Premenstrual Syndrome: Therapy

General measures

Wearing a well-fitting bra
Nicotine restriction (refraining from tobacco use).
Renunciation of alcohol consumption
Limited caffeine consumption (max 240 mg of caffeine per day; equivalent to 2 to 3 cups of coffee or 4 to 6 cups of green/black tea).
Review of permanent medication due topossible effect on the existing disease.
Enough sleep
Avoidance of psychosocial stress:
- Psychological factors – women with neurotic reactions are more prone to premenstrual syndrome.

Nutritional counseling based on nutritional analysis
Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
- Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
- Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
- High-fiber diet (whole grains, vegetables).
Observance of the following nutritional medical recommendations:
- Low fat, low sodium, high carbohydrate.
- Avoid foods containing methylxanthine (coffee, tea, chocolate) [these can increase estrogen levels and exacerbate mastodynia (cycle-related tightness in the breasts or breast pain)].
Selection of appropriate foods based on the nutritional analysis
See also under “Therapy with micronutrients (vital substances)” – Taking a suitable dietary supplement.
Detailed information on nutritional medicine you will receive from us.

Endurance training (cardio training) and strength training (muscle training).
Preparation of a fitness or training plan with appropriate sports disciplines based on a medical check (health check or athlete check).
Detailed information on sports medicine you will receive from us.

Relaxation techniques
If necessary, psychotherapy (if necessary, psychotherapeutic co-treatmentI
Detailed information on psychosomatics (including stress management) can be obtained from us.