{"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: Symp\u00adtoms, Diag\u00adno\u00adsis and Treat\u00adment"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Pre\u00admen\u00adstru\u00adal syn\u00addrome (PMS) includes phys\u00adi\u00adcal and psy\u00adcho\u00adlog\u00adi\u00adcal symp\u00adtoms that recur in the time before men\u00adstru\u00ada\u00adtion and sub\u00adside again once bleed\u00ading begins. The sever\u00adi\u00adty of symp\u00adtoms varies wide\u00adly. If PMS affects your dai\u00adly life or well\u00adbe\u00ading, tar\u00adget\u00aded assess\u00adment and an indi\u00advid\u00adu\u00adal\u00adly tai\u00adlored treat\u00adment plan may be advis\u00adable. On this page, you can find out more about symp\u00adtoms, diag\u00adno\u00adsis and treat\u00adment options 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 myself to relieve PMS symp\u00adtoms?<\/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 treat\u00aded?<\/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\u00adtions 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\u00admen\u00adstru\u00adal syn\u00addrome (PMS) refers to recur\u00adring phys\u00adi\u00adcal and psy\u00adcho\u00adlog\u00adi\u00adcal symp\u00adtoms that occur in the sec\u00adond half of the cycle and sub\u00adside again when men\u00adstru\u00ada\u00adtion begins or short\u00adly after\u00adwards. These may include, for exam\u00adple, irri\u00adtabil\u00adi\u00adty, mood swings, low mood, breast ten\u00adder\u00adness, flu\u00adid reten\u00adtion, fatigue or pain. <\/p>\n\n<p class=\"wp-block-paragraph\">The exact caus\u00ades are not ful\u00adly under\u00adstood. One sus\u00adpect\u00aded fac\u00adtor is increased sen\u00adsi\u00adtiv\u00adi\u00adty to the nor\u00admal hor\u00admon\u00adal changes dur\u00ading the men\u00adstru\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 myself to relieve PMS symp\u00adtoms?<\/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 milder symp\u00adtoms, reg\u00adu\u00adlar exer\u00adcise, suf\u00adfi\u00adcient sleep and stress-reduc\u00adtion mea\u00adsures can be help\u00adful. Relax\u00adation tech\u00adniques such as pro\u00adgres\u00adsive mus\u00adcle relax\u00adation can also sup\u00adport well\u00adbe\u00ading. Avoid\u00ading nico\u00adtine and being mind\u00adful with alco\u00adhol and caf\u00adfeine may also be advis\u00adable.  <\/p>\n\n<p class=\"wp-block-paragraph\">Diet and cer\u00adtain dietary sup\u00adple\u00adments are also being stud\u00adied in con\u00adnec\u00adtion with PMS. For some mea\u00adsures, there are indi\u00adca\u00adtions of a pos\u00adsi\u00adble effect, but the evi\u00addence varies depend\u00ading on the prod\u00aduct. Dietary sup\u00adple\u00adments should there\u00adfore not be used across the board, but select\u00aded indi\u00advid\u00adu\u00adal\u00adly as need\u00aded.  <\/p>\n\n<h3 class=\"gb-text\" id=\"behandlungsablauf\">How is PMS treat\u00aded?<\/h3>\n\n<p class=\"wp-block-paragraph\">Treat\u00adment depends on which symp\u00adtoms occur, how severe they are and how much they affect dai\u00adly life. Sev\u00ader\u00adal mea\u00adsures are often com\u00adbined. <\/p>\n\n<p class=\"wp-block-paragraph\">For phys\u00adi\u00adcal symp\u00adtoms such as pain, painkillers may be used, for exam\u00adple. For pro\u00adnounced psy\u00adcho\u00adlog\u00adi\u00adcal symp\u00adtoms or pre\u00admen\u00adstru\u00adal dys\u00adphor\u00adic dis\u00ador\u00adder (PMDD), selec\u00adtive sero\u00adtonin reup\u00adtake inhibitors (SSRIs) can be an effec\u00adtive treat\u00adment option. Depend\u00ading on the med\u00adica\u00adtion and indi\u00advid\u00adual sit\u00adu\u00ada\u00adtion, they may be tak\u00aden con\u00adtin\u00adu\u00adous\u00adly or for a lim\u00adit\u00aded peri\u00adod dur\u00ading the sec\u00adond half of the cycle.  <\/p>\n\n<p class=\"wp-block-paragraph\">Com\u00adbined hor\u00admon\u00adal con\u00adtra\u00adcep\u00adtives can also reduce pre\u00admen\u00adstru\u00adal symp\u00adtoms in some women. We will dis\u00adcuss which treat\u00adment is appro\u00adpri\u00adate on an indi\u00advid\u00adual basis, tak\u00ading into account your symp\u00adtoms, pos\u00adsi\u00adble risk fac\u00adtors and any desire to have chil\u00addren. <\/p>\n\n<p class=\"wp-block-paragraph\">In addi\u00adtion, mea\u00adsures such as exer\u00adcise, stress reduc\u00adtion and psy\u00adchother\u00ada\u00adpeu\u00adtic approach\u00ades such as cog\u00adni\u00adtive behav\u00adiour\u00adal ther\u00ada\u00adpy may be ben\u00ade\u00adfi\u00adcial.<\/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\">Typ\u00adi\u00adcal symp\u00adtoms in the sec\u00adond 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\u00adtion<\/li>\n\n\n\n<li>Fatigue or sleep dis\u00adtur\u00adbances<\/li>\n\n\n\n<li>Mood swings, irri\u00adtabil\u00adi\u00adty or low mood<\/li>\n\n\n\n<li>Head, back or low\u00ader abdom\u00adi\u00adnal pain<\/li>\n\n\n\n<li>Dif\u00adfi\u00adcul\u00adty con\u00adcen\u00adtrat\u00ading<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A symp\u00adtom diary can pro\u00advide impor\u00adtant clues. For at least two men\u00adstru\u00adal cycles, note which symp\u00adtoms occur, how severe they are and when they sub\u00adside again. Typ\u00adi\u00adcal of PMS is a recur\u00adring pat\u00adtern in the sec\u00adond half of the cycle with a clear improve\u00adment dur\u00ading or short\u00adly after the onset of men\u00adstru\u00ada\u00adtion.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dur\u00ading the med\u00adical con\u00adsul\u00adta\u00adtion, we will clar\u00adi\u00adfy your symp\u00adtoms and their tim\u00ading in rela\u00adtion to your cycle. If need\u00aded, fur\u00adther exam\u00adi\u00adna\u00adtions may be use\u00adful to rule out oth\u00ader pos\u00adsi\u00adble caus\u00ades. Blood or hor\u00admone tests are there\u00adfore used selec\u00adtive\u00adly when your med\u00adical his\u00adto\u00adry or symp\u00adtoms indi\u00adcate this.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If psy\u00adcho\u00adlog\u00adi\u00adcal symp\u00adtoms are par\u00adtic\u00adu\u00adlar\u00adly pro\u00adnounced, we will also assess whether pre\u00admen\u00adstru\u00adal dys\u00adphor\u00adic dis\u00ador\u00adder (PMDD) may be present.<\/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\u00adtions 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\u00admone 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, there is usu\u00adal\u00adly no spe\u00adcif\u00adic hor\u00admone that is lack\u00ading. Rather, it is assumed that those affect\u00aded are more sen\u00adsi\u00adtive to the nor\u00admal hor\u00admon\u00adal changes in the men\u00adstru\u00adal cycle. This is also why PMS or PMDD can\u00adnot be deter\u00admined on the basis of a sin\u00adgle hor\u00admone lev\u00adel.  <\/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 symp\u00adtoms 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 symp\u00adtoms typ\u00adi\u00adcal\u00adly occur in the days before men\u00adstru\u00ada\u00adtion and can be par\u00adtic\u00adu\u00adlar\u00adly pro\u00adnounced short\u00adly before bleed\u00ading begins. They usu\u00adal\u00adly improve sig\u00adnif\u00adi\u00adcant\u00adly when men\u00adstru\u00ada\u00adtion 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\u00ada\u00admins 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\u00admat\u00adi\u00adcal\u00adly mean that there is a vit\u00ada\u00admin or min\u00ader\u00adal defi\u00adcien\u00adcy. For cer\u00adtain nutri\u00adents such as cal\u00adci\u00adum, there are indi\u00adca\u00adtions that ade\u00adquate intake may relieve spe\u00adcif\u00adic PMS symp\u00adtoms. Whether dietary sup\u00adple\u00adments are indi\u00advid\u00adu\u00adal\u00adly advis\u00adable should be assessed based on diet, symp\u00adtoms and any pre-exist\u00ading con\u00addi\u00adtions.  <\/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\u00addi\u00adate\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 acute phys\u00adi\u00adcal symp\u00adtoms, depend\u00ading on the symp\u00adtom, heat, exer\u00adcise or suit\u00adable painkillers may help. Relax\u00adation exer\u00adcis\u00ades can pro\u00advide addi\u00adtion\u00adal sup\u00adport. How\u00adev\u00ader, if symp\u00adtoms are reg\u00adu\u00adlar\u00adly severe, treat\u00adment should not be lim\u00adit\u00aded to acute relief; instead, a med\u00adical assess\u00adment should clar\u00adi\u00adfy which longer-term ther\u00ada\u00adpy is appro\u00adpri\u00adate.  <\/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 mis\u00adtak\u00aden for preg\u00adnan\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. Symp\u00adtoms such as breast ten\u00adder\u00adness, fatigue or mood swings can occur both before men\u00adstru\u00ada\u00adtion and in ear\u00adly preg\u00adnan\u00adcy. If your expect\u00aded peri\u00adod does not start, a preg\u00adnan\u00adcy test can pro\u00advide clar\u00adi\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 symp\u00adtoms can change over the course of life. Some women report stronger pre\u00admen\u00adstru\u00adal symp\u00adtoms, par\u00adtic\u00adu\u00adlar\u00adly dur\u00ading <a href=\"https:\/\/kinderwunschaerztin.de\/en\/life-situations\/hormonal-health\/menopause-perimenopause\/\">per\u00adi\u00admenopause<\/a>. At the same time, oth\u00ader symp\u00adtoms may occur dur\u00ading this phase of life, so a pre\u00adcise dis\u00adtinc\u00adtion may be use\u00adful.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Pre\u00admen\u00adstru\u00adal syn\u00addrome (PMS) includes phys\u00adi\u00adcal and psy\u00adcho\u00adlog\u00adi\u00adcal symp\u00adtoms that recur in the time before men\u00adstru\u00ada\u00adtion and sub\u00adside again once bleed\u00ading begins. The sever\u00adi\u00adty of symp\u00adtoms varies wide\u00adly. If PMS affects your dai\u00adly life or well\u00adbe\u00ading, tar\u00adget\u00aded assess\u00adment and an indi\u00advid\u00adu\u00adal\u00adly tai\u00adlored treat\u00adment plan may be advis\u00adable. On this page, you can find out more about \u2026 <a title=\"PMS: Symp\u00adtoms, Diag\u00adno\u00adsis and Treat\u00adment\" class=\"read-more\" href=\"https:\/\/kinderwunschaerztin.de\/en\/pms-symptoms-diagnosis-and-treatment\/\" aria-label=\"Read more about PMS: Symp\u00adtoms, Diag\u00adno\u00adsis and Treat\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 v28.8 - 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. Dr Corinna Mann and her team will be happy to take the time to find therapies that relieve your PMS. \u27a4 Find out more now!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kinderwunschaerztin.de\/en\/pms-symptoms-diagnosis-and-treatment\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"PMS Treatment Munich | PMDD Specialist | Fertility Specialist\" \/>\n<meta property=\"og:description\" content=\"Nausea, pain and headaches are some of the symptoms PMS can cause. Dr Corinna Mann and her team will be happy to take the time to find therapies that relieve your PMS. \u27a4 Find out more now!\" \/>\n<meta property=\"og:url\" content=\"https:\/\/kinderwunschaerztin.de\/en\/pms-symptoms-diagnosis-and-treatment\/\" \/>\n<meta property=\"og:site_name\" content=\"Dr. med. 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