{"id":15488,"date":"2026-02-21T11:17:29","date_gmt":"2026-02-21T10:17:29","guid":{"rendered":"https:\/\/kinderwunschaerztin.de\/pms-symptoms-diagnosis-and-treatment\/"},"modified":"2026-10-06T15:16:25","modified_gmt":"2026-10-06T14:16:25","slug":"pms-symptoms-diagnosis-and-treatment","status":"publish","type":"post","link":"https:\/\/kinderwunschaerztin.de\/en\/pms-symptoms-diagnosis-and-treatment\/","title":{"rendered":"PMS: Sym\u00adptoms, Dia\u00adgno\u00adsis and Tre\u00adat\u00adment"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Pre\u00admens\u00adtru\u00adal syn\u00addro\u00adme (PMS) includes phy\u00adsi\u00adcal and psy\u00adcho\u00adlo\u00adgi\u00adcal sym\u00adptoms that recur in the time befo\u00adre mens\u00adtrua\u00adti\u00adon and subs\u00adi\u00adde again once blee\u00adding beg\u00adins. The seve\u00adri\u00adty of sym\u00adptoms varies wide\u00adly. If PMS affects your dai\u00adly life or well\u00adbe\u00ading, tar\u00adge\u00adted assess\u00adment and an indi\u00advi\u00addu\u00adal\u00adly tail\u00ado\u00adred tre\u00adat\u00adment plan may be advi\u00adsa\u00adble. On this page, you can find out more about sym\u00adptoms, dia\u00adgno\u00adsis and tre\u00adat\u00adment opti\u00adons for PMS.   <\/p>\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n<ul class=\"wp-block-list is-style-toc\">\n<li><a href=\"#whatis\"><\/a><a href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/#was_ist_eileiterschwangerschaft\"><\/a><a href=\"#was_ist_pms\">What is PMS?<\/a><\/li>\n\n\n\n<li><a href=\"#typical\"><\/a><a href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/#symptome_eileiterschwangerschaft\"><\/a><a href=\"#was_tun_bei_pms\">What can I do mys\u00adelf to reli\u00ade\u00adve PMS sym\u00adptoms?<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/#blutung_schwanger\"><\/a><a href=\"#behandlungsablauf\">How is PMS trea\u00adted?<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/#diagnostik\"><\/a><a href=\"#symptome\">Do I have PMS?<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/#faqs\"><\/a><a href=\"#faqs\">Fre\u00adquent\u00adly asked ques\u00adti\u00adons about PMS<\/a><\/li>\n<\/ul>\n\n<h3 class=\"gb-text\" id=\"was_ist_pms\">What is PMS?<\/h3>\n\n<p class=\"wp-block-paragraph\">Pre\u00admens\u00adtru\u00adal syn\u00addro\u00adme (PMS) refers to recur\u00adring phy\u00adsi\u00adcal and psy\u00adcho\u00adlo\u00adgi\u00adcal sym\u00adptoms that occur in the second half of the cycle and subs\u00adi\u00adde again when mens\u00adtrua\u00adti\u00adon beg\u00adins or short\u00adly after\u00adwards. The\u00adse may include, for exam\u00adp\u00adle, irri\u00adta\u00adbi\u00adli\u00adty, mood swings, low mood, breast ten\u00adder\u00adness, flu\u00adid reten\u00adti\u00adon, fati\u00adgue or pain. <\/p>\n\n<p class=\"wp-block-paragraph\">The exact cau\u00adses are not ful\u00adly unders\u00adtood. One suspec\u00adted fac\u00adtor is increased sen\u00adsi\u00adti\u00advi\u00adty to the nor\u00admal hor\u00admo\u00adn\u00adal chan\u00adges during the mens\u00adtru\u00adal cycle. <\/p>\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<h3 class=\"gb-text\" id=\"was_tun_bei_pms\">What can I do mys\u00adelf to reli\u00ade\u00adve PMS sym\u00adptoms?