Menopause health check in Munich Harlaching starting from 199€

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  • Age of Onset: Perimenopause typically starts in the 40s (can begin in mid-30s); Menopause average age is 51 (normal range 45–55).
  • Definition: Perimenopause is the transitional period of waning ovarian function; Menopause is the specific point in time 12 months after the final menstrual period.
  • Duration: Perimenopause averages 4–8 years; Menopause is a single day, followed by the Postmenopause phase.
  • Menstrual Cycle: Perimenopause is unpredictable (closer, further apart, heavier, or lighter); in Menopause, cycles cease completely.
  • Hormone Levels: Perimenopause features erratic estrogen fluctuations and steady progesterone decline; Menopause levels stabilize at a consistently low baseline.
  • Fertility: Pregnancy is declining but still possible in Perimenopause (contraception recommended); natural conception is no longer possible in Menopause.
  • Key Symptoms: Perimenopause includes hot flashes, brain fog, and joint aches; Menopause symptoms may persist with added risks of osteoporosis and heart disease.
  • Long-term Health: Perimenopause marks the beginning of hormonal shifts; Menopause shifts focus to managing risks like bone density loss and cognitive decline.

Perimenopause vs. Menopause: Key Distinctions Without Hormone Therapy

  • Sleep Disturbances (50–55%): Characterized by insomnia, frequent nighttime awakenings (WASO), and unrefreshing sleep. This is primarily caused by progesterone crashes affecting GABA receptors and low estrogen triggering night sweats. Natural melatonin decline after age 40 further disrupts these cycles.
  • Fatigue & Low Energy (~80%): Estrogen is vital for mitochondrial function and cortisol regulation. When levels drop, the body enters a state of metabolic stress, leading to the chronic exhaustion frequently reported alongside sleep issues.
  • Joint Stiffness & Muscle Aches (65%): Estrogen acts as a natural anti-inflammatory and regulates joint lubrication. Its decline increases pro-inflammatory cytokines, often manifesting as systemic stiffness or "frozen shoulder."
  • Brain Fog & Cognitive Lapses (60%): Because the brain relies on estrogen to metabolize glucose for energy, a deficiency creates a "hypometabolic" state in the hippocampus. This results in the hallmark memory impairment and difficulty focusing seen in perimenopause.
  • Vasomotor Symptoms (50–55%): Hot flashes and night sweats occur when the hypothalamus (the body’s thermostat) misinterprets normal temperature as overheating. These symptoms can persist for over a decade if hormonal shifts are left unaddressed.
  • Emotional Reactivity & Anxiety (50–60%): Estrogen loss causes serotonin levels to plummet, while a decline in progesterone—the "calm regulator"—weakens emotional resilience, leading to irritability, anxiety, and sudden mood swings.
  • Metabolic Weight Gain (50%): As estrogen declines, insulin sensitivity drops. The body responds by storing visceral "belly fat" as a survival mechanism to generate estrone (fat-derived estrogen), making weight management more challenging.
  • Pelvic Health & Discomfort (40%): Declining estrogen reduces blood flow and collagen in the vaginal and urethral tissues. This leads to atrophy, dryness, and painful intercourse (dyspareunia), often increasing the risk of urinary infections.
  • Shift in Libido (40–45%): A combination of sharp testosterone decline and the physical discomforts of low estrogen creates a significant drop in sexual drive and motivation.
  • Depressive Symptoms (40–45%): Estrogen fluctuations significantly impact serotonin receptor density. For sensitive individuals, this triggers a 2–4x higher risk of new-onset depression, even without a prior history.
  • Dermal & Urinary Changes (35–45%): Similar to vaginal tissues, the skin and urinary tract lose moisture-retention capacity and elasticity, leading to chronic dryness and increased frequency of urination.

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Or learn more about our perimenopause and menopause services in Munich Harlaching 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 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 Menopause Focus Session in Berlin Steglitz

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 Charlottenburg in one of those labs:

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