I do naturally suffer from anxiety and depression, but it was well treated with medication. On Thursday, I had a large cyst removed, along with my right ovary, and surgery to "scrape out" the endometriosis. I actually thought this would be a relief because most of my depressive symptoms came prior and during my period. I've been anti-depressants for years, but this is so different. I just feel hopeless and empty. I'm 37 and had resigned myself to fact that I wouldn't have children, so I'm not mourning the loss - I did that a long time ago. I just expected to feel better emotionally since two weeks of every month I'm such a mess from PMDD. Now I just feel completely lost, empty, angry and hopeless, and I can't tie it to anything specific. Is this "normal" post-op? Also, my Dr. wants to put me on birth control and completely stop my cycle for a while. Has this been successful for any one else with PMDD?