Psychiatry vs Gynecology

I first realised I likely had PDMM 12+ months ago when my therapist first brought it up. I didn't think much of it at first and thought that most AFAB had these types of experiences on the regular 🙃 I've since become a lot more aware of my symptoms and how they impact me in life.

I brought up PMDD to my psychiatrist 2-3 months ago during a med review, explaining the increased depression type symptoms and SI. They recommended I see a gynecologist as this is mainly a hormonal issue and that once I find the right balance, things will be more manageable for me.

6 months ago I decided to try BC pills for excruciating period pain. Went to the GP, explained the pain and PMDD symptoms, was given levin ed. GP suggested I try taking it for 3 months straight and only have my period once every 3 months. In my experience, it made things worse. I tried being patient to give my body time to adjust, but the pain got WORSE and did bugger all for PMDD.

Went back and asked to switch. Now I've been on YAZ for 3-4 months, and it's unhelpful? My periods are quite irregular and more unpredictable, whereas they've always been bang on time before any BC. I feel like a happy functioning human for 5 days out of the month. Roughly have 2-2.5 weeks in luteal, which feels like it drags on forever, then bleed for 4-6 days where I feel nauseous, disgusting, and like I haven't slept in a week. Then things pick up for a few days before the cycle starts again.

I'm keen to get on top of this but am curious to hear which has been more beneficial psychiatry or gynecology? Especially with the adhd aspect of things, I feel this is a significant factor that could easily be overlooked by a clinician who is uneducated.

I've started looking around for a specialist but don't even know what specialty I may benefit from. When googling PMDD + adhd for my area, I've come across male gynos or GP's with lots of additional studies.

I'm happy to provide more information or a list of current psych meds. Also forgot to mention I'm also doing as much as I can to help myself, using DBT skills, not bed-rotting etc.

TLDR: Which has been more beneficial in your experience for treatment, psychiatry or gynecology?