Hormone Balancing Services In Braunschweig

Prevention Through Foresight

A woman spends approximately one-third of her life post-menopause (which is about 33 years, given the average menopause age of 51 and the EU female life expectancy of 84). Additionally, women can spend as long as 10 years managing symptoms of perimenopause. This means that for nearly half of their lives, women may contend with numerous symptoms that can reduce their quality of life and productivity.

Patients undergoing HRT (Hormone Replacement Therapy) often say they “feel like themselves again.” Finding the correct treatment frequency and dosage is therefore a valuable investment in the next 30 to 40 years of your life.

A simplified guide to help identify which hormone might be low:

Low Progesterone: You might experience anxiety, irritability, and a feeling of being 'wired'.
Low Estrogen: You could feel dry, hot, and prone to weepiness.
Low Testosterone: You may feel fatigued, weak, and lacking in motivation.

It is important to note that each woman experiences different symptoms with varying levels of intensity. Hormones can also have overlapping or synergistic effects. The process of troubleshooting and resolving symptoms is often gradual and requires adjustments over time.

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 leads to disrupted sleep and waking at night (from the loss of GABA's calming effect); low Estrogen is a cause of night sweats and awakenings in the early morning.
Mood: Insufficient Progesterone can result in irritability and anxiety; a lack of Estrogen is connected to depression and anhedonia; low Testosterone decreases motivation and assertiveness.
Menstrual Cycle: Inadequate Progesterone is a cause of heavy, irregular periods (due to unopposed estrogen); low Estrogen leads to shorter or absent cycles.
Vasomotor Symptoms: A deficiency in Estrogen is the principal cause of hot flashes and night sweats.
Libido & Sexual Function: Low Estrogen results in vaginal dryness and pain; a lack of Testosterone is the main cause of diminished spontaneous desire and weaker orgasms.
Cognitive Symptoms: Insufficient Estrogen is a cause of "brain fog" and lapses in memory; low Testosterone diminishes strategic thinking and mental drive.
Metabolism: Low Estrogen contributes to the accumulation of central fat (belly fat) and insulin resistance; deficient Testosterone results in a loss of lean muscle mass, which slows the metabolic rate.
Skin & Hair: A lack of Estrogen diminishes collagen and skin elasticity; low Testosterone can be a factor in reduced hair density.
Bone & Muscle: Insufficient Estrogen is a primary factor in osteoporosis and sarcopenia; low Testosterone leads to a reduction in physical stamina and muscle strength.
Urogenital Health: A lack of Estrogen can result in Genitourinary Syndrome of Menopause (leading to atrophy, itching, and frequent UTIs).

The Hormone Replacement Therapy Process

HRT is an adaptive, step-by-step process that is personalized to your specific biology. In contrast to a typical prescription, your physician will fine-tune dosages and timing in response to blood work and symptom monitoring. The standard approach is to stabilize one hormone before adding another, eventually transitioning to check-up appointments every 3–6 months.

Progesterone (Oral Micronized): Bioidentical progesterone originates from plants and is well-absorbed. Its benefits consist of protecting the uterine lining, balancing hormones, diminishing anxiety, and promoting better sleep. The standard protocol involves 100mg–200mg taken at night (as it can induce drowsiness). Perimenopausal women typically use it in the latter part of their cycle (days 14–28), while women with irregular cycles and those who are post-menopausal use it continuously.
Estradiol (Transdermal): Methods that deliver estrogen through the skin (gels/patches) are safer than oral forms. While oral estrogen may increase the risk of blood clots fourfold, studies (like the BMJ 2019 study) demonstrate that transdermal application has no such elevated risk, as the hormone is absorbed directly into the bloodstream through the skin. Gels are often prescribed initially for easier dose titration, and it generally requires 4–8 weeks of regular application to notice symptom relief.
Transdermal Testosterone: Testosterone is beneficial for libido and energy, yet formulas specifically for women are uncommon outside of Australia. The dose is kept very low (around 300mcg/day), because an excessive amount can trigger acne or hair growth.
Dehydroepiandrosterone (DHEA): It is occasionally prescribed as a precursor hormone, but its oral administration yields inconsistent outcomes. Please note: Vaginal DHEA is formulated for localized atrophy and is not a systemic replacement therapy.
Medical Supervision: All forms of HRT must be prescribed and monitored under professional medical guidance.

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.

Timeline for Hormone Replacement Therapy Results

First Few Weeks You may start to see slight improvements in symptoms, like better sleep, mood, or energy. The timing depends on which hormone you begin with. Progesterone acts more rapidly, whereas Estradiol needs at least 2 to 4 weeks for initial effects to become apparent. During this time, you will establish your routine for when, how, and where to apply it.
1 to 3 Months The dosage is evaluated during this period, as the treatment is customized based on your symptoms. If symptoms return, the dosage is raised. If you experience breast tenderness or migraines, we may try to lower the estrogen dose. Ideally, your mood swings will begin to level out, and your energy levels will rise. Symptoms like hot flashes and night sweats should become less frequent.
3 to 6 Months This is the timeframe when most individuals feel considerable relief, as transdermal Estradiol and Testosterone need time to take effect. Hot flashes, night sweats, and vaginal dryness frequently improve significantly, and mood swings happen much less often.
6 to 12 Months You are now experiencing the full benefits of the treatment and can see an enhancement in your quality of life. You are aware that changes can still occur and that the dosage or administration methods can be adjusted accordingly.
Month 13 Onwards In the long term, more benefits continue to build, such as stronger bones (which lowers the risk for osteoporosis) and improved heart health, which supports your well-being as you age. Note that these outcomes are achieved when combined with strength training, a healthy diet, and sufficient protein intake.

Next Steps

At The Longevity Practice, we concentrate on spotting risks before they escalate into health issues by using early, accurate diagnostics. Instead of merely treating disease, we formulate clear, individualized plans to support long-term health. Our mission is to provide every patient with an in-depth understanding of their body, complete with practical actions they can implement today. With prevention and clarity as our foundation, we assist patients in creating a longer, healthier life.

Discover if our method is suitable for you. Book your consultation online and Schedule an appointment

Evidence-based Longevity In Braunschweig

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 Braunschweig

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.