Fast appointments (self payers or privately insured patients only)
Online doctor consultations and testing at our office in Berlin Prenzlauer Berg
On-demand coaching from doctors for your current problems, needs and healthspan goals.
Premenstrual syndrome (PMS) is one of the most commonly reported health concerns among women of reproductive age — and Cologne is no different. Up to 90% of women may experience at least one premenstrual symptom during their cycle, with roughly 20–30% describing symptoms severe enough to affect their daily routines. Symptoms typically emerge during the luteal phase — the one to two weeks before menstruation — and usually ease within a few days of bleeding starting.
Symptoms vary considerably between individuals 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 Cologne — whether managing demanding careers in the city's media and finance sectors or balancing family life in quieter districts like Lindenthal or Rodenkirchen — these symptoms can meaningfully affect work performance, exercise recovery, and relationship quality.
PMS is clinically distinct from premenstrual dysphoric disorder (PMDD), a more severe condition estimated to affect 2–8% of women. PMDD can significantly impair mood and daily functioning and is frequently misdiagnosed as generalised anxiety or depression. Women with a personal or family history of mood disorders may face a higher risk. During consultations, symptom patterns are reviewed carefully, and further assessment is discussed where clinically appropriate.
Addressing PMS is about more than managing discomfort — it is about understanding your cycle, identifying underlying contributors, and building lasting hormonal balance as part of a broader long-term health strategy.
PMS symptoms can present differently across phases of the menstrual cycle, and their impact often extends well beyond physical discomfort. Recognising how symptoms manifest across different body systems is an important first step toward targeted, effective management — particularly for women in Cologne seeking clarity rather than simply short-term relief.
Common symptoms reported by women with PMS may include:
Tracking and recognising these patterns enables clinicians to identify which systems are contributing most significantly to your symptoms and to build a personalised, data-driven treatment plan tailored to your cycle and lifestyle.
PMS management at The Longevity Practice goes well 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 — whether you are based in Cologne's city centre, Ehrenfeld, or the surrounding 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 interventions, we will provide the appropriate specialist referral.
At The Longevity Practice, we focus on identifying risks before they become health problems — using early, precise diagnostics rather than waiting for symptoms to escalate. 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 — including those across Cologne and the wider Rhineland region — 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:
What our customers say about us
