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Premenstrual syndrome (PMS) is one of the most frequently reported health concerns among women of reproductive age. Up to 90% of women may experience at least one premenstrual symptom, and roughly 20–30% describe symptoms severe enough to interfere with daily life. Symptoms typically emerge during the luteal phase — the 1 to 2 weeks before menstruation begins — and tend to resolve within a few days of bleeding starting.
Symptoms vary widely between individuals and can shift from cycle to cycle. Common presentations include bloating, cramping, fatigue, irritability, low mood, headaches, food cravings, disrupted sleep, breast tenderness, and difficulty concentrating. For many women, these symptoms can affect work performance, exercise recovery, and relationship quality.
PMS is clinically distinct from premenstrual dysphoric disorder (PMDD), a more severe condition affecting an estimated 2–8% of women. PMDD can significantly impair mood and daily functioning and is frequently misdiagnosed as anxiety or depression. Women with a personal or family history of mood disorders may be at higher risk. Symptom patterns are carefully reviewed during the consultation, and further assessment is discussed where clinically appropriate.
Addressing PMS is not about managing discomfort alone — it is about understanding your cycle, identifying underlying contributors, and building lasting hormonal balance as part of a broader longevity strategy.
PMS symptoms may present differently across phases of the menstrual cycle, and their impact can extend well beyond physical discomfort. Understanding how symptoms manifest across the body is an important first step toward targeted, effective management.
Common symptoms reported by women with PMS may include:
Recognising and tracking these patterns helps clinicians identify which systems may be contributing most significantly to your symptoms and inform a personalised, data-driven treatment plan.
PMS management at The Longevity Practice goes beyond symptom relief. Our approach is personalised and evidence-based, focusing on the hormonal, metabolic, nutritional, and lifestyle factors that may be driving your symptoms. Each consultation is tailored to your unique cycle patterns, health history, and clinical findings.
A PMS consultation at The Longevity Practice may include:
Treatment plans are reviewed and adjusted based on your symptoms and clinical progress. Some patients may notice meaningful improvement within 2–3 menstrual cycles, while others may benefit from longer-term review and ongoing adjustment.
What Our Practice Does Not Offer
The Longevity Practice specialises in preventive and medical treatment. We do not offer surgery, procedural interventions, or trauma therapy. Where your diagnosis requires these interventions, we will provide the appropriate specialist referral.
At The Longevity Practice, we focus on identifying risks before they become health problems through early, precise diagnostics. Rather than reacting to disease, we build clear, personalised plans to preserve long-term health. Our goal is to give every patient a deep understanding of their body and the practical steps they can take today. With prevention and clarity at the core, we help patients build a longer, healthier life.
Our priority is helping people feel their best at any age and supporting them in living longer, healthier lives. To achieve this, we focus on the following core principles:
Note: Our approach centres on sustainable, non-invasive solutions. We focus on these core principles to ensure lasting physiological correction and long-term health management.
See if our approach is right for you. Book your consultation online and Schedule an appointment.
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.
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:
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