<\/h3>\n\n<img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"850\" class=\"dl-img-left gb-media-3554a67f\" alt=\"Woman with lower abdominal pain due to an ectopic pregnancy\" title=\"Ectopic pregnancy symptoms\" src=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Eilleiterschwangerschaft-Symptome.png\" srcset=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Eilleiterschwangerschaft-Symptome.png 600w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Eilleiterschwangerschaft-Symptome-212x300.png 212w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\">\n\n<p class=\"wp-block-paragraph\">For mil\u00adder sym\u00adptoms, regu\u00adlar exer\u00adcise, suf\u00adfi\u00adci\u00adent sleep and stress-reduc\u00adtion mea\u00adsu\u00adres can be hel\u00adpful. Rela\u00adxa\u00adti\u00adon tech\u00adni\u00adques such as pro\u00adgres\u00adsi\u00adve mus\u00adcle rela\u00adxa\u00adti\u00adon can also sup\u00adport well\u00adbe\u00ading. Avo\u00adi\u00adding nico\u00adti\u00adne and being mindful with alco\u00adhol and caf\u00adfeine may also be advi\u00adsa\u00adble.  <\/p>\n\n<p class=\"wp-block-paragraph\">Diet and cer\u00adtain die\u00adta\u00adry sup\u00adple\u00adments are also being stu\u00addi\u00aded in con\u00adnec\u00adtion with PMS. For some mea\u00adsu\u00adres, the\u00adre are indi\u00adca\u00adti\u00adons of a pos\u00adsi\u00adble effect, but the evi\u00addence varies depen\u00adding on the pro\u00adduct. Die\u00adta\u00adry sup\u00adple\u00adments should the\u00adr\u00ade\u00adfo\u00adre not be used across the board, but sel\u00adec\u00adted indi\u00advi\u00addu\u00adal\u00adly as nee\u00added.  <\/p>\n\n<h3 class=\"gb-text\" id=\"behandlungsablauf\">How is PMS trea\u00adted?<\/h3>\n\n<p class=\"wp-block-paragraph\">Tre\u00adat\u00adment depends on which sym\u00adptoms occur, how seve\u00adre they are and how much they affect dai\u00adly life. Seve\u00adral mea\u00adsu\u00adres are often com\u00adbi\u00adned. <\/p>\n\n<p class=\"wp-block-paragraph\">For phy\u00adsi\u00adcal sym\u00adptoms such as pain, pain\u00adkil\u00adlers may be used, for exam\u00adp\u00adle. For pro\u00adno\u00adun\u00adced psy\u00adcho\u00adlo\u00adgi\u00adcal sym\u00adptoms or pre\u00admens\u00adtru\u00adal dys\u00adpho\u00adric dis\u00ador\u00adder (PMDD), sel\u00adec\u00adti\u00adve sero\u00adto\u00adnin reupt\u00adake inhi\u00adbi\u00adtors (SSRIs) can be an effec\u00adti\u00adve tre\u00adat\u00adment opti\u00adon. Depen\u00adding on the medi\u00adca\u00adti\u00adon and indi\u00advi\u00addu\u00adal situa\u00adti\u00adon, they may be taken con\u00adti\u00adnuous\u00adly or for a limi\u00adt\u00aded peri\u00adod during the second half of the cycle.  <\/p>\n\n<p class=\"wp-block-paragraph\">Com\u00adbi\u00adned hor\u00admo\u00adn\u00adal con\u00adtracep\u00adti\u00adves can also redu\u00adce pre\u00admens\u00adtru\u00adal sym\u00adptoms in some women. We will dis\u00adcuss which tre\u00adat\u00adment is appro\u00adpria\u00adte on an indi\u00advi\u00addu\u00adal basis, taking into account your sym\u00adptoms, pos\u00adsi\u00adble risk fac\u00adtors and any desi\u00adre to have child\u00adren. <\/p>\n\n<p class=\"wp-block-paragraph\">In addi\u00adti\u00adon, mea\u00adsu\u00adres such as exer\u00adcise, stress reduc\u00adtion and psy\u00adcho\u00adthe\u00adra\u00adpeu\u00adtic approa\u00adches such as cogni\u00adti\u00adve beha\u00adviou\u00adral the\u00adra\u00adpy may be bene\u00adfi\u00adci\u00adal.<\/p>\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<div class=\"single-post__hintergrund\">\n<h3 class=\"gb-text\" id=\"symptome\">Do I have PMS?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Typi\u00adcal sym\u00adptoms in the second half of the cycle include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Breast ten\u00adder\u00adness<\/li>\n\n\n\n<li>Flu\u00adid reten\u00adti\u00adon<\/li>\n\n\n\n<li>Fati\u00adgue or sleep dis\u00adtur\u00adban\u00adces<\/li>\n\n\n\n<li>Mood swings, irri\u00adta\u00adbi\u00adli\u00adty or low mood<\/li>\n\n\n\n<li>Head, back or lower abdo\u00admi\u00adnal pain<\/li>\n\n\n\n<li>Dif\u00adfi\u00adcul\u00adty con\u00adcen\u00adt\u00adra\u00adting<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A sym\u00adptom dia\u00adry can pro\u00advi\u00adde important clues. For at least two mens\u00adtru\u00adal cycles, note which sym\u00adptoms occur, how seve\u00adre they are and when they subs\u00adi\u00adde again. Typi\u00adcal of PMS is a recur\u00adring pat\u00adtern in the second half of the cycle with a clear impro\u00adve\u00adment during or short\u00adly after the onset of mens\u00adtrua\u00adti\u00adon.