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Hormone Balancing Services In Dresden

Fast appointments (self payers or privately insured patients only)

Online doctor consultations and testing at our office in Berlin Prenzlauer Berg

On-demand coaching from doctors for your current problems, needs and healthspan goals.

Prevention Through Foresight

Post-menopause constitutes one-third of a woman's life (approximately 33 years, based on an average menopause age of 51 and an EU female life expectancy of 84). Furthermore, women can experience perimenopausal symptoms for as long as a decade. This means that about half of a woman's life can be spent managing various symptoms that diminish both quality of life and personal productivity.

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

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

  • Low Progesterone: You might experience feelings of anxiety, irritability, and being overly stimulated.
  • Low Estrogen: You could feel dehydrated, overheated, and prone to crying.
  • Low Testosterone: You may notice fatigue, a lack of strength, and diminished drive.

It is important to remember that each woman experiences symptoms with varying severity. Hormones can have overlapping or synergistic effects. Consequently, 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.

A Body-Wide Guide to Hormonal Imbalance Symptoms

  • Sleep: Deficient Progesterone results in disrupted sleep and waking during the night (due to a loss of the calming GABA effect); insufficient Estrogen leads to night sweats and waking up very early.
  • Mood: Inadequate Progesterone can cause irritability and anxiety; low Estrogen is associated with depression and a loss of pleasure; diminished Testosterone decreases motivation and assertiveness.
  • Menstrual Cycle: Insufficient Progesterone leads to heavy, erratic bleeding (from unopposed estrogen); low Estrogen causes menstrual cycles to become shorter or cease.
  • Vasomotor Symptoms: A deficiency in Estrogen is the main cause behind hot flashes and night sweats.
  • Libido & Sexual Function: Inadequate Estrogen leads to vaginal dryness and discomfort; low Testosterone is the main reason for a decline in spontaneous desire and less intense orgasms.
  • Cognitive Symptoms: Deficient Estrogen results in "brain fog" and memory issues; insufficient Testosterone impairs strategic thinking and mental focus.
  • Metabolism: Low Estrogen contributes to the accumulation of abdominal fat and insulin resistance; inadequate Testosterone leads to a reduction in lean muscle, which lowers the metabolic rate.
  • Skin & Hair: Insufficient Estrogen diminishes collagen and the elasticity of the skin; 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; deficient Testosterone decreases physical endurance and muscular power.
  • Urogenital Health: Inadequate Estrogen causes Genitourinary Syndrome of Menopause, characterized by atrophy, itching, and recurrent UTIs.

An Overview of the Treatment Process

Hormone Replacement Therapy is a fluid, step-by-step process customized to your individual physiology. It is not like a typical prescription; your physician will modify doses and schedules according to blood work and how you track your symptoms. Generally, one hormone is stabilized before the next is added, with follow-up appointments scheduled every 3–6 months over time.

  • Progesterone (Oral Micronized): Derived from plants, bioidentical progesterone is readily absorbed by the body. Its advantages involve safeguarding the uterine lining, stabilizing hormones, alleviating anxiety, and enhancing sleep quality. The standard dosage is typically 100mg–200mg taken in the evening (because it can cause sleepiness). Women in perimenopause usually use it in the latter half of their cycle (days 14–28), while those with irregular periods and in post-menopause use it without interruption.
  • Estradiol (Transdermal): Methods that deliver the hormone through the skin (like gels or patches) are a safer alternative to oral estrogen. While oral estrogen may increase the risk of blood clots fourfold, but research (such as the BMJ 2019 study) indicates that transdermal application does not present this elevated risk because the hormone enters the bloodstream directly via the skin. Gels are often used at the start for simple dose adjustments, 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 common, except in Australia. The required dose is minimal (around 300mcg/day), since higher amounts may lead to acne or unwanted hair growth.
  • Dehydroepiandrosterone (DHEA): This is occasionally used as a hormonal precursor, though its effectiveness when taken orally varies. Important: 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 care of a 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.

Understanding the HRT Treatment Timeline

  • First Few Weeks You may observe some initial relief from symptoms, including better sleep, mood, or energy levels. The timing of this depends on which hormone you begin with. Progesterone tends to work more quickly, whereas Estradiol requires a minimum of 2 to 4 weeks for subtle effects to emerge. During this time, you will establish a personal routine for application.
  • 1 to 3 Months The dosage is adjusted during this period, as the therapy is personalized to your specific symptoms. Should symptoms reappear, the dose is raised. If side effects like breast tenderness or migraines occur, we aim to reduce the estrogen level. Your mood should begin to stabilize, and energy levels typically rise. The occurrence of symptoms such as hot flashes or night sweats ought to diminish.
  • 3 to 6 Months This timeframe is when the majority of individuals report substantial relief, as it takes time for transdermal Estradiol and Testosterone to become fully effective. Issues like hot flashes, night sweats, and vaginal dryness usually show marked improvement, while mood swings happen far less often.
  • 6 to 12 Months You experience the complete benefits of the therapy and see a notable enhancement in your quality of life. You also recognize that adjustments may still be needed and can modify the dosage or method of administration accordingly.
  • Month 13 Onwards Over the long term, further advantages build up, such as improved bone density (which lowers the risk of osteoporosis) and enhanced cardiovascular health, supporting your well-being as you get older. It's important to note these benefits are most effective when combined with strength training, a nutritious diet, and adequate protein consumption.

Next Steps

Here at The Longevity Practice, our focus is on detecting risks with early, accurate diagnostics before they develop into health issues. Rather than simply responding to illness, we develop transparent, individualized strategies for sustaining long-term wellness. Our objective is to provide each patient with profound insight into their own body and actionable steps for today. By prioritizing prevention and clarity, we guide patients toward building 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 Dresden

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.

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Cost Of A Hormone Replacement Therapy Focus Session In Dresden

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
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
Introduction Session
0€
Schedule a quick video call to learn more about The Longevity Practice services and approach.
Duration: 15 minutes

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.