
Fast appointments (self payers or privately insured patients only)
Online and Offline doctor consultations and testing
On-demand coaching from doctors for your current problems, needs and healthspan goals.
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.


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.
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.


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.
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.
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.
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