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">During the medi\u00adcal con\u00adsul\u00adta\u00adti\u00adon, we will cla\u00adri\u00adfy your sym\u00adptoms and their timing in rela\u00adti\u00adon to your cycle. If nee\u00added, fur\u00adther exami\u00adna\u00adti\u00adons may be useful to rule out other pos\u00adsi\u00adble cau\u00adses. Blood or hor\u00admo\u00adne tests are the\u00adr\u00ade\u00adfo\u00adre used sel\u00adec\u00adtively when your medi\u00adcal histo\u00adry or sym\u00adptoms indi\u00adca\u00adte this.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If psy\u00adcho\u00adlo\u00adgi\u00adcal sym\u00adptoms are par\u00adti\u00adcu\u00adlar\u00adly pro\u00adno\u00adun\u00adced, we will also assess whe\u00adther pre\u00admens\u00adtru\u00adal dys\u00adpho\u00adric dis\u00ador\u00adder (PMDD) may be pre\u00adsent.<\/p>\n\n\n\n<a class=\"gb-text dl-button--primary\" href=\"https:\/\/kinderwunschaerztin.de\/en\/appointment-booking\/\">Make an appoint\u00adment<\/a>\n<\/div>\n\n<div class=\"dl-grid--33-67 dl-blocks--faq\">\n<div>\n<h2 class=\"gb-text\" id=\"faqs\">Com\u00admon ques\u00adti\u00adons about PMS<\/h2>\n<\/div>\n\n\n\n<div>\n<div class=\"gb-accordion dl-accordion\">\n<div class=\"gb-accordion__item gb-accordion__item-b101c92c\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>Which hor\u00admo\u00adne is lack\u00ading in PMS?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-3e45d344\">\n<div>\n<p class=\"wp-block-paragraph\">With PMS, the\u00adre is usual\u00adly no spe\u00adci\u00adfic hor\u00admo\u00adne that is lack\u00ading. Rather, it is assu\u00admed that tho\u00adse affec\u00adted are more sen\u00adsi\u00adti\u00adve to the nor\u00admal hor\u00admo\u00adn\u00adal chan\u00adges in the mens\u00adtru\u00adal cycle. This is also why PMS or PMDD can\u00adnot be deter\u00admi\u00adned on the basis of a sin\u00adgle hor\u00admo\u00adne level.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-5034b1a2\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>When are PMS sym\u00adptoms at their worst?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-a10d1099\">\n<div>\n<p class=\"wp-block-paragraph\">PMS sym\u00adptoms typi\u00adcal\u00adly occur in the days befo\u00adre mens\u00adtrua\u00adti\u00adon and can be par\u00adti\u00adcu\u00adlar\u00adly pro\u00adno\u00adun\u00adced short\u00adly befo\u00adre blee\u00adding beg\u00adins. They usual\u00adly impro\u00adve signi\u00adfi\u00adcant\u00adly when mens\u00adtrua\u00adti\u00adon starts or short\u00adly after\u00adwards. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-c4a5ad62\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>Which vit\u00adamins are lack\u00ading in PMS?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-30bc5bd5\">\n<div>\n<p class=\"wp-block-paragraph\">PMS does not auto\u00adma\u00adti\u00adcal\u00adly mean that the\u00adre is a vit\u00adamin or mine\u00adral defi\u00adci\u00aden\u00adcy. For cer\u00adtain nut\u00adri\u00adents such as cal\u00adci\u00adum, the\u00adre are indi\u00adca\u00adti\u00adons that ade\u00adqua\u00adte inta\u00adke may reli\u00ade\u00adve spe\u00adci\u00adfic PMS sym\u00adptoms. Whe\u00adther die\u00adta\u00adry sup\u00adple\u00adments are indi\u00advi\u00addu\u00adal\u00adly advi\u00adsa\u00adble should be asses\u00adsed based on diet, sym\u00adptoms and any pre-exis\u00adting con\u00addi\u00adti\u00adons.