Achieve Hormonal Balance In Berlin Mitte

Prevention Through Proactive Insight

One-third of a woman's life occurs after menopause, which is about 33 years based on an average menopause age of 51 and a European Union life expectancy of 84 for women. Additionally, women can experience perimenopausal symptoms for as long as a decade. This means that approximately half of a woman's life is spent managing various symptoms that can impair both quality of life and productivity.

Individuals undergoing HRT (Hormone Replacement Therapy) often state that they “feel like themselves again”. Therefore, identifying the correct treatment frequency and dosage represents a crucial investment in one's well-being for the upcoming 30-40 years.

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

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

It is important to remember that each woman's experience with symptoms and their severity is unique. Hormones can have overlapping or synergistic effects. Consequently, resolving and managing symptoms is typically a gradual, step-by-step 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.

Systemic Symptoms Of A Hormonal Imbalance

Sleep: Deficient Progesterone leads to disrupted sleep and waking up at night (due to the loss of GABA's calming influence); low Estrogen results in night sweats and waking up very early.
Mood: Inadequate Progesterone can cause irritability and anxiety; insufficient Estrogen is associated with depression and a loss of pleasure; low Testosterone diminishes motivation and confidence.
Menstrual Cycle: A lack of Progesterone can lead to heavy, erratic bleeding (from unopposed estrogen); diminished Estrogen causes cycles to become shorter or cease.
Vasomotor Symptoms: Insufficient Estrogen is the main cause behind hot flashes and night sweats.
Libido & Sexual Function: Inadequate Estrogen leads to vaginal dryness and discomfort; low Testosterone is the principal reason for decreased spontaneous desire and less intense orgasms.
Cognitive Symptoms: Deficient Estrogen can result in "brain fog" and memory issues; insufficient Testosterone impairs strategic thought and mental focus.
Metabolism: Insufficient Estrogen encourages the accumulation of abdominal fat and contributes to insulin resistance; low Testosterone results in a reduction of lean muscle, which in turn slows the metabolism.
Skin & Hair: Deficient Estrogen decreases collagen levels and skin suppleness; inadequate Testosterone may play a role 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 muscular power.
Urogenital Health: Insufficient Estrogen results in Genitourinary Syndrome of Menopause, which includes symptoms like atrophy, itching, and recurrent urinary tract infections.

An Overview Of The Treatment Process

Hormone Replacement Therapy is an adaptive, evolving process customized to your individual biological needs. In contrast to a fixed prescription, your physician will modify dosages and schedules according to blood test results and symptom monitoring. The typical approach is to stabilize one hormone prior to adding another, with follow-up appointments scheduled every 3–6 months.

Progesterone (Oral Micronized): Sourced from plants, bioidentical progesterone is readily absorbed by the body. Its advantages include safeguarding the uterine lining, regulating hormonal balance, alleviating anxiety, and enhancing sleep quality. The standard regimen is 100mg–200mg taken at bedtime to accommodate its sedative effect. Women in perimenopause typically use it in the latter half of their cycle (days 14–28), whereas those with irregular cycles or who are post-menopausal take it on a continuous basis.
Estradiol (Transdermal): Applying estrogen through the skin with gels or patches is considered a safer alternative to oral forms. Oral estrogen can increase the risk of blood clots fourfold, but research (such as the BMJ 2019 study) indicates that transdermal application does not present this elevated risk because the hormone enters the bloodstream directly via the skin. Gels are often preferred at the beginning for straightforward dose adjustment, with symptom improvement generally observed after 4–8 weeks of regular application.
Transdermal Testosterone: While testosterone can improve libido and energy levels, formulations specifically for women are not widely available except in Australia. The required dosage is minimal (around 300mcg/day), since higher amounts may lead to side effects like acne or unwanted hair growth.
Dehydroepiandrosterone (DHEA): This is sometimes administered as a hormonal precursor, though its effectiveness when taken orally can be unpredictable. It is important to know that vaginal DHEA is intended only for treating localized atrophy and does not function as a systemic hormone replacement.
Medical Supervision: Any 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.

The Timeline For Hormone Replacement Therapy Results

First Few Weeks A slight alleviation of symptoms, like better sleep, mood, or energy, may become apparent. The specific hormone initiated will influence this timeline. Progesterone tends to work more quickly, whereas Estradiol requires a minimum of 2 to 4 weeks for initial effects to be felt. This period is also for establishing your application routine—timing, method, and location.
1 to 3 Months The dosage is adjusted during this phase, as the therapy is personalized to your specific symptoms. The dose is raised if symptoms return. If side effects like breast tenderness or migraines develop, the estrogen dosage is typically reduced. Ideally, mood fluctuations begin to even out and energy levels rise. The occurrence of symptoms such as 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 more time to produce their full effects. Issues like hot flashes, night sweats, and vaginal dryness frequently show marked improvement, while mood swings occur far less often.
6 to 12 Months You experience the complete benefits of the therapy and observe a notable enhancement in your overall quality of life. You also recognize that adjustments may still be needed and can modify the dosage or method of administration accordingly.
Month 13 Onwards Over the long term, further advantages accrue, including increased bone density (lowering osteoporosis risk) and improved cardiovascular health, which supports healthy aging. It's important to note that these benefits are maximized when combined with strength training, a nutritious diet, and adequate protein consumption.

What To Do Next

The Longevity Practice is dedicated to detecting health risks before they develop into problems by using early and accurate diagnostics. Rather than responding to illness, we develop straightforward, customized strategies for preserving long-term wellness. Our objective is to provide each patient with profound insight into their own body, accompanied by actionable steps for immediate implementation. By centering our approach on prevention and clarity, we guide patients in constructing a longer, more healthful life.

Discover if our methodology is a good fit for you. Arrange your consultation through our online system and Schedule an appointment

Evidence-based Longevity In Berlin Mitte

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 Mitte

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.