I’m “cheating” by riding it out with an IUD with localized progesterone. I don’t have a great read on how often the cycle is rolling because my PMS was always inconsistent, and remains so. I think I’m still less than a year without confirmed periods, based on breast pain, crankiness, and expected breakthrough bleeding (spots).
I’m okay with considering bio identical “hormone” pellets if I get signs that will impact quality of life.