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By continuous birth control, I mean BC that keeps your hormones stable by taking continuously and not having off weeks and thus reducing or eliminating periods. For some people PMS and PMDD disrupt their lives so much that this is a good solution for them, with their doctor's approval.
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I understand that this isn't the answer for everyone, but continuous birth control to keep hormone levels stable may be an option to talk to your doctor about.
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I suffered with this for months thinking it was just chapped lips and finally went to the doctor. He had me put OTC anti fungal cream (athlete's foot cream) on it a few times a day and it cleared up in a few days.