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-dfa5decb\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>What helps imme\u00addia\u00adte\u00adly with PMS?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-fa805019\">\n<div>\n<p class=\"wp-block-paragraph\">For acu\u00adte phy\u00adsi\u00adcal sym\u00adptoms, depen\u00adding on the sym\u00adptom, heat, exer\u00adcise or sui\u00adta\u00adble pain\u00adkil\u00adlers may help. Rela\u00adxa\u00adti\u00adon exer\u00adci\u00ads\u00ades can pro\u00advi\u00adde addi\u00adtio\u00adnal sup\u00adport. Howe\u00adver, if sym\u00adptoms are regu\u00adlar\u00adly seve\u00adre, tre\u00adat\u00adment should not be limi\u00adt\u00aded to acu\u00adte reli\u00adef; ins\u00adtead, a medi\u00adcal assess\u00adment should cla\u00adri\u00adfy which lon\u00adger-term the\u00adra\u00adpy is appro\u00adpria\u00adte.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-4ad508df\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>Can PMS be mista\u00adken for pregnan\u00adcy?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-d800aba0\">\n<div>\n<p class=\"wp-block-paragraph\">Yes. Sym\u00adptoms such as breast ten\u00adder\u00adness, fati\u00adgue or mood swings can occur both befo\u00adre mens\u00adtrua\u00adti\u00adon and in ear\u00adly pregnan\u00adcy. If your expec\u00adted peri\u00adod does not start, a pregnan\u00adcy test can pro\u00advi\u00adde cla\u00adri\u00adty.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-4e49d74b\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>Can PMS get worse with age?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-df7094c2\">\n<div>\n<p class=\"wp-block-paragraph\">PMS sym\u00adptoms can chan\u00adge over the cour\u00adse of life. Some women report stron\u00adger pre\u00admens\u00adtru\u00adal sym\u00adptoms, par\u00adti\u00adcu\u00adlar\u00adly during <a href=\"https:\/\/kinderwunschaerztin.de\/en\/life-situations\/hormonal-health\/menopause-perimenopause\/\">peri\u00adme\u00adno\u00adpau\u00adse<\/a>. At the same time, other sym\u00adptoms may occur during this pha\u00adse of life, so a pre\u00adcise distinc\u00adtion may be useful.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Pre\u00admens\u00adtru\u00adal syn\u00addro\u00adme (PMS) includes phy\u00adsi\u00adcal and psy\u00adcho\u00adlo\u00adgi\u00adcal sym\u00adptoms that recur in the time befo\u00adre mens\u00adtrua\u00adti\u00adon and subs\u00adi\u00adde again once blee\u00adding beg\u00adins. The seve\u00adri\u00adty of sym\u00adptoms varies wide\u00adly. If PMS affects your dai\u00adly life or well\u00adbe\u00ading, tar\u00adge\u00adted assess\u00adment and an indi\u00advi\u00addu\u00adal\u00adly tail\u00ado\u00adred tre\u00adat\u00adment plan may be advi\u00adsa\u00adble. On this page, you can find out more about \u2026 <a title=\"PMS: Sym\u00adptoms, Dia\u00adgno\u00adsis and Tre\u00adat\u00adment\" class=\"read-more\" href=\"https:\/\/kinderwunschaerztin.de\/en\/pms-symptoms-diagnosis-and-treatment\/\" aria-label=\"Read more about PMS: Sym\u00adptoms, Dia\u00adgno\u00adsis and Tre\u00adat\u00adment\">Read more<\/a><\/p>\n","protected":false},"author":6,"featured_media":7079,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"wp_typography_post_enhancements_disabled":false,"footnotes":""},"categories":[225],"tags":[226],"class_list":["post-15488","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-knowledge","tag-tese"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>PMS Treatment Munich | PMDD Specialist | Fertility Specialist<\/title>\n<meta name=\"description\" content=\"Nausea, pain and headaches are some of the symptoms PMS can cause. 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