Menopause Signs Consultation in Berlin Mitte starting from 199€

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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.

Knowledge is Armor

  • Age of Onset: Perimenopause typically begins at 34+; Menopause average age is ~51 (range: 45–55 years).
  • Definition: Perimenopause is nicknamed “the second puberty,” a transition triggered by ovarian function decline; Menopause is a fixed milestone reached after 12 consecutive months without a period.
  • Duration: Perimenopause lasts 4–10 years; Menopause is a single point in time, followed by the Postmenopause phase.
  • Menstrual Cycle: Perimenopause is irregular (lighter, heavier, shorter, longer, or skipped); in Menopause, the cycle is absent.
  • Hormone Levels: Perimenopause features erratic fluctuations (progesterone decreases first, estrogen spikes/drops); Menopause levels flatline and remain consistently low.
  • Fertility: Pregnancy is still possible during perimenopause (birth control recommended); natural conception is no longer possible in menopause.
  • Key Symptoms: Perimenopause involves sleep disruption, fatigue, hot flashes, brain fog, and joint pain; Menopause symptoms like dryness may continue, with an increased risk of bone loss.
  • Long-term Health: In Menopause, the risk for dementia and Alzheimer's increases for those not on Hormone Replacement Therapy (HRT).

Perimenopause vs. Menopause: The Unmedicated Transition

  • 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.

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

Start Your Longevity Journey

Navigating the Hormonal Landscape of Menopause

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Alternatively, discover perimenopause and menopause care options in Berlin Mitte 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 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 Menopause Focus Session in Berlin Mitte

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.

For clients unable to attend an in-practice assessment, we offer expert clinical synthesis of external lab work; simply provide your blood analysis for a comprehensive remote evaluation. You can draw blood in Berlin Mitte in one of those labs:

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