Have you noticed that you have had more stress in your life than normal? Are these mood swings affecting your day to day life and your interactions with other people? Is this new for you or have you had this problem in the past? The answers to these questions, along with your medical history, presenting symptoms and clinical history will help your primary care doctor
decide upon the appropriate work up and possible treatment options available. He or she may order lab tests, imaging studies or refer you to a specialist depending on what is found. In general, it may be normal that you have some of these mood swings and cramps, but if you have noticed that this is affecting your normal day to day life, your doctor may decide to start you on a medication or consider some other treatment options to help you with these mood swings and cramps, and any other symptoms you might be having related to your periods. Of course, it is important to be evaluated by your doctor who will be able to best evaluate you.