AKT-2858

A 35-year-old woman has been experiencing cyclical mood swings and irritability before her periods, which resolve a few days after menstruation. She visited her GP, who prescribed a combined oral contraceptive pill (COCP) after reviewing her symptom diary. However, after three months of treatment, she returns to her GP reporting that her symptoms have not improved and it is affecting her ability to be a good mother. What is the most suitable treatment option for her?