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Premenstrual syndrome (PMS) is one of the most commonly reported health concerns among women of reproductive age. Research suggests that up to 90% of women experience at least one premenstrual symptom during their lifetime, with around 20–30% describing symptoms severe enough to disrupt daily routines. Symptoms typically arise during the luteal phase — the one to two weeks before menstruation begins — and usually ease within a few days of bleeding starting.
The nature and intensity of symptoms can differ significantly from one person to the next, and even from one cycle to the next. Frequently reported experiences include bloating, cramping, low mood, irritability, fatigue, headaches, food cravings, breast tenderness, disrupted sleep, and difficulty concentrating. For many women in Dortmund and the wider Ruhr region, these symptoms affect work performance, exercise capacity, and personal relationships.
PMS is clinically distinct from premenstrual dysphoric disorder (PMDD), a more severe condition estimated to affect 2–8% of women. PMDD can meaningfully impair mood and everyday functioning and is often misidentified as general anxiety or depression. Women with a personal or family history of mood disorders may carry a higher risk. During consultations, symptom patterns are thoroughly reviewed and further assessment is discussed wherever clinically appropriate.
Addressing PMS is about more than managing monthly discomfort — it is about understanding your cycle, uncovering underlying contributors, and building lasting hormonal balance as part of a broader, long-term health strategy.
PMS symptoms can present differently across the phases of the menstrual cycle, and their reach often extends well beyond physical discomfort alone. Understanding how these symptoms manifest across body systems is an essential starting point for targeted, effective management — particularly for women navigating busy lives in a city like Dortmund.
Common symptoms reported by women with PMS may include:
Identifying and tracking these patterns gives clinicians the information they need to pinpoint which systems are contributing most to your symptoms — and to build a personalised, data-informed treatment plan tailored specifically to you.
PMS management at The Longevity Practice goes well beyond symptom relief. Our approach is personalised and evidence-based, exploring the hormonal, metabolic, nutritional, and lifestyle factors that may be driving your symptoms. Whether you are based in Dortmund's city centre, in Aplerbeck, or anywhere across the Ruhr area, each consultation is tailored to your cycle patterns, health history, and individual clinical findings.
A PMS consultation at The Longevity Practice may include:
Treatment plans are regularly reviewed and refined based on your symptoms and clinical progress. Some patients notice meaningful improvement within two to three 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 needs require these services, we will guide you toward the appropriate specialist referral.
At The Longevity Practice, we believe that understanding your body deeply is the foundation of lasting health. Rather than reacting to symptoms as they appear, we work proactively — using precise diagnostics and personalised planning to address the root causes of hormonal imbalance. For women in Dortmund and across the Ruhr region, this means access to a level of care that looks beyond the surface and supports genuine, long-term wellbeing.
Our priority is helping people feel their best at every stage of life and empowering them to live longer, healthier lives. To achieve this, we build our work around 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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