Woman relaxing at home representing PMS symptom management and hormonal wellbeing

PMS Consultation

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Fast appointments (self payers or privately insured patients only)

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Online doctor consultations and testing at our office in Berlin Prenzlauer Berg

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

Understanding PMS Beyond “Just Hormones”

Premenstrual Syndrome (PMS) affects millions of women, yet many symptoms are still dismissed as “normal” hormonal changes. In reality, PMS can significantly impact mood, energy, sleep, focus, work performance, and quality of life.

Symptoms often appear in the days leading up to menstruation and may include mood swings, irritability, fatigue, bloating, breast tenderness, headaches, anxiety, cravings, and poor sleep.

Hormonal fluctuations are only part of the picture. Stress, inflammation, blood sugar instability, nutrient deficiencies, sleep quality, and lifestyle factors can all influence how severe symptoms become.

At The Longevity Practice, we look beyond symptom management alone. Our goal is to understand the broader physiological patterns contributing to PMS and create a more personalized, prevention-focused approach.

Woman experiencing PMS symptoms including fatigue and emotional stress
Illustration showing PMS symptoms affecting mood, sleep, energy, and concentration

Perimenopause vs. Menopause: Key Distinctions Without Hormone Therapy

PMS symptoms vary from person to person and can change over time. Some women mainly experience emotional symptoms, while others struggle more with physical discomfort or energy levels.

Common symptoms include:

• Mood swings and irritability  
• Anxiety or low mood  
• Fatigue and low motivation  
• Sleep disturbances  
• Bloating and water retention  
• Breast tenderness  
• Headaches or migraines  
• Food cravings and appetite changes  
• Brain fog and difficulty concentrating  

Several factors may influence symptom severity:

• Hormonal fluctuations throughout the menstrual cycle  
• Poor sleep and elevated stress levels  
• Blood sugar instability  
• Low physical activity  
• Nutrient deficiencies such as magnesium, iron, or vitamin D  
• Chronic inflammation and lifestyle factors  

Understanding these patterns can help create a more targeted and sustainable treatment strategy rather than relying on short-term symptom suppression alone.

Hormonal Changes And Symptoms During The Perimenopause & Menopause

At The Longevity Practice, PMS care focuses on understanding the full picture rather than treating symptoms in isolation.

Depending on your symptoms, medical history, and lifestyle, a personalized plan may include:

• Lifestyle and stress management strategies  
• Sleep optimization support  
• Nutritional and micronutrient analysis  
• Movement and recovery recommendations  
• Blood testing and health marker reviews  
• Cycle tracking and symptom monitoring  
• Hormonal health assessments where appropriate  

Our approach is centered around prevention, education, and long-term health optimization. The goal is not only to reduce symptoms, but also to help improve overall well-being, resilience, and daily quality of life.

Woman tracking menstrual cycle and hormonal health patterns
Modern longevity and hormonal health consultation clinic in Berlin

About The Longevity Practice & Next Steps

At The Longevity Practice, we focus on preventive, personalized medicine designed to help patients better understand their health and make informed long-term decisions.

Our approach combines diagnostics, lifestyle medicine, nutrition, movement, recovery, and evidence-based health strategies to support long-term well-being.

If PMS symptoms are affecting your daily life, the first step is understanding what may be contributing to them.

Book an introduction call to learn more about how The Longevity Practice works and whether our approach may be right for you.

Evidence-based Longevity

In our practice, we rely exclusively on evidence-based methods and medical diagnostics that have been scientifically proven to make a difference. Our focus is on preventing the “four horsemen” of aging—cardiovascular disease, cancer, metabolic dysfunction, and neurodegeneration—rather than offering trends like epigenetic age tests or wellness drips. Our Prevention strategy addresses tailored exercises, nutrition, sleep, mental health and if necessary support by supplement and medication.

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Cost Of Perimenopause And Menopause Focus Session

The cost for a Perimenopause and Menopause Focus Session 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. Here is what our protocol looks like:

Cost Of A PMS Consultation
250€
The cost for a PMS Focus Session 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. Here is what our protocol looks like:
Duration: 1 hour
Full Diagnostic Visit
1,600€
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, 32 – PMS & Mood Swings
I used to feel emotionally overwhelmed every month without understanding why. Tracking my cycle and improving my sleep, nutrition, and stress management made my symptoms far more manageable.
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Emma, 36 – PMS & Fatigue
I thought constant fatigue before my period was just normal. After reviewing my nutrient levels and hormonal patterns, I finally understood what was contributing to my energy crashes.
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Laura, 29 – PMS & Sleep
I struggled with poor sleep and anxiety during the second half of my cycle. Small lifestyle and supplementation changes helped me sleep better and feel more stable throughout the month.
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Mia, 41 – PMS & Brain Fog
I noticed my concentration and focus dropping significantly before my period. Understanding the connection between hormones, stress, and recovery helped me regain consistency in my work and daily life.
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Anna, 34 – PMS & Exercise Recovery
I was training regularly but always felt exhausted during certain phases of my cycle. Learning how to adjust nutrition, recovery, and exercise around my symptoms made a huge difference.
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