Hormone Balancing In Bonn

A Proactive Approach to Menopause

Post-menopause constitutes one-third of a woman's life, which is about 33 years based on an average menopause age of 51 and an EU life expectancy of 84. Additionally, women can experience perimenopausal symptoms for as long as a decade. This means that approximately half of a woman's life is impacted by a range of symptoms that diminish her quality of life and productivity.

Individuals undergoing HRT (Hormone Replacement Therapy) often describe the experience as “feeling like themselves again.” Therefore, identifying the optimal treatment frequency and dosage represents a significant 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: Can manifest as feelings of anxiety, irritability, and being overly stimulated.
Low Estrogen: May be associated with sensations of dryness, heat, and tearfulness.
Low Testosterone: Often linked to feelings of fatigue, weakness, and a lack of motivation.

It is important to remember that each woman's experience with symptoms varies in type and severity. Hormones can have overlapping or synergistic effects. Addressing and resolving 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.

How Hormonal Shifts Affect Your Entire Body

Sleep: Deficient Progesterone results in interrupted sleep and waking during the night (due to the loss of GABA's calming influence); Low Estrogen contributes to night sweats and waking up early in the morning.
Mood: A lack of Progesterone can cause irritability and anxiety; Estrogen deficiency is associated with depression and anhedonia; Low Testosterone diminishes drive and assertiveness.
Menstrual Cycle: Inadequate Progesterone leads to heavy and irregular periods (from unopposed estrogen); diminished Estrogen causes cycles to become shorter or missed entirely.
Vasomotor Symptoms: A deficiency in Estrogen is the main cause of hot flashes and nocturnal sweating.
Libido & Sexual Function: Estrogen deficiency leads to vaginal dryness and discomfort; insufficient Testosterone is the principal reason for decreased spontaneous desire and less intense orgasms.
Cognitive Symptoms: Inadequate Estrogen can result in "brain fog" and memory issues; reduced Testosterone can impair strategic thought and mental focus.
Metabolism: Deficient Estrogen encourages the accumulation of abdominal fat and contributes to insulin resistance; low Testosterone results in a decrease in lean muscle, which in turn slows the metabolic rate.
Skin & Hair: A lack of Estrogen diminishes collagen production and skin elasticity; insufficient Testosterone may play a role in thinning hair.
Bone & Muscle: Estrogen deficiency is a significant factor in the development of osteoporosis and sarcopenia; low Testosterone decreases physical endurance and muscular power.
Urogenital Health: Inadequate Estrogen results in Genitourinary Syndrome of Menopause, characterized by atrophy, itching, and recurrent urinary tract infections.

The HRT Process Explained

HRT is an adaptable and evolving process customized to your individual biological needs. It differs from a fixed prescription, as your physician will modify dosages and schedules according to blood test results and how your symptoms change. The typical approach involves stabilizing one hormone at a time before adding another, with follow-up appointments scheduled every 3–6 months.

Progesterone (Oral Micronized): This form of bioidentical progesterone originates from plants and is readily absorbed by the body. Its advantages include safeguarding the uterine lining, promoting hormonal equilibrium, alleviating anxiety, and enhancing sleep. The standard regimen is typically 100mg–200mg taken in the evening because of its sedative effects. Women in perimenopause generally use it in the latter half of their menstrual cycle (days 14–28), while those with irregular periods and post-menopausal women take it on a continuous basis.
Estradiol (Transdermal): Applying estradiol through the skin using gels or patches is considered a safer alternative to 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. Gels are often the first choice to allow for simple dose adjustments, and it generally takes 4–8 weeks of regular application for symptoms to improve.
Transdermal Testosterone: Testosterone can improve libido and energy levels, though formulations designed specifically for women are not widely available except in Australia. The required dosage is minimal (around 300mcg/day), since higher amounts can lead to side effects like acne or unwanted hair growth.
Dehydroepiandrosterone (DHEA): This is occasionally used as a hormonal precursor, although 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: Every form 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.

What to Expect: The HRT Timeline

First Few Weeks You may begin to experience slight improvements in symptoms like sleep, mood, or energy levels. The timing of this relief varies based on the initial hormone used. Progesterone tends to work more quickly, whereas Estradiol typically requires 2 to 4 weeks for initial effects to become noticeable. This period is also for establishing a consistent application routine.
1 to 3 Months Dosage adjustments are made during this time, as the therapy is customized based on your symptoms. The dose is increased if symptoms return. If side effects such as breast tenderness or migraines occur, the estrogen dose may be reduced. Ideally, mood fluctuations begin to even out and energy levels improve. The frequency of symptoms like hot flashes or night sweats should start to diminish.
3 to 6 Months Most individuals report substantial symptom 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 dramatic improvement, while mood swings occur far less often.
6 to 12 Months At this stage, you experience the complete benefits of the therapy and observe a notable enhancement in your quality of life. You also become more attuned to bodily changes and can make adjustments to dosage or delivery methods as needed.
Month 13 Onwards Over the long term, further advantages accumulate, such as increased bone density (which lowers osteoporosis risk) and improved cardiovascular health, contributing to your long-term wellness. It's important to note that these benefits are maximized when combined with strength training, a nutritious diet, and adequate protein consumption.

Next Steps

At The Longevity Practice, our approach centers on detecting health risks before they develop into problems by using early and accurate diagnostics. Rather than responding to illness, we develop straightforward, individualized strategies to preserve health over the long term. We aim to provide each patient with a thorough knowledge of their own body and actionable steps for immediate implementation. By prioritizing prevention and clarity, we guide patients in constructing a longer, healthier existence.

Discover if our methodology suits your needs. You can book your consultation online and Schedule an appointment

Evidence-based Longevity In Bonn

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 Bonn

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.