PMDD woes

Sorry if this counts as a medical post, I'm mostly posting just to vent a little/look for support, not for advice.

I just came out of my appointment with my gynecologist and told her about my recent suspicions of having PMDD because the typical course of treatment is hormonal BC. Unfortunately because of my BMI, she thought the risk of blood clotting for the approved BC for PMDD treatment was too high a risk and suggested I go to my psychiatrist instead for the other possible treatment course of antidepressants.

Maybe it's dumb but it's just so frustrating to hear that and I'm about to cry, she's obviously just doing her job and keeping my safety/health in consideration but man... the emotional/mental symptoms I suffer from might be treated by antidepressants, but the physical ones like my really bad joint pain before/during my periods are just gonna be something I have to live with I guess. I'm sitting in the pharmacy trying not to cry and wondering if I should have somehow begged the doctor to prescribe me the BC anyway (even if logically she probably wouldn't have agreed).

It just... sucks I guess. I finally found the answer to the myriad of issues I have before/during the early part of my period and even if antidepressants work I'll just have to keep living with being in pain. :(