Menopause Guidance Munich Nymphenburg | Perimenopause Expert Care from 199€

Awareness is Armor

Typical Onset: Perimenopause starts in the mid-to-late 40s (can begin in the 30s); Menopause average age is 51 (typically between 45–55).
Definition: Perimenopause is the transitional period leading to menopause as ovarian function declines; Menopause is a specific point in time confirmed after 12 consecutive months without a period.
Duration: Perimenopause averages 4–8 years; Menopause is technically a single day, followed by the "postmenopause" phase.
Menstrual Cycle: Perimenopause is irregular and unpredictable (heavier, lighter, or skipped); in Menopause, cycles are permanently absent.
Hormone Levels: Perimenopause features highly erratic fluctuations (estrogen spikes/drops, progesterone declines); Menopause levels are consistently and permanently low.
Fertility: Pregnancy is decreased but still possible in Perimenopause (contraception recommended); natural conception is no longer possible in Menopause.
Common Symptoms: Perimenopause includes hot flashes, brain fog, and joint aches; Menopause symptoms may continue, with an increased risk of osteoporosis.
Health Focus: Perimenopause focuses on symptom management; Menopause shifts focus to long-term risks like bone and heart health.

Navigating Perimenopause and Menopause Without Hormones

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 discover our perimenopause and menopause services available in Munich Nymphenburg 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.

Menopause guidance in Munich Nymphenburg starting from 199€