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Premenstrual syndrome (PMS) is among the most commonly reported health concerns for women of reproductive age. Research suggests that up to 90% of women experience at least one premenstrual symptom, and between 20–30% describe symptoms severe enough to disrupt everyday life. Symptoms typically emerge during the luteal phase — the one to two weeks before menstruation begins — and usually ease within a few days of bleeding starting.
The experience of PMS is highly individual: symptoms vary considerably from woman to woman 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. For many women in Hamburg and across the region, these symptoms affect work performance, social wellbeing, and recovery from physical activity.
PMS is clinically distinct from premenstrual dysphoric disorder (PMDD), a more severe condition estimated to affect 2–8% of women. PMDD can significantly impair mood and daily function and is frequently misdiagnosed as anxiety or depression. Women with a personal or family history of mood disorders may carry a higher risk. At The Longevity Practice, symptom patterns are carefully reviewed during each consultation, and further assessment is discussed where clinically appropriate.
Managing PMS is about more than relieving 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 across phases of the menstrual cycle, and their impact often extends well beyond physical discomfort. Recognising how these symptoms manifest across the body is an essential first step toward targeted, effective management.
Common symptoms reported by women with PMS may include:
Recognising and tracking these patterns allows clinicians to identify which systems may be contributing most significantly to your symptoms and to build a personalised, data-driven treatment plan suited to your life and cycle.
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. Every consultation is tailored to your unique cycle patterns, health history, and clinical findings — whether you are based in Hamburg's city centre or commuting from the surrounding area.
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 review and ongoing support.
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 the appropriate specialist referral.
At The Longevity Practice, we focus on identifying risks before they become health problems — through early, precise diagnostics and genuinely personalised care. Rather than reacting to disease, we build clear, evidence-based plans to preserve long-term health. Our goal is to give every patient a thorough understanding of their body and the practical steps they can take today. With prevention and clarity at the core, we help patients across Hamburg and beyond build longer, healthier lives.
Our priority is helping people feel their best at any age and supporting them in living longer, healthier lives. To achieve this, we focus on 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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