Achieve Hormonal Balance In Aachen

The Importance of Proactive Care

Women spend about one-third of their lives after menopause, which equates to roughly 33 years based on an average menopause age of 51 and an EU female life expectancy of 84. Additionally, women can experience symptoms of perimenopause for as long as 10 years. This means that for nearly half of their lives, women may contend with a range of symptoms that negatively impact their quality of life and productivity.

Patients undergoing HRT (Hormone Replacement Therapy) commonly express that they “feel like themselves again.” Therefore, identifying the correct treatment frequency and dosage is a vital investment in the next 30 to 40 years of your life.

A basic guide to help identify which hormone may be low:

Low Progesterone: You might experience feelings of anxiety, irritation, and being overstimulated.
Low Estrogen: You could feel dry, overheated, and prone to tears.
Low Testosterone: You may notice fatigue, weakness, and a lack of motivation.

Keep in mind that symptoms and their intensities vary from one woman to another. Hormones can also have overlapping or synergistic effects. Addressing and resolving these symptoms is therefore typically a gradual and iterative process.

A medical graph showing fluctuating estrogen and testosterone levels managed by hormone replacement therapy

A woman meditating cross-legged in a bedroom, highlighting the mental wellness focus of hormone replacement therapy.

A Systemic Guide to Hormonal Imbalance Symptoms

Sleep: Deficient Progesterone leads to disrupted sleep and waking during the night (from a loss of GABA's calming influence); low Estrogen is associated with night sweats and waking in the early morning.
Mood: Insufficient Progesterone can cause irritability and anxiety; low Estrogen is connected to depression and anhedonia; a lack of Testosterone decreases motivation and assertiveness.
Menstrual Cycle: A Progesterone deficit results in heavy, irregular periods (due to unopposed estrogen); low Estrogen leads to shorter or absent cycles.
Vasomotor Symptoms: A deficiency in Estrogen is the principal cause of hot flashes and nocturnal sweating.
Libido & Sexual Function: Inadequate Estrogen results in vaginal dryness and discomfort; low Testosterone is the main reason for a decline in spontaneous desire and weaker orgasms.
Cognitive Symptoms: Low Estrogen levels can lead to "brain fog" and lapses in memory; insufficient Testosterone impairs strategic thinking and mental sharpness.
Metabolism: A lack of Estrogen encourages the accumulation of central fat (belly fat) and insulin resistance; low Testosterone results in a decrease in lean muscle, which slows the metabolic rate.
Skin & Hair: Inadequate Estrogen depletes collagen and reduces skin elasticity; low Testosterone may play a part in decreased hair density.
Bone & Muscle: Estrogen deficiency is a primary factor in osteoporosis and sarcopenia; diminished Testosterone lowers physical endurance and muscle power.
Urogenital Health: A lack of Estrogen causes Genitourinary Syndrome of Menopause, characterized by atrophy, itching, and recurrent UTIs.

A Look at the HRT Treatment Process

HRT is a responsive, evolving journey that is customized to your specific biological needs. Unlike a fixed prescription, your physician will fine-tune the dosage and timing based on blood work and how your symptoms are progressing. It's common to stabilize one hormone before commencing another, with follow-up appointments eventually shifting to every 3–6 months.

Progesterone (Oral Micronized): Sourced from plants, bioidentical progesterone is absorbed well by the body. Its advantages include safeguarding the uterine lining, balancing hormones, easing anxiety, and enhancing sleep. The standard protocol is 100mg–200mg taken at night (as it can induce drowsiness). Women in perimenopause typically use it during the latter half of their cycle (days 14–28), whereas women with irregular periods and those post-menopause use it continuously.
Estradiol (Transdermal): Methods that deliver estrogen through the skin (gels/patches) are safer than oral forms. While taking estrogen orally can increase blood clot risk fourfold, research (such as a BMJ 2019 study) indicates that transdermal application does not have this elevated risk, as the hormone is absorbed directly into the bloodstream via the skin. Gels are frequently used at the start for simple dose adjustments, and it generally takes 4–8 weeks of regular use to notice symptom relief.
Transdermal Testosterone: Testosterone is beneficial for libido and energy levels, though formulas created for women are uncommon outside of Australia. The dose is minimal (about 300mcg/day), because an excess amount can trigger acne or hair growth.
Dehydroepiandrosterone (DHEA): This is sometimes employed as a precursor hormone, but its effectiveness when taken orally varies. Note: Vaginal DHEA is formulated specifically for local atrophy and is not a systemic replacement therapy.
Medical Supervision: Any form of HRT must be prescribed and managed under the care of a medical professional.

A healthcare professional in a white blouse providing expert hormone replacement therapy guidance in a modern office.

Abstract pink and blue swirling textures symbolizing complex biological changes during hormone replacement therapy.

Understanding the Timeline for HRT Results

First Few Weeks You may begin to experience slight relief from symptoms, including better sleep, mood, or energy. The timing of this varies by hormone; Progesterone tends to work faster, while Estradiol needs a minimum of 2 to 4 weeks for initial effects to manifest. During this time, you establish your application routine—when, how, and where.
1 to 3 Months The dosage is fine-tuned during this period, as the therapy is customized to your specific symptoms. If symptoms return, the dose is raised. If you experience side effects like breast tenderness or migraines, we will attempt to lower the estrogen. Ideally, your mood swings begin to stabilize, and your energy levels improve. The occurrence of symptoms like hot flashes or night sweats should lessen.
3 to 6 Months This is the timeframe when most individuals feel significant improvements, as transdermal Estradiol and Testosterone require time to become fully effective. Hot flashes, night sweats, and vaginal dryness often show substantial improvement, and mood swings happen much less often.
6 to 12 Months You are now receiving the full benefit of the therapy and seeing an enhanced quality of life. You also recognize that changes can still occur and are able to adapt your dose or administration method accordingly.
Month 13 Onwards In the long term, more benefits accumulate, such as stronger bones (which lowers the risk of osteoporosis) and improved heart health, contributing to your wellness as you age. It is important to know that these outcomes are best achieved when paired with strength training, a healthy diet, and sufficient protein.

Next Steps

At The Longevity Practice, our focus is on using early, precise diagnostics to identify risks before they manifest as health conditions. We favor creating clear, individualized plans for long-term health maintenance over simply reacting to illness. Our objective is to equip every patient with a thorough understanding of their own body and provide actionable steps for today. With prevention and clarity as our foundation, we guide patients toward building a longer, more healthful life.

Discover if our method is a good fit for you. Book your consultation online and Schedule an appointment

Evidence-based Longevity In Aachen

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 A Hormone Replacement Therapy Focus Session In Aachen

The cost for a Hormone Replacement Therapy Focus Session is based on the German healthcare pricing system (GOÄ – Gebührenordnung für Ärzte). 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:

Hormone Replacement Therapy 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

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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

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.