Balance Hormones In Bochum

Prevention Through Proactive Insight

Women spend one-third of their lives in post-menopause (approximately 33 years, considering the average menopause age of 51 and the average female life expectancy of 84 in the EU). Additionally, perimenopause symptoms can last for up to 10 years. This means that for approximately half of their lives, women may experience a range of symptoms that impact their well-being and productivity.

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

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

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

It is important to remember that each woman experiences symptoms differently and with varying levels of intensity. Hormones can have overlapping or synergistic effects. Addressing and resolving these symptoms is typically a gradual, iterative journey.

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 Body-Wide Guide to Hormonal Imbalance Symptoms

Sleep: Deficient Progesterone disrupts sleep, causing nighttime awakenings (due to a reduced GABA calming effect); low Estrogen contributes to night sweats and waking up early in the morning.
Mood: A Progesterone deficit can result in irritability and anxiety; insufficient Estrogen is associated with depression and anhedonia; low Testosterone diminishes motivation and self-assurance.
Menstrual Cycle: Inadequate Progesterone leads to heavy, unpredictable bleeding (from unopposed estrogen); a lack of Estrogen can cause menstrual cycles to become shorter or cease.
Vasomotor Symptoms: Insufficient Estrogen is the main cause behind hot flashes and nocturnal sweating.
Libido & Sexual Function: A lack of Estrogen leads to vaginal dryness and discomfort; deficient Testosterone is the principal reason for decreased spontaneous desire and less intense orgasms.
Cognitive Symptoms: Insufficient Estrogen can result in "brain fog" and problems with memory; low Testosterone impairs strategic thought and mental focus.
Metabolism: A deficiency in Estrogen encourages the accumulation of central (belly) fat and insulin resistance; low Testosterone results in a decrease in lean muscle, which in turn slows down the metabolic rate.
Skin & Hair: Insufficient Estrogen diminishes collagen levels and the elasticity of the skin; a lack of Testosterone may play a role in thinning hair.
Bone & Muscle: An Estrogen deficiency is a significant factor in the development of osteoporosis and sarcopenia; low Testosterone decreases physical endurance and muscular power.
Urogenital Health: Insufficient Estrogen results in Genitourinary Syndrome of Menopause, characterized by atrophy, itching, and recurrent urinary tract infections.

An Overview of Your Potential Treatment Plan

HRT is an adaptive, ongoing process customized to your individual biological needs. It differs from a typical prescription in that your physician will modify dosages and schedules according to blood test results and how your symptoms evolve. The usual approach is to stabilize one hormone at a time before adding the next, 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, harmonizing hormones, alleviating anxiety, and enhancing sleep quality. The standard protocol involves taking 100mg–200mg in the evening, as it can cause sleepiness. Women in perimenopause typically use it in the latter half of their cycle (days 14–28), while those with irregular cycles or in post-menopause take it on a continuous basis.
Estradiol (Transdermal): Topical application methods like gels or patches are considered safer than taking estrogen orally. While oral estrogen may 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. Gels are often the initial choice for ease of dose adjustment, and consistent application for 4–8 weeks is usually needed to observe a reduction in symptoms.
Transdermal Testosterone: While testosterone can improve libido and energy levels, formulas specifically for women are not widely available except in Australia. A very low dose is used (approx. 300mcg/day), since higher amounts can lead to side effects like acne or unwanted hair growth.
Dehydroepiandrosterone (DHEA): It is occasionally utilized as a hormonal precursor, though its effectiveness when taken orally is variable. Note: It's important to note that vaginal DHEA targets localized atrophy and is not intended for systemic hormone replacement.
Medical Supervision: A prescription and ongoing supervision by a medical professional are necessary for all forms of HRT.

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 You may begin to see slight relief from symptoms, including better sleep, an improved mood, or more energy. The specific improvements depend on which hormone treatment is initiated. Progesterone typically works more quickly, whereas Estradiol requires a minimum of 2 to 4 weeks for initial effects to become noticeable. During this time, you will establish a personal routine for when, how, and where to apply your treatment.
1 to 3 Months The dosage is adjusted during this period, as the therapy is personalized to your specific symptoms. The dose is increased if symptoms return. If side effects like breast tenderness or migraines occur, the estrogen dosage is typically reduced. Ideally, mood fluctuations begin to even out, and you may feel an increase in energy. The occurrence of symptoms such as hot flashes or night sweats should diminish.
3 to 6 Months Most individuals report substantial symptom relief in this timeframe, as transdermal Estradiol and Testosterone require several months to become fully effective. There is often a marked improvement in 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 observe a significant enhancement in your overall quality of life. You also develop an understanding that ongoing adjustments may be needed and can modify dosages or application methods accordingly.
Month 13 Onwards Over the long term, further advantages accrue, such as increased bone density (which lowers osteoporosis risk) and improved cardiovascular health, contributing to your well-being as you get older. It is important to note that these benefits are most effective when combined with strength training, a nutritious diet, and adequate protein consumption.

Next Steps

At The Longevity Practice, our focus is on using early and precise diagnostics to identify health risks before they develop into problems. Rather than merely reacting to illness, we develop straightforward, customized strategies to preserve health over the long term. We aim to provide each patient with a thorough understanding of their own body, complemented by actionable steps they can implement immediately. By prioritizing prevention and clarity, we guide patients in constructing a longer and healthier life.

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

Evidence-based Longevity In Bochum

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 Bochum

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.