Bioidentical Hormone Replacement Treatment in Berlin Mitte starting from 199€

Fast appointments (self payers or privately insured patients only)

Online doctor consultations and testing at our office in Berlin Prenzlauer Berg

On-demand coaching from doctors for your current problems, needs and healthspan goals.

Foreknowledge is fortitude.

Considering women in the EU live to an average age of 84 and enter menopause around 51, a third of their life—roughly 33 years—is spent post-menopause. When you add the decade that can be spent managing perimenopause symptoms, it means nearly half of a woman's life can be affected by symptoms that reduce her quality of life and productivity.

Because of this, finding the right treatment and dosage is a vital investment in the next 30 to 40 years of your life.

Why this is complicated

A simplified guide to how low hormone levels can feel:

  • Low Progesterone: Can lead to feelings of anxiety, irritability, and being "wired."
  • Low Estrogen: Often associated with feeling dry, hot flashes, and tearfulness.
  • Low Testosterone: May result in fatigue, weakness, and a lack of motivation.

Keep in mind that every woman's experience is different, with varying symptoms and intensities. Hormones have overlapping effects, and finding the right solution is typically a gradual, iterative process.

Mapping Hormonal Imbalance: Symptoms Throughout the Body

  • Sleep: Low Progesterone causes difficulty staying asleep and nighttime waking (loss of calming effect); Low Estrogen causes disruptions via night sweats and early morning awakening.
  • Mood: Low Progesterone increases anxiety and irritability; Low Estrogen leads to depressed mood and anhedonia; Low Testosterone lowers motivation and assertiveness.
  • Menstrual Cycle: Low Progesterone causes irregular or heavier bleeding; Low Estrogen results in scant, skipped, or absent periods.
  • Vasomotor Symptoms: Low Estrogen is the primary cause of hot flashes and night sweats due to hypothalamic instability.
  • Sexual Function & Libido: Low Estrogen causes vaginal dryness and pain (dyspareunia); Low Testosterone is the primary driver for decreased spontaneous desire and fantasy.
  • Cognitive Function: Low Estrogen leads to "brain fog" and memory recall issues; Low Testosterone reduces focus and executive function.
  • Body Composition & Metabolism: Low Progesterone contributes to fluid retention; Low Estrogen promotes central fat (belly fat) and insulin resistance; Low Testosterone causes loss of lean muscle mass, lowering metabolic rate.
  • Skin & Hair: Low Estrogen decreases collagen and skin elasticity; Low Testosterone can contribute to thinning hair and reduced skin tone.
  • Bone & Muscle Health: Low Estrogen is a key driver of accelerated bone loss (osteoporosis); Low Testosterone directly contributes to loss of muscle strength.
  • Urogenital Health: Low Estrogen causes atrophy of vaginal and urethral tissues, increasing UTI risk; Low Testosterone may impact clitoral sensitivity.

Understanding the Treatment Journey

We do not simply manage symptoms; we utilize a personalized, data-driven framework to identify and resolve the underlying biological drivers of health decline.

  • Advanced Clinical Diagnostics: We conduct a comprehensive assessment of sexual health and libido, using precise laboratory diagnostics to establish an objective baseline of your current physiology.
  • Precision Hormonal Analysis: Our team performs a meticulous evaluation of the endocrine system—addressing thyroid function, perimenopause, or andropause—to determine the clinical viability of Hormone Replacement Therapy (HRT).
  • Biology-Focused Protocols: We implement evidence-based interventions designed to restore hormonal equilibrium, optimize metabolic pathways, and enhance vascular blood flow for systemic improvement.
  • The "Vital Sign" Perspective: We treat sexual function as a key indicator of longevity, analyzing it in the context of your sleep architecture, stress resilience, body composition, and emotional health.
  • Relational & Lifestyle Strategy: We offer professional guidance on the intimacy, communication, and lifestyle factors that impact both relationship health and long-term wellness.
  • Integrated Specialist Referral: We provide structured clinical pathways and referrals to top-tier specialists in urology, gynecology, or psychosexual therapy when specialized, multidisciplinary care is necessary.

How Long Does It Take for Hormone Replacement Therapy (HRT) to Work?

  • First Few Weeks You might notice minor symptom relief, such as improvements to your sleep, mood or energy. This depends on the hormone you’re starting with. Progesterone is faster acting while Estradiol takes at least 2 to 4 weeks for minor effects to appear. You find your routine, when, how, where to apply it.
  • 1 to 3 Months You test the dosage as this treatment is tailored around your symptoms. If symptoms come back, you increase the dosage. If you get breast tenderness or migraines, we try to dial down on estrogen. Ideally your mood swings start to stabilize, and your energy levels increase. Symptoms like hot flashes or night sweats should decrease in frequency.
  • 3 to 6 Months This is when most people experience significant relief because transdermal Estradiol and Testosterone take a while to yield effect. Hot flashes, night sweats, and vaginal dryness often improve dramatically, and mood swings become much less frequent.
  • 6 to 12 Months You benefit from the full effect of the treatment and notice an improvement in your quality of life. You understand that there are still changes and can adapt dosage or administration routes.
  • Month 13 Onwards Additional benefits accumulate in the long run, like stronger bones (reducing the risk for osteoporosis) and better heart health, helping you stay healthy as you age. Note that these work if paired with strength training, a healthy diet and sufficient protein intake.

Evidence-based Longevity in Berlin Mitte

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.

Cost of Hormones Focus Session in Berlin Mitte

The cost for Hormones Focus Session is based on the German healthcare pricing system (GOÄ – Gebührenordnung für Ärzte). A single consultation visit is priced at 199€. However, 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:

Hormones Focus Session
199€
Goal: Conduct a comprehensive hormone panel and risk-benefit analysis to develop a personalized HRT protocol and targeted treatment strategy.
Duration: 45 minutes
Full Diagnostic Visit
1,399€
Goal: Establish a data-driven biological baseline to unlock personalized peak performance and long-term health optimization.
Duration: 3 hours
Introduction Session
0€
Schedule a quick video call to learn more about The Longevity Practice services and approach.
Duration: 15 minutes

Testimonials

What our customers say about us

Julia, 46 – HRT & Strength
When I saw how much muscle mass I had lost, I finally understood why I felt weaker. It took longer than I expected to get my hormone levels properly adjusted, but once they were stable, my sleep and daily energy improved dramatically. Combining this with regular strength training has made me noticeably stronger and more resilient in everyday life.
Anna, 44 – HRT & Sleep
I never realized how much my hormones were affecting my sleep until I have taken progesterone. After adjusting my therapy and tracking my sleep for six weeks, I went from waking up four or five times a night to sleeping through almost every night. It’s such a relief to finally wake up feeling rested and ready for the day.
Pia, 45 – Menopause & Brain Fog
I thought I was losing my mind. I’d forget simple words in the middle of sentences. Realizing it was just the estrogen drop was a huge relief.
Anna, 49 – Menopause & Sleep
The night sweats were brutal—I was waking up drenched and exhausted every single night. I was so irritable with my family. Once I balanced my hormones, I finally got my sleep back.
Anita, 54 – Menopause & Anxiety
Nobody told me about the sudden heart palpitations and anxiety. I felt on edge for no reason. Learning it was hormonal made so much sense.