Hormone Balancing In Duisburg

Proactive Health for Menopause and Beyond

Women spend approximately one-third of their lives post-menopause (around 33 years, based on an average menopause age of 51 and an EU female life expectancy of 84). Additionally, women can experience perimenopausal symptoms for up to a decade. This means that for nearly half their lives, women may face a range of symptoms that can diminish their quality of life and productivity.

Patients receiving HRT (Hormone Replacement Therapy) frequently report that they “feel like themselves again.” Finding the appropriate treatment rhythm and dosage is thus a strategic investment in the next 30 to 40 years of your life.

A simplified guide to self-assess potential hormone deficiencies:

Low Progesterone: You might feel anxious, irritable, and overstimulated.
Low Estrogen: You might feel dry, overheated, and emotional.
Low Testosterone: You might feel fatigued, physically weak, and uninspired.

It is important to note that symptoms and their intensities are experienced differently by each woman. There are also overlapping or synergistic effects among the hormones. Addressing and resolving symptoms is frequently an 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.

Hormonal Imbalance: A Full-Body Symptom Guide

Sleep: Low Progesterone is linked to disrupted sleep and waking during the night (from the loss of GABA's calming effect); Low Estrogen is associated with night sweats and waking up very early.
Mood: Low Progesterone can cause irritability and anxiety; Low Estrogen is tied to depression and anhedonia; Low Testosterone lowers motivation and self-assurance.
Menstrual Cycle: Low Progesterone results in heavy, erratic bleeding (due to unopposed estrogen); Low Estrogen leads to shorter or absent cycles.
Vasomotor Symptoms: Low Estrogen is the principal cause of hot flashes and nocturnal sweating.
Libido & Sexual Function: Low Estrogen leads to vaginal dryness and discomfort; Low Testosterone is the main factor behind diminished spontaneous desire and less intense orgasms.
Cognitive Symptoms: Low Estrogen is associated with "brain fog" and memory issues; Low Testosterone impairs strategic thinking and mental focus.
Metabolism: Low Estrogen encourages the accumulation of central fat (belly fat) and insulin resistance; Low Testosterone leads to a loss of lean muscle, which in turn slows the metabolic rate.
Skin & Hair: Low Estrogen diminishes collagen and skin suppleness; Low Testosterone may be a factor in reduced hair thickness.
Bone & Muscle: Low Estrogen is a significant factor in the development of osteoporosis and sarcopenia; Low Testosterone decreases physical endurance and muscular strength.
Urogenital Health: Low Estrogen results in Genitourinary Syndrome of Menopause (characterized by atrophy, itching, and recurrent UTIs).

Navigating Your HRT Treatment Plan

HRT is an adaptable and evolving process customized to your specific biology. In contrast to a fixed prescription, your physician will modify dosages and schedules based on blood work and symptom monitoring. The standard practice involves stabilizing one hormone before starting another, eventually transitioning to check-ups every 3–6 months.

Progesterone (Oral Micronized): Plant-derived and readily absorbed, bioidentical progesterone offers benefits such as protecting the uterine lining, balancing hormones, alleviating anxiety, and enhancing sleep. The typical protocol is 100mg–200mg taken at night (to accommodate its drowsy effect). Women in perimenopause usually take it during the latter part of their cycle (days 14–28), while post-menopausal women or those with irregular cycles use it continuously.
Estradiol (Transdermal): Topical methods like gels and patches are safer than oral estrogen. While oral estrogen may increase blood clot risk fourfold, research (like the BMJ 2019 study) indicates that transdermal application does not carry this elevated risk, as the hormone is absorbed directly into the bloodstream via the skin. Gels are often used at the outset for easy dosage adjustments, with symptom relief typically appearing after 4–8 weeks of regular use.
Transdermal Testosterone: Testosterone can improve libido and energy levels, though formulations specifically for women are uncommon outside of Australia. The dose is kept very low (around 300mcg/day), as higher amounts may lead to acne or unwanted hair growth.
Dehydroepiandrosterone (DHEA): This is sometimes used as a hormonal precursor, but its effectiveness when taken orally can vary. Note: Vaginal DHEA is for treating localized atrophy and is not a systemic replacement therapy.
Medical Supervision: All forms of HRT must be prescribed and managed under professional medical supervision.

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 HRT Timeline: When to Expect Results

First Few Weeks You may begin to experience subtle relief from symptoms, for instance, in your sleep, mood, or energy. This will vary depending on which hormone you begin with. Progesterone generally acts faster, whereas Estradiol requires at least 2 to 4 weeks for initial effects to manifest. This is the time to establish your routine for when, how, and where to apply the treatment.
1 to 3 Months The dosage is evaluated during this period, as the treatment is customized to your symptoms. If symptoms return, the dosage is adjusted upwards. If you experience breast tenderness or migraines, we may lower the estrogen dose. In an ideal scenario, your mood swings will begin to stabilize and your energy will improve. Symptoms such as hot flashes and night sweats should occur less often.
3 to 6 Months This is the period when most individuals feel significant relief, as transdermal Estradiol and Testosterone need time to become fully effective. Hot flashes, night sweats, and vaginal dryness frequently show dramatic improvement, and mood swings become far less common.
6 to 12 Months You experience the treatment’s full benefits and see a marked improvement in your quality of life. You gain an understanding that changes can still occur and learn to adapt your dosage or administration method accordingly.
Month 13 Onwards Over the long term, further benefits accrue, such as stronger bones (which lowers the risk of osteoporosis) and improved cardiovascular health, supporting your well-being as you age. Note that these benefits are maximized when combined with strength training, a healthy diet, and adequate protein intake.

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 reacting to illness, we develop straightforward, customized strategies for preserving long-term wellness. We aim to provide each patient with a thorough understanding of their own body and actionable steps for today. By centering our approach on prevention and clarity, we empower patients to construct a longer, healthier life.

Discover if our approach is a good fit for you. Book your consultation online and Schedule an appointment

Evidence-based Longevity In Duisburg

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 Duisburg

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.