Woman smiling in natural sunlight representing wellness during perimenopause and menopause

Integrative Management of PMS, PMOS and Endometriosis

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Fast appointments (self payers or privately insured patients only)

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Online and Offline doctor consultations and testing

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On-demand coaching from doctors for your current problems, needs and healthspan goals.

When symptoms become part of everyday life

Hormonal and reproductive health concerns can affect far more than your menstrual cycle. Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), Polyendocrine Metabolic Ovarian Syndrome (PMOS), and endometriosis can present differently from person to person, with symptoms that may include changes in the cycle, pain, changes in mood or energy, skin and hair concerns, difficulties with weight or metabolism, and fertility concerns. Sometimes these symptoms are subtle; sometimes they have a significant impact on everyday life.

What makes this particularly challenging is that symptoms do not always fit neatly into one category. Different conditions can overlap, and similar symptoms may have different underlying drivers. Our approach begins by listening to the full story — not simply addressing each symptom in isolation, but understanding how the different pieces may connect.

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Smiling woman in black sweater representing perimenopause and menopause care
Chart showing estrogen, progesterone, testosterone and FSH hormone changes across perimenopause stages to menopause

Understanding the bigger picture

Effective management starts by looking at the complete picture. Rather than addressing a single symptom or test result in isolation, we consider your hormonal and cycle health paired with your overall well-being, unique health history, and individual circumstances.

This means considering patterns across the menstrual cycle alongside hormonal, metabolic and lifestyle factors, previous diagnoses, treatments and symptoms that may otherwise be overlooked. Where conditions or symptoms overlap, we aim to distinguish what may be driving each concern and identify the areas that deserve priority. The result is a clearer and more complete picture from which to make decisions about your care.

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Managing more than the symptoms

Our goal is not simply to make individual symptoms temporarily more manageable. An integrative approach considers both the symptoms that affect you today and the wider factors that may influence your health over time. 

Depending on your individual picture, this can mean looking at cycle and hormonal health alongside metabolic health, nutrition, movement, sleep, stress and other relevant aspects of wellbeing. Priorities may also change with different stages of life — from managing symptoms and protecting long-term health to preparing for pregnancy or navigating later reproductive years. The aim is to create a strategy that is practical, sustainable and relevant to where you are now.

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Woman in her 40s experiencing perimenopause or menopause symptoms, wearing turquoise sweater in natural light
Modern menopause and perimenopause clinic, The Longevity Practise, with patient consultation space and wellness equipment

A plan that evolves with you

PMS, PMOS, PMDD and endometriosis do not look the same in every person, and management should reflect that. Your symptoms, priorities and goals may also change over time, which is why we do not approach care as a fixed, one-size-fits-all protocol.

We develop an individual management plan based on what matters most to you and the areas we have identified together. Progress can then be reviewed and the approach adapted as your symptoms, health or priorities change. Whether your focus is feeling better day to day, understanding persistent symptoms, supporting fertility or protecting your health for the future, the aim is to give you a clear direction and a plan that continues to make sense for you.

Evidence-based Longevity

At The Longevity Practice, we focus exclusively on evidence-based preventive care. Our diagnostics, recommendations, and interventions are grounded in current medical research and clinical evidence — helping you make informed decisions about your long-term health.

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Cost Of PMS, PMOS and Endometriosis Consultation

The cost for the PMS, PMOS and Endometriosis Consultation is based on the German healthcare pricing system (GOÄ – Gebührenordnung für Ärzte). We encourage you not to stop at consultation alone, but to begin your full Longevity Journey with us.

PMS, PMOS and Endometriosis Consultation
300€
Goals: To explore your hormonal health, better understand your symptoms and identify areas that may benefit from further investigation and support.
Duration: 1 hour
Full Diagnostic Visit
1,900€
Goal: Establish a data-driven biological baseline to unlock personalized peak performance and long-term health optimization.
Duration: 3 hours
Introduction Session
0€
Schedule a quick video call to learn more about The Longevity Practice services and approach.
Duration: 15 minutes

Testimonials

What our customers say about us

Sophie, 34 – PMS
My PMS symptoms were affecting my mood, energy and everyday routine more than I realised. It was helpful to discuss these patterns and explore possible factors that could be contributing to them.
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Emma, 29 – Irregular Cycles
I had been dealing with irregular periods for years and never really understood what might be behind them. The consultation helped me look at my cycle in a broader context and understand what could be worth investigating further.
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Clara, 31 – PMOS
After being diagnosed with PMOS, I wanted to understand how it could affect more than just my cycle. The consultation gave me a better overview of the hormonal and metabolic aspects to consider.
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Clara, 31 – PMOS
After being diagnosed with PMOS, I wanted to understand how it could affect more than just my cycle. The consultation gave me a better overview of the hormonal and metabolic aspects to consider.
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