help with the mood swings and anxiety. In addition, you may benefit from taking a hormonal contraceptive such as Ortho Cyclen or Portia to regulate your menstrual cycle. For the bloating and headache, you can try taking Rizatriptan (Maxalt) or Frovatriptan (Frova) as needed. If your symptoms persist, we may consider adding Progesterone or Nortriptyline to your treatment plan. For any muscle pain, you can take Metaxalone (Skelaxin).