I aplogize in advance for this being so long!

I'm not sure where to start, so here goes...

I am 33 and have PCOS. I have had irregular cycles pretty much from the start, but had always been on the pill or depo. I haven't been using any birth control in 4 years as Hubby has had a vasectomy.

After the birth of my daughter 4 years ago my cycles stayed pretty regular 28-30 days,but over the last several months they've been getting more and more irregular. I went from a 6-7 day period to 20 days. I went to the Gyno and everything was normal they put me on Ortho Tri Cyclen Lo. Toward the end of the pack I went back in to recheck and they said my blood pressure was 150/100( I normally run 120's/80)so, they changed me to a progestin only pill (Camila). I'm almost finished with that pack.

I've also been on antidepressants for most of my adult life and have always had the typical woman mood swings, BUT, since I've been on the pill my mood has changed a lot. I have essentially lost my sex drive & feel angry all the time. I've been taking Paxil 40mg and Xanax 0.25mg each morning, but it doesn't seem to be doing it for me anymore. (I've been taking these for the last 3 years).

I've been LC'ing on and off for just over 2 years now. DH and I both lost 40+ lbs when we started in Jan 2006....but I've spent the last year and a half gaining it all back. I just restarted this WOE almost 2 weeks ago and am doing well so far. I have noticed that since I got back up to my highest weight that my periods have gotten crazy. The BCP's I have been taking have made my cycle a lot more regular so I don't want to stop taking them, but I'm not sure what to do about the mood swings and anger....I feel like I'm constantly pissed off....I can go from happy, to pissed, to a puddle of tears in 2 minutes...it's crazy.

Any ideas how to stay regular, lose weight and not feel homicidal all at the same time?

Edit: I am going to see my internist this afternoon, but I'm not sure how comfortable he is with PCOS so I'd like to go in armed with some ideas myself.