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Premenstrual syndrome (PMS) is one of the most commonly reported health concerns among women of reproductive age. Studies suggest up to 90% of women experience at least one premenstrual symptom during their cycle, with roughly 20–30% describing symptoms severe enough to disrupt daily life. Symptoms typically emerge during the luteal phase — the one to two weeks before menstruation begins — and usually resolve within a few days of bleeding starting.
Symptoms vary widely from person to person and can shift from one cycle to the next. Common presentations include bloating, cramping, fatigue, irritability, low mood, headaches, food cravings, disrupted sleep, breast tenderness, and difficulty concentrating. For many women in Berlin and across Germany, these symptoms can interfere with professional performance, fitness goals, and relationships.
PMS is clinically distinct from premenstrual dysphoric disorder (PMDD), a more severe condition estimated to affect 2–8% of women. PMDD can cause significant disruption to mood and daily functioning and is frequently misdiagnosed as anxiety or depression. Women with a personal or family history of mood disorders may face a higher risk. At The Longevity Practice, symptom patterns are carefully reviewed during consultation, and further assessment is discussed wherever clinically appropriate.
Addressing PMS goes beyond managing discomfort — it means understanding your cycle, identifying underlying contributors, and building lasting hormonal balance as part of a broader longevity strategy.
PMS symptoms can present differently across phases of the menstrual cycle, and their reach often extends well beyond physical discomfort. Understanding how symptoms show up across body systems is an essential first step toward targeted, effective management — whether you live in Mitte, Prenzlauer Berg, or anywhere else in Berlin.
Common symptoms reported by women with PMS may include:
Recognising and tracking these patterns allows clinicians to identify which systems are contributing most significantly to your symptoms and to build a personalised, data-driven treatment plan tailored specifically to you.
PMS management at The Longevity Practice goes well beyond symptom relief. Our approach is personalised and evidence-based, addressing the hormonal, metabolic, nutritional, and lifestyle factors that may be driving your symptoms. Every consultation is tailored to your unique cycle patterns, health history, and clinical findings — wherever you are based in Berlin or the wider region.
A PMS consultation at The Longevity Practice may include:
Treatment plans are reviewed and adjusted based on your symptoms and clinical progress. Some patients notice meaningful improvement within 2–3 menstrual cycles, while others 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, we will provide an 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. For women in Berlin managing the demands of a busy urban life, our goal is to provide a deep understanding of your body and the practical steps you 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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