A. Bilateral salpingoophorectomy
B. Combined oral contraceptive Pills
C. Complementary therapies
D. Continuous COC with levonorgestrol containing pills
E. Cyclical COC
F. Continuous COC with Drospironone containing Pills
G. Luteal Phase SSRI in high doses
H. Referral to the secondary care
I. Transdermal estrogen patches with luteal phase micronized Progesterone
J. Progesterone containing IUD
K. Micronized progesterone 100-200mg orally
L. Cognitive behavioural therapy
M. GnRH analogue with tibolone
N. Hysterectomy with bilateral salpingooophorectomy
1. 37 year old woman mother of two children presented to her GP with symptoms of bloating, mastalgia, irritability, has arguments/ fights with her partner and tearfulness 15-20 days after her periods which increases before her periods. She feels good once she gets her periods. She has been troubled with this symptom for the past 6-7 months. She has consulted her GP for which the GP has advised exercise, lifestyle modifications, calcium supplementation. She does not have any plans on future pregnancy. She is demanding a treatment which would relieve her symptoms. The next management option is