Regulate hormones in Munich Altstadt 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.

Foresight is fortification.

A third of our lives are lived after menopause. With the average onset at age 51 and an average female life expectancy in the EU of 84, that’s over 30 years. Add the preceding decade of perimenopause, and it means nearly half of a woman’s life can be spent dealing with symptoms that impact well-being and productivity.

Therefore, finding the right treatment and dosage is a crucial investment in the quality of the next 30 to 40 years of your life.

As a general guide, here’s how low levels of key hormones can manifest:

  • Low Progesterone: You might feel on edge, irritable, or unable to relax.
  • Low Estrogen: You might experience hot flashes, dryness, and emotional sensitivity.
  • Low Testosterone: You might feel fatigued, with low energy and a lack of drive.

It's important to remember that every woman's experience is unique. Symptoms and their intensity will vary, and hormones have overlapping effects, which means finding the right solution is often an iterative process of adjustment.

Mapping Hormonal Imbalance: Symptoms by Body System

  • 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.

Navigating the Treatment Journey

At The Longevity Practice, we move beyond surface-level symptom management. We employ a personalized, data-driven methodology to identify and treat the underlying biological drivers of health decline.

  • Advanced Diagnostic Investigation: We begin with a comprehensive assessment of sexual function and libido, utilizing precision diagnostics to establish a clear objective baseline.
  • Hormonal & Metabolic Profiling: We perform a meticulous evaluation of the endocrine landscape—addressing thyroid function, perimenopause, and andropause—to determine the clinical necessity of interventions such as HRT.
  • Evidence-Based Biological Interventions: Our protocols are designed to restore hormonal equilibrium, improve vascular integrity and blood flow, and resolve underlying metabolic dysfunction.
  • The "Vital Sign" Framework: We treat sexual health as a primary indicator of longevity, analyzing it within the broader context of your sleep architecture, stress resilience, and body composition.
  • Lifestyle & Relational Integration: We provide professional guidance on the communication and intimacy factors that influence both relationship health and long-term psychological well-being.
  • Specialist Coordination: When specialized care is required, we provide seamless clinical pathways to a trusted network of urologists, gynecologists, or psychosexual therapists.

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
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.