Hormone Balancing Hamburg | Personalized Endocrine Health starting at 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.

Awareness is Armor

With an average life expectancy for women in the EU at 84 and the average age of menopause at 51, women spend roughly a third of their lives—about 33 years—in post-menopause. When you include the up to 10 years of perimenopause symptoms that can precede it, this means nearly half of a woman's life is spent navigating symptoms that can impact her quality of life and productivity.

For this reason, finding the right personalized treatment is a critical investment in the next 30 to 40 years of your health and well-being.

The Complexity of Finding a Solution

A simple guide to the symptoms associated with low hormone levels:

Low Progesterone: Often linked to feelings of anxiety, irritability, and being 'wired'.
Low Estrogen: Can lead to dryness, hot flashes, and feeling weepy or tearful.
Low Testosterone: May result in fatigue, a sense of weakness, and a lack of motivation.

It's important to remember that every woman's experience is unique, with symptoms varying in type and severity. The effects of these hormones can overlap, and finding the right balance is typically a gradual process of trial and adjustment.

Mapping Hormonal Imbalance: Symptoms Throughout the Body

Sleep: Low Progesterone causes fragmented sleep and nocturnal awakenings (loss of GABA calming effect); Low Estrogen causes night sweats and early-morning awakenings.
Mood: Low Progesterone leads to irritability and anxiety; Low Estrogen is linked to depression and anhedonia; Low Testosterone reduces motivation and assertiveness.
Menstrual Cycle: Low Progesterone causes heavy, irregular bleeding (unopposed estrogen); Low Estrogen results in shorter or skipped cycles.
Vasomotor Symptoms: Low Estrogen is the primary driver of hot flashes and night sweats.
Libido & Sexual Function: Low Estrogen causes vaginal dryness and pain; Low Testosterone is the primary cause of reduced spontaneous desire and weaker orgasms.
Cognitive Symptoms: Low Estrogen causes ""brain fog"" and memory lapses; Low Testosterone reduces strategic thinking and mental drive.
Metabolism: Low Estrogen promotes central fat (belly fat) and insulin resistance; Low Testosterone causes loss of lean muscle mass, slowing metabolic rate.
Skin & Hair: Low Estrogen reduces collagen and skin elasticity; Low Testosterone can contribute to reduced hair density.
Bone & Muscle: Low Estrogen is a major contributor to osteoporosis and sarcopenia; Low Testosterone reduces physical stamina and muscle strength.
Urogenital Health: Low Estrogen leads to Genitourinary Syndrome of Menopause (atrophy, itching, and frequent UTIs).

Your Journey Through Treatment

Initial Adjustment Period Early signs of relief may emerge, like better sleep, a more stable mood, or a slight energy boost. The timing varies; Progesterone often works more quickly, while Estradiol's initial effects can take 2 to 4 weeks to become noticeable. This is the time to establish your consistent application routine.
1 to 3 Months This phase is for fine-tuning your treatment. Dosages are adjusted based on your body’s response—increased if symptoms persist, or dialed back if side effects like breast sensitivity or headaches occur. The goal is a noticeable reduction in hot flashes and night sweats, with more consistent energy levels.
3 to 6 Months The cumulative effects of the therapy, especially with transdermal hormones, become more profound. Most people experience a dramatic decrease in major symptoms like hot flashes, vaginal dryness, and sleep disturbances. You should feel a greater sense of emotional balance and well-being.
6 to 12 Months You are now likely experiencing the full therapeutic benefits, leading to a significant improvement in your overall quality of life. You've become more attuned to your body's needs and understand how to make small adjustments to maintain your new balance.
Month 13 Onwards Beyond immediate symptom relief, the therapy contributes to long-term wellness. Key benefits include enhanced bone density, lowering osteoporosis risk, and supporting cardiovascular health. These protective effects are most powerful when paired with a healthy lifestyle, including exercise and a balanced diet.

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 Steglitz

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 Steglitz

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

Book appointment

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

Book appointment

Introduction Session

0€

Schedule a quick video call to learn more about The Longevity Practice services and approach.

Duration: 15 minutes

Book Call

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.

Hormone balancing in Hamburg starting from 199€