Endometriosis & Menopause Care Berlin Friedrichshain

Warned, Armed

Age of Onset: Perimenopause typically begins in a woman's 40s (can start in mid-30s); Menopause average age is 51 (range 45–55).
Definition: Perimenopause is the transitional phase of declining estrogen; Menopause is a specific milestone confirmed after 12 consecutive months without a period.
Duration: Perimenopause averages 4–8 years; Menopause is technically a single day, followed by the Postmenopause life stage.
Menstrual Cycle: Perimenopause is marked by irregular flow, frequency, and duration; in Menopause, cycles permanently cease.
Hormone Levels: Perimenopause features erratic fluctuations (especially estrogen) and declining progesterone; Menopause levels stabilize at a consistently low baseline.
Fertility: Pregnancy is declining but still possible in Perimenopause; natural conception is no longer possible in Menopause.
Key Symptoms: Perimenopause involves hot flashes, night sweats, and brain fog; Menopause symptoms may persist, with increasing long-term risks like osteoporosis and heart disease.

Perimenopause vs. Menopause: Distinguishing the Stages Without HRT

Sleep Problems (50–55%): Includes insomnia, frequent waking (WASO), and non-restorative sleep. Driven by progesterone fluctuations (which affect GABA receptors) and low estrogen causing night sweats. Melatonin decline after age 40 further compounds the issue.
Low Energy and Fatigue (~80%): Estrogen regulates cortisol and supports mitochondrial function. Its decline leads to metabolic stress and cellular energy drops, often occurring alongside sleep disturbances.
Joint & Muscle Pain (65%): Loss of estrogen increases pro-inflammatory cytokines, leading to systemic inflammation and reduced joint lubrication (stiffness or "frozen shoulder").
Brain Fog (60%): Estrogen is required for neurons to burn glucose. Dropping levels create a "hypometabolic" state in the brain's memory centers (hippocampus), impairing concentration.
Hot Flashes & Night Sweats (50–55%): Estrogen regulates the hypothalamus (the body’s thermostat). Declines cause the brain to misinterpret body heat as overheating, triggering sudden cooling responses.
Anxiety & Irritability (50–60%): Dropping estrogen reduces serotonin ("happiness hormone") production, while declining progesterone reduces the brain's "calming" influence, leading to high reactivity and mood swings.
Abdominal Weight Gain (50%): Estrogen loss increases insulin resistance. The body deliberately stores visceral fat in the belly area to attempt to produce estrone (a form of estrogen) from fat cells.
Vaginal Dryness & Pain (40%): Loss of estrogen reduces blood flow, collagen, and elasticity in pelvic tissues, leading to atrophy and discomfort during intercourse (dyspareunia).
Low Libido (40–45%): Driven by a sharp decline in testosterone between ages 45–55, combined with the physical discomfort and fatigue caused by low estrogen.
Depressive Symptoms (40–45%): The risk of new-onset depression increases 2–4x during perimenopause due to estrogen’s impact on serotonin receptor density in the brain.
Dry Skin & Urinary Problems (35–45%): Caused by the same loss of collagen, moisture-retention, and tissue elasticity that affects the vaginal walls.

The Hormonal Landscape of Menopause

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Or learn more about our perimenopause and menopause services in Berlin Friedrichshain at The Longevity Practice

About The Longevity Practice

At The Longevity Practice, we focus on identifying risks before they become health problems through early, precise diagnostics. Instead of reacting to disease, we create clear, personalized plans to maintain long-term health. Our goal is to give every patient a deep understanding of their body along with practical steps they can take today. With prevention and clarity at the core, we help patients build a longer, healthier life.

Evidence-based Longevity in Berlin Friedrichshain

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 Menopause Focus Session in Berlin Friedrichshain

The cost for Menopause 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:

Menopause Focus Session

199€

Goal: Assess menopausal stage and symptom profile to evaluate disease risk associated with hormonal decline and determine optimal clinical interventions.

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

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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

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.

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.

Anne, 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.

Endometriosis & Menopause Care in Berlin Friedrichshain starting from 199€