Balance Hormones In Erfurt

Prevention Through Foresight

Women spend a third of their lives, approximately 33 years, after menopause, considering the average European female life expectancy of 84 and a menopausal age of 51. Additionally, perimenopausal symptoms can affect women for as long as a decade. This means that about half of a woman's life is spent managing various symptoms that can impair her quality of life and productivity.

Individuals undergoing HRT (Hormone Replacement Therapy) frequently describe a return to “feeling like themselves again”. Therefore, identifying the correct 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: Feelings of anxiety, irritation, and being overstimulated can occur.
Low Estrogen: Symptoms can include dryness, feeling hot, and a tendency to be tearful.
Low Testosterone: This may manifest as fatigue, weakness, and a lack of motivation.

It is important to remember that symptoms and their severity vary among women. Hormones can have overlapping or synergistic effects. Consequently, resolving these 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.

A Body-Wide Symptom Guide to Hormonal Changes

Sleep: Deficient Progesterone contributes to interrupted sleep and waking during the night (due to the loss of GABA's calming influence); low Estrogen is associated with night sweats and waking up early in the morning.
Mood: Insufficient Progesterone can result in irritability and anxiety; deficient Estrogen is connected to depression and an inability to feel pleasure; low Testosterone diminishes motivation and confidence.
Menstrual Cycle: Inadequate Progesterone can lead to heavy and erratic bleeding (from unopposed estrogen); a lack of Estrogen causes menstrual cycles to become shorter or absent.
Vasomotor Symptoms: Deficient Estrogen is the main cause behind hot flashes and nocturnal sweating.
Libido & Sexual Function: Insufficient Estrogen leads to vaginal dryness and discomfort; low Testosterone is the principal reason for decreased spontaneous libido and less intense orgasms.
Cognitive Symptoms: A lack of Estrogen can result in "brain fog" and memory issues; deficient Testosterone impairs strategic thought and mental focus.
Metabolism: Deficient Estrogen encourages the accumulation of abdominal fat and contributes to insulin resistance; low Testosterone results in a reduction of lean muscle, which lowers the metabolic rate.
Skin & Hair: A lack of Estrogen