Hormone optimization in Munich Schwabing starting from 199€

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Given that the average age for menopause is 51 and the average female life expectancy in the EU is 84, women spend about a third of their lives (roughly 33 years) post-menopause. If you add the decade that can be spent dealing with perimenopause symptoms, that means nearly half of a woman's life is affected by symptoms that can diminish her quality of life and productivity.

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

Hormonal Changes During the Menopause

A simplified guide to how hormone deficiencies can manifest:

  • Low Progesterone: Can lead to feelings of anxiety, irritability, or being "on edge."
  • Low Estrogen: Often associated with dryness, hot flashes, and feeling tearful.
  • Low Testosterone: May result in fatigue, diminished strength, and a lack of motivation.

It's important to note that every woman's experience is unique, with symptoms varying in type and severity. The hormones also have overlapping effects, which is why troubleshooting and finding the right balance is often an iterative process.

Mapping Hormonal Imbalance: Symptoms by Body System

  • Sleep: Low Progesterone causes disrupted sleep continuity and nighttime waking (reduced GABA effect); Low Estrogen leads to vasomotor disruptions like night sweats and early-morning awakenings.
  • Mood: Low Progesterone increases anxiety and irritability; Low Estrogen is linked to depression and anhedonia; Low Testosterone results in lowered motivation and confidence.
  • PMS / Cycle Symptoms: Low Progesterone exacerbates PMS/PMDD and heavy flow; Low Estrogen causes shorter or absent (amenorrhea) cycles.
  • Vasomotor Symptoms: Low Estrogen is the primary driver of hot flashes and night sweats.
  • Libido & Sexual Function: Low Estrogen causes dryness and painful intercourse; Low Testosterone is the primary cause of decreased spontaneous desire and weaker orgasms.
  • Cognitive Symptoms: Low Estrogen leads to "brain fog" and memory issues; Low Testosterone reduces strategic clarity and executive function.
  • Weight & Metabolism: Low Progesterone can cause fluid retention; Low Estrogen shifts fat distribution to the abdomen and increases insulin resistance; Low Testosterone reduces lean muscle mass, slowing metabolism.
  • Skin & Hair: Low Estrogen reduces skin elasticity and collagen (wrinkles); Low Testosterone can contribute to thinning hair.
  • Bone & Muscles: Low Estrogen is a major factor in rapid bone density loss and muscle wasting; Low Testosterone decreases muscle power and endurance.
  • Vaginal & Pelvic Symptoms: Low Estrogen leads to genitourinary symptoms like atrophy and increased UTI risk; Low Testosterone diminishes clitoral sensitivity.

Schedule a free introduction call to learn more about how The Longevity Practice works.

Start Your Longevity Journey

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
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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
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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.

Following your consultation, any necessary hormone prescriptions can be conveniently fulfilled at any pharmacy in Berlin Charlottenburg. For instance here:

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