Achieve Hormonal Balance In Berlin Kreuzberg

Anticipation As A Form Of Prevention

Post-menopause constitutes one-third of a woman's life—approximately 33 years, based on an average menopause age of 51 and an EU life expectancy of 84. Furthermore, women can experience perimenopausal symptoms for as long as a decade. This means that about half of a woman's life can be affected by various symptoms that diminish both quality of life and personal productivity.

Individuals undergoing HRT (Hormone Replacement Therapy) often describe the experience as “feeling like themselves again.” Therefore, identifying the correct treatment frequency and dosage represents a crucial investment in the quality of the next 30-40 years of life.

Here is a basic guide for self-assessment to help identify which hormone might be deficient:

Low Progesterone: Feelings of anxiety, irritation, and being overstimulated may be present.
Low Estrogen: You might experience dryness, heat sensations, and tearfulness.
Low Testosterone: Sensations of fatigue, weakness, and a lack of motivation could occur.

It is important to remember that each woman's experience with symptoms and their severity is unique. Hormones can have overlapping or synergistic effects. Addressing and resolving symptoms is frequently a process of gradual adjustment.

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 Full-Body Guide To Hormonal Imbalance Symptoms

Sleep: Deficient Progesterone can lead to interrupted sleep and waking during the night (due to a loss of GABA's calming influence); low Estrogen can result in night sweats and waking up very early.
Mood: A lack of Progesterone contributes to irritability and anxiety; insufficient Estrogen is associated with depression and an inability to feel pleasure; low Testosterone diminishes motivation and confidence.
Menstrual Cycle: Inadequate Progesterone can cause heavy, erratic periods (from unopposed estrogen); diminished Estrogen leads to shorter cycles or missed periods.
Vasomotor Symptoms: A deficiency in Estrogen is the main cause of hot flashes and night sweats.
Libido & Sexual Function: Insufficient Estrogen results in vaginal dryness and discomfort; low Testosterone is the main reason for a decrease in spontaneous desire and less intense orgasms.
Cognitive Symptoms: A lack of Estrogen can lead to "brain fog" and problems with memory; low Testosterone impairs strategic thought and mental focus.
Metabolism: Inadequate Estrogen contributes to the accumulation of abdominal fat and insulin resistance; low Testosterone results in a loss of lean muscle, which in turn slows down the metabolic rate.
Skin & Hair: Deficient Estrogen decreases collagen levels and the elasticity of the skin; low Testosterone may be a factor in thinning hair.
Bone & Muscle: A lack of Estrogen is a significant factor in the development of osteoporosis and sarcopenia; low Testosterone lessens physical endurance and the strength of muscles.
Urogenital Health: Insufficient Estrogen results in Genitourinary Syndrome of Menopause, characterized by atrophy, itching, and recurrent UTIs.

An Overview Of A Potential Treatment Plan

HRT is an adaptive, ongoing process customized to your individual biological needs. In contrast to a fixed prescription, your physician will modify dosages and schedules according to blood work and symptom monitoring. The typical approach involves stabilizing one hormone prior to adding another, with follow-up appointments scheduled every 3–6 months.

Progesterone (Oral Micronized): Derived from plants, bioidentical progesterone is readily absorbed by the body. Its advantages include safeguarding the uterine lining, restoring hormonal equilibrium, alleviating anxiety, and enhancing sleep quality. The standard regimen is typically 100mg–200mg taken at bedtime to accommodate its sedative effects. Women in perimenopause generally use it in the latter half of their cycle (days 14–28), while those with irregular cycles or who are post-menopausal take it on a continuous basis.
Estradiol (Transdermal): Application through the skin (via gels or patches) is a safer alternative to oral estrogen. Whereas oral estrogen may increase the risk of blood clots fourfold, research (such as the BMJ 2019 study) indicates that transdermal application does not carry this elevated risk because the hormone enters the bloodstream directly via the skin. Gels are often used at the beginning of treatment for straightforward dosage adjustment, with symptom improvement generally observed after 4–8 weeks of regular application.
Transdermal Testosterone: While testosterone can enhance libido and energy levels, formulations designed for women are not widely available outside of Australia. The required dosage is minimal (around 300mcg/day), because higher amounts can lead to side effects like acne or unwanted hair growth.
Dehydroepiandrosterone (DHEA): This is occasionally utilized as a hormonal precursor, though its effectiveness when taken orally can be variable. Important: Vaginal DHEA is intended only for treating localized atrophy and is not a method for systemic hormone replacement.
Medical Supervision: All forms of HRT must be prescribed and managed under the guidance of 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.

The Timeline For Hormone Replacement Therapy (HRT) Results

First Few Weeks A slight easing of symptoms, including better sleep, mood, or energy levels, may become apparent. The specific hormone initiated will influence this timing. Progesterone tends to work more quickly, whereas Estradiol requires a minimum of 2 to 4 weeks for initial effects. This period is also for establishing your personal application routine.
1 to 3 Months During this phase, dosage is adjusted based on your specific symptoms, as the therapy is highly personalized. The dosage is raised if symptoms return. In cases of breast tenderness or migraines, the estrogen dose is typically reduced. Ideally your mood fluctuations to begin to even out and energy to improve. The occurrence of symptoms like hot flashes or night sweats should lessen.
3 to 6 Months Most individuals report substantial relief in this timeframe, as transdermal Estradiol and Testosterone require several months to become fully effective. Issues such as hot flashes, night sweats, and vaginal dryness typically show marked improvement, while mood swings occur far less often.
6 to 12 Months By now, you are experiencing the complete benefits of the therapy and can perceive a distinct enhancement in your quality of life. You also develop an awareness of ongoing bodily changes and learn to adjust the dosage or method of administration as needed.
Month 13 Onwards Over the long term, further advantages build up, such as enhanced bone density (which lowers the risk of osteoporosis) and improved cardiovascular health, contributing to your well-being as you get older. It's important to note these benefits are most effective when combined with strength training, a nutritious diet, and adequate protein consumption.

Next Steps

The Longevity Practice is dedicated to detecting health risks before they develop into problems by using early and accurate diagnostics. Rather than simply responding to illness, we develop transparent, individualized strategies for sustaining long-term wellness. Our objective is to provide each patient with a thorough knowledge of their own body, complemented by actionable steps for today. By prioritizing prevention and clarity, we guide patients in constructing a longer, more healthful life.

Discover if our methodology aligns with your needs. Book your consultation online and Schedule an appointment

Evidence-based Longevity In Berlin Kreuzberg

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 Berlin Kreuzberg

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.