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Premenstrual syndrome (PMS) is among the most commonly reported health concerns affecting women of reproductive age. Studies suggest that up to 90% of women experience at least one premenstrual symptom during their cycle, with around 20–30% describing symptoms severe enough to disrupt daily life. Symptoms typically appear during the luteal phase — the one to two weeks before menstruation — and generally ease within a few days of bleeding starting.
The way PMS presents differs greatly from person to person, and can even vary from cycle to cycle. Common experiences include bloating, cramping, fatigue, mood swings, irritability, low mood, headaches, food cravings, disrupted sleep, breast tenderness, and difficulty concentrating. For many women in Essen and across the Ruhr region, these symptoms have a measurable impact on work performance, exercise, and relationships.
PMS is clinically distinct from premenstrual dysphoric disorder (PMDD), a more severe condition affecting an estimated 2–8% of women. PMDD can profoundly impair mood and daily functioning and is frequently mistaken for anxiety or depression. Women with a personal or family history of mood disorders may face a higher risk. During consultation, symptom patterns are reviewed carefully, and further assessment is discussed where clinically appropriate.
Addressing PMS goes beyond managing discomfort — it means understanding your cycle, identifying what is driving your symptoms, and building lasting hormonal balance as part of a broader commitment to long-term health.
PMS symptoms can appear across different phases of the menstrual cycle and their reach extends well beyond physical discomfort. Understanding where and how they manifest is a crucial first step toward targeted, effective care — whether you live in central Essen, Rüttenscheid, or anywhere across the wider Ruhr area.
Common symptoms reported by women with PMS may include:
Recognising and tracking these patterns allows our clinicians to identify which systems are contributing most to your symptoms and develop a personalised, data-informed plan that fits your life and goals.
At The Longevity Practice, PMS management 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. Each consultation is tailored to your unique cycle patterns, health history, and clinical findings — no two plans look the same.
A PMS consultation at The Longevity Practice may include:
Treatment plans are reviewed and adjusted based on your symptoms and progress. Some patients notice meaningful improvement within 2–3 menstrual cycles, while others benefit from longer-term review and ongoing refinement.
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 appropriate specialist referral.
At The Longevity Practice, we focus on identifying risks before they become health problems — using precise, early diagnostics rather than waiting for disease to develop. We build clear, personalised plans to preserve long-term health and give every patient a genuine understanding of their body and the practical steps they can take today. For women in Essen navigating the demands of modern life, this kind of clarity can be genuinely life-changing.
Our priority is helping people feel their best at any age and supporting them in living longer, healthier lives. To achieve this, we are guided by the following 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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