Balance Hormones In Bremen

Prevention Through Foresight

A third of a woman's life, or approximately 33 years, occurs after menopause, based on an average menopausal age of 51 and an EU female life expectancy of 84. Furthermore, women can experience symptoms of perimenopause for up to a decade. This means that for nearly half of their lives, women may face various symptoms that impact their quality of life and productivity.

Patients undergoing HRT (Hormone Replacement Therapy) frequently state that they “feel like themselves again.” Consequently, finding the optimal treatment frequency and dosage is a vital investment in the next 30 to 40 years of your life.

A basic guide for identifying a potential hormone deficiency:

Low Progesterone: You might experience feelings of anxiety, irritability, and being overstimulated.
Low Estrogen: You could feel dry, hot, and prone to tearfulness.
Low Testosterone: This may result in feeling tired, weak, and lacking motivation.

It is important to recognize that each woman experiences different symptoms with varying intensity. Hormones can also have overlapping or synergistic effects. Therefore, troubleshooting and resolving symptoms is usually a gradual, iterative 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.

A Symptom Guide to Hormonal Imbalance

Sleep: Deficient Progesterone can lead to disrupted sleep and waking during the night (due to the loss of GABA's calming influence); low Estrogen can cause night sweats and waking up very early.
Mood: A lack of Progesterone can result in irritability and anxiety; low Estrogen is associated with depression and anhedonia; diminished Testosterone can decrease motivation and assertiveness.
Menstrual Cycle: Insufficient Progesterone can cause heavy, erratic bleeding (from unopposed estrogen); a lack of Estrogen leads to shorter or missed periods.
Vasomotor Symptoms: Deficient Estrogen is the main cause behind hot flashes and night sweats.
Libido & Sexual Function: A lack of Estrogen results in vaginal dryness and discomfort; low Testosterone is the main reason for a decrease in spontaneous desire and less intense orgasms.
Cognitive Symptoms: Deficient Estrogen can lead to "brain fog" and memory issues; reduced Testosterone can impair strategic thought and mental focus.
Metabolism: Insufficient Estrogen contributes to the accumulation of abdominal fat and insulin resistance; a lack of Testosterone leads to a reduction in lean muscle, which slows down the metabolic rate.
Skin & Hair: Deficient Estrogen diminishes collagen levels and skin elasticity; low 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 decreases physical endurance and muscular power.
Urogenital Health: Insufficient Estrogen can result in the Genitourinary Syndrome of Menopause, which involves atrophy, itching, and recurrent urinary tract infections.

An Overview of the Treatment Process

HRT is an adaptive, step-by-step process 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 approach involves stabilizing one hormone at a time before adding the next, 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, balancing other hormones, alleviating anxiety, and enhancing sleep. A typical protocol involves 100mg–200mg taken at bedtime to accommodate its sedative effect. 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 estrogen through the skin with gels or patches is considered safer than taking it orally. 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 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 improve libido and energy levels, formulations designed for women are not widely available, except in Australia. The required dose is quite small (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, though its effectiveness when taken orally can be unpredictable. It's important to note that vaginal DHEA is intended only for treating localized atrophy and does not function as a systemic hormone replacement.
Medical Supervision: A prescription and ongoing supervision from a medical professional are mandatory 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.

Timeline of Effects from Hormone Replacement Therapy (HRT)

First Few Weeks Initial, subtle relief from symptoms may become apparent, including better sleep, mood, or energy levels. The timing depends on which hormone treatment is initiated first. Progesterone tends to work more quickly, whereas Estradiol typically requires 2 to 4 weeks before small changes are felt. This is also the period for establishing a personal application routine.
1 to 3 Months During this phase, the dosage is fine-tuned, as the therapy is customized to your specific symptoms. The dose is raised if symptoms return. If side effects such as breast tenderness or migraines occur, the estrogen dosage may be reduced. Ideally, mood fluctuations begin to even out and energy improves. The frequency of symptoms like hot flashes or night sweats should also diminish.
3 to 6 Months Most individuals report substantial relief during this period, as the full effects of transdermal Estradiol and Testosterone become evident. There is often a dramatic improvement in hot flashes, night sweats, and vaginal dryness, while mood swings occur far less often.
6 to 12 Months At this stage, you experience the complete benefits of the therapy and a noticeable enhancement in your quality of life. You will have a better understanding of ongoing bodily changes and how to adjust dosages or application methods accordingly.
Month 13 Onwards Over the long term, further advantages accrue, such as increased bone density (lowering osteoporosis risk) and improved cardiovascular health, which support healthy aging. 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 focus is on pinpointing risks before they develop into health issues by using early and accurate diagnostics. Rather than simply responding to illness, we develop transparent, individualized strategies for sustaining long-term health. We aim to provide each patient with profound insight into their own body and actionable steps for today. By prioritizing prevention and clarity, we guide patients in constructing a longer, healthier existence.

Discover if our methodology is a good fit for your needs. Book your consultation online and book an appointment

Evidence-based Longevity In Bremen

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 Bremen

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.