Achieve Hormonal Balance In Berlin Steglitz

Anticipation Is The Key To Prevention

Women spend a third of their lives, approximately 33 years, in the post-menopausal phase, based on an average menopause onset at 51 and an EU life expectancy of 84. Additionally, they can experience perimenopausal symptoms for as long as 10 years. This means nearly half of a woman's life can be affected by various symptoms that impact her well-being and efficiency.

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 one's health for the coming 30-40 years.

A basic guide to help identify which hormone might be deficient:

Low Progesterone: Can manifest as feelings of anxiety, irritability, and being on edge.
Low Estrogen: Might lead to sensations of dryness, heat, and tearfulness.
Low Testosterone: Can result in feelings of fatigue, weakness, and a lack of motivation.

It is important to recognize that symptoms and their severity vary among women. Hormones can have overlapping or synergistic effects. Addressing and resolving 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.

The Body-Wide Signs Of A Hormonal Imbalance

Sleep: Deficient Progesterone leads to disrupted sleep and waking during the night (due to a reduced GABA calming effect); Deficient Estrogen results in night sweats and waking up early in the morning.
Mood: Inadequate Progesterone can cause irritability and anxiety; Low Estrogen is associated with depression and a loss of pleasure; Low Testosterone diminishes drive and self-confidence.
Menstrual Cycle: A Progesterone deficiency can result in heavy, erratic periods (from unopposed estrogen); An Estrogen deficiency leads to shorter or missed cycles.
Vasomotor Symptoms: A lack of Estrogen is the main cause behind hot flashes and night sweats.
Libido & Sexual Function: Insufficient Estrogen leads to vaginal dryness and discomfort; Insufficient Testosterone is the main reason for a decrease in spontaneous desire and less intense orgasms.
Cognitive Symptoms: Deficient Estrogen can cause "brain fog" and memory issues; Deficient Testosterone impairs strategic planning and mental focus.
Metabolism: Low Estrogen encourages the accumulation of abdominal fat and contributes to insulin resistance; Low Testosterone leads to a reduction in lean muscle, which decelerates the metabolic rate.
Skin & Hair: A lack of Estrogen diminishes collagen levels and skin suppleness; A lack of Testosterone can play a role in thinning hair.
Bone & Muscle: Estrogen deficiency is a significant factor in the development of osteoporosis and sarcopenia; Testosterone deficiency lessens physical endurance and muscular power.
Urogenital Health: Insufficient Estrogen results in Genitourinary Syndrome of Menopause, characterized by atrophy, itching, and recurrent UTIs.

An Overview Of A Potential Treatment Plan

Hormone Replacement Therapy is an evolving, step-by-step approach customized to your individual physiology. It differs from a typical prescription, as your physician will modify dosages and schedules according to blood work and symptom monitoring. The standard practice is to balance one hormone before 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 involve safeguarding the uterine lining, regulating hormones, alleviating anxiety, and enhancing sleep. The typical dosage is 100mg–200mg taken in the evening (as it can cause sleepiness). 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): Applying estradiol through the skin (via gels or patches) is a safer alternative to oral estrogen. While oral estrogen can 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 start for simple dose adjustment, with symptom improvement usually noticeable after 4–8 weeks of regular application.
Transdermal Testosterone: While testosterone can boost libido and energy levels, formulations designed for women are uncommon outside of Australia. The required dose is minimal (around 300mcg/day), since 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. It's important to know that vaginal DHEA targets localized atrophy and is not intended for 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 (HRT) Effectiveness

First Few Weeks You may experience some initial relief from symptoms, like better sleep, mood, or energy levels. The timing depends on which hormone you begin with. Progesterone works more quickly, whereas Estradiol requires at least 2 to 4 weeks for minor changes to become apparent. This is the period for establishing your routine: when, how, and where to apply the treatment.
1 to 3 Months During this phase, your dosage is fine-tuned, as the therapy is personalized to your symptoms. If symptoms return, the dose is increased. If you experience breast tenderness or migraines, we may reduce the estrogen. Your mood swings should begin to level out, and energy should improve. The frequency of symptoms like hot flashes or night sweats ought to diminish.
3 to 6 Months This is the timeframe when most individuals feel substantial relief, as transdermal Estradiol and Testosterone require time to become fully effective. Issues like hot flashes, night sweats, and vaginal dryness often show dramatic improvement, and mood fluctuations occur far less often.
6 to 12 Months At this stage, you are experiencing the complete benefits of the therapy and a notable enhancement in your quality of life. You are aware that your body continues to change and can make adjustments to dosage or delivery methods as needed.
Month 13 Onwards Over the long term, further advantages accumulate, such as stronger bones (which lowers the risk of osteoporosis) and improved cardiovascular health, contributing to your well-being as you age. Keep in mind these benefits are most effective when combined with strength training, a nutritious diet, and adequate protein intake.

Next Steps

At The Longevity Practice, our emphasis is on detecting risks before they evolve into health issues by using early and accurate diagnostics. Rather than simply responding to illness, we develop straightforward, customized strategies to preserve health over the long term. We aim to provide each patient with profound insight into their own body and actionable measures they can implement immediately. By focusing on prevention and clarity, we guide patients in constructing a longer, healthier existence.

Find out if our methodology is a good fit for you. Reserve your consultation online and Schedule an appointment

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 A Hormone Replacement Therapy Focus Session In Berlin Steglitz

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

Book appointment

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

Book appointment

Introduction Session

0€

Schedule a quick video call to learn more about The Longevity Practice services and approach.

Duration: 15 minutes

Book Call

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.