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Premenstrual syndrome (PMS) is among the most commonly reported health concerns for women of reproductive age across Germany. Studies suggest that up to 90% of women experience at least one premenstrual symptom during their cycle, and approximately 20–30% describe symptoms severe enough to disrupt everyday life — from professional commitments in Düsseldorf's fast-paced business districts to personal wellbeing at home.
Symptoms typically arise during the luteal phase — the one to two weeks leading up to menstruation — and generally ease within a few days of bleeding beginning. They vary considerably 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.
PMS is clinically distinct from premenstrual dysphoric disorder (PMDD), a more severe condition affecting an estimated 2–8% of women. PMDD can substantially 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 carry a higher risk. Symptom patterns are carefully reviewed during every consultation, and further assessment is discussed where clinically appropriate.
Addressing PMS is not simply about managing discomfort — it is about understanding your cycle, identifying the underlying contributors, and building lasting hormonal balance as part of a broader long-term health strategy.
PMS symptoms can present differently depending on the phase of the menstrual cycle, and their reach extends far beyond physical discomfort. Recognising how symptoms show up across different systems is an essential first step toward targeted, effective management — whether you are navigating a demanding week in the office, staying active along the Rhine promenade, or managing family life in Düsseldorf's surrounding neighbourhoods.
Common symptoms reported by women with PMS may include:
Identifying and tracking these patterns allows clinicians to determine which systems are contributing most significantly to your symptoms, forming the foundation of a personalised, data-driven treatment plan.
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 shaped by your unique cycle patterns, health history, and clinical findings — providing a level of depth and precision that goes beyond a standard GP visit.
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 follow-up 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 an appropriate specialist referral.
At The Longevity Practice, we focus on identifying health risks before they become problems — through early, precise diagnostics and a genuinely personalised approach. Rather than reacting to illness, we build clear, actionable plans to preserve long-term health. Our goal is to give every patient a thorough understanding of their own body and the practical steps they can take today. For women across Düsseldorf and the wider Rhine-Ruhr region, this means access to expert hormonal and preventive care that puts their long-term wellbeing first.
Our priority is helping people feel their best at every stage of life and supporting them in living longer, healthier lives. To achieve this, we are guided by 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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