Hormonal Balance Services In Bayreuth

Prevention Through Prediction

Post-menopause constitutes a third of a woman's life (approximately 33 years, based on an average menopause age of 51 and an average EU female life expectancy of 84). Furthermore, women can spend as long as a decade managing the symptoms of perimenopause. This means that for about half of their lives, women may experience a range of symptoms that diminish their productivity and quality of life.

Individuals undergoing HRT (Hormone Replacement Therapy) frequently report a return to feeling “like their normal selves”. Therefore, identifying the correct dosage and treatment rhythm represents a crucial investment in the quality of the next 30 to 40 years of one's life.

Here is a basic guide to help identify which hormone might be deficient:

Low Progesterone: Can lead to feelings of anxiety, irritability, and being overly stimulated.
Low Estrogen: Can result in feelings of dryness, heat, and tearfulness.
Low Testosterone: May cause sensations of fatigue, weakness, and a lack of motivation.

It is important to remember that each woman's experience with symptoms can vary in type and intensity. Hormones can have overlapping or synergistic effects. The process of identifying and resolving symptoms is typically iterative.

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.

The Body-Wide Effects of Hormonal Imbalance

Sleep: Deficient Progesterone results in disrupted sleep and waking during the night (due to a loss of GABA's sedative effect); insufficient Estrogen leads to night sweats and waking up too early.
Mood: Insufficient Progesterone contributes to anxiety and irritability; low Estrogen is associated with depression and a loss of pleasure; diminished Testosterone can decrease assertiveness and motivation.
Menstrual Cycle: A Progesterone deficiency leads to irregular, heavy periods (from unopposed estrogen); an Estrogen deficiency causes cycles to become shorter or to be missed entirely.
Vasomotor Symptoms: An Estrogen deficiency is the main cause behind night sweats and hot flashes.
Libido & Sexual Function: Insufficient Estrogen results in painful intercourse and vaginal dryness; a Testosterone deficiency is the chief reason for a decline in spontaneous desire and less intense orgasms.
Cognitive Symptoms: A lack of Estrogen can lead to memory issues and "brain fog"; inadequate Testosterone diminishes mental drive and the capacity for strategic thought.
Metabolism: Insufficient Estrogen encourages the accumulation of abdominal fat and contributes to insulin resistance; low Testosterone results in a loss of lean muscle, which slows down the metabolic rate.
Skin & Hair: An Estrogen deficiency decreases skin elasticity and collagen production; a Testosterone deficiency can play a role in thinning hair.
Bone & Muscle: A significant factor in sarcopenia and osteoporosis is low Estrogen; insufficient Testosterone lessens muscle power and physical endurance.
Urogenital Health: Deficient Estrogen results in the Genitourinary Syndrome of Menopause, characterized by atrophy, itching, and recurrent UTIs.

Understanding the Treatment Approach

HRT is an adaptive, ongoing process customized to your individual biological needs. In contrast to a fixed prescription, your physician will modify the timing and dosage according to symptom monitoring and blood test results. Typically, one hormone is brought to a stable level before the next is added, with follow-up appointments transitioning to every 3–6 months over time.

Progesterone (Oral Micronized): Bioidentical progesterone is sourced from plants and is readily absorbed by the body. Its advantages include safeguarding the uterine lining, regulating hormones, alleviating anxiety, and enhancing sleep quality. The standard protocol involves a nightly dose of 100mg–200mg, administered at night because it can cause sleepiness. Women in perimenopause typically use it in the latter part of their cycle (from day 14 to 28), whereas post-menopausal women and those with irregular periods take it on a continuous basis.
Estradiol (Transdermal): Applying estradiol through the skin (via gels/patches) is a safer alternative to taking oral estrogen. While oral estrogen can increase the risk of blood clots fourfold, studies (e.g., BMJ 2019) indicate that transdermal application does not carry this elevated risk because the hormone enters the bloodstream directly via the skin. Initially, gels are often prescribed to allow for simple dosage adjustments, and it generally requires 4 to 8 weeks of regular application before symptoms begin to improve.
Transdermal Testosterone: Testosterone can improve energy levels and libido; however, formulations specifically for women are not widely available, except in Australia. A very low dose is used (approx. 300mcg/day), since higher amounts may lead to side effects like hair growth or acne.
Dehydroepiandrosterone (DHEA): DHEA is occasionally utilized as a hormonal precursor, though its effectiveness when taken orally can be unpredictable. Note: DHEA administered vaginally is intended only for treating localized atrophy and does not function as a systemic hormone replacement.
Medical Supervision: Every form of HRT must be prescribed and monitored by a qualified 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.

Expected Timeline for HRT Results

First Few Weeks You may begin to experience slight symptom improvements, like better sleep, mood, or energy. The timing of this relief is dependent on which hormone you start with. Progesterone acts more rapidly, while Estradiol needs at least 2 to 4 weeks before minor changes are noticeable. You establish your routine for when, how, and where to apply the treatment.
1 to 3 Months The dosage is evaluated during this time, as the therapy is customized based on your symptoms. The dose is raised if symptoms return. If side effects such as migraines or breast tenderness occur, we aim to reduce the estrogen level. Your energy should rise and mood swings should begin to even out. The occurrence of symptoms like night sweats or hot flashes ought to become less common.
3 to 6 Months The majority of individuals feel substantial relief during this period, as it takes time for transdermal Testosterone and Estradiol to become fully effective. There is often a dramatic improvement in symptoms like hot flashes, night sweats, and vaginal dryness, while mood swings occur far less often.
6 to 12 Months You experience the complete benefits of the therapy and see a notable enhancement in your quality of life. You also recognize that adjustments may still be needed and are able to modify the dosage or method of administration accordingly.
Month 13 Onwards Over the long term, further advantages build up, such as improved bone strength (lowering the risk of osteoporosis) and enhanced cardiovascular health, which support your well-being as you get older. It is important to know that these benefits are most effective when combined with a nutritious diet, adequate protein, and strength-based exercise.

Next Steps

At The Longevity Practice, we concentrate on detecting risks with precise, early diagnostics before they evolve into health issues. Rather than responding to illness, we develop transparent, individualized strategies for preserving health over the long term. Our aim is to provide each patient with profound insight into their own body, complemented by actionable measures they can implement immediately. By emphasizing clarity and prevention, we guide patients in constructing a healthier, more extended life.

See if our approach is right for you. Book your consultation online and Schedule an appointment

Evidence-based Longevity In Bayreuth

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 Bayreuth

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.