ACG-
Physical or mental PMS? I suffer from PMDD - PreMenstrual Dysphoric (sp?) Disorder - or in laymen's terms "B*tch from Hell for Two Weeks"
I worked with Andrew Weil for a couple of years (professionally - I was his business manager at the University of AZ (or Univ of OZ, as I say)) and during that time I tried all herbs: Black cohosh, vitex, dong quai, etc. I got a little relief, but not enough. Interestingly, those worked better on the physical aspects than mental.
I finally got a psychiatrist who isn't afraid to try new things. I'd been on everything from Prozac to Lexapro and all of the in-betweens, Welbutrin, Effexor, etc. I'm taking a tiny little speck of Lexapro plus a half of a pill called Provigil. It is for narcolepsy (sp?) but it's also hits norepinephrine whereas Lexapro hits serotonin. I take 1/4 of the regular dose of that.
I, too, didn't want pills. Fought it for years. But I figure it is temporary - just enough to get me through perimenopause and my insane job (my accountant is Sybill, I never know what personality I'm going to get each day, the faculty are 5 years old emotionally and my boss is a Korean woman who doesn't understand the American term "burned out.").
So, it really depends on how bad it is. For me, I was giving up half of my life. If I have to take a couple of pills each day, so be it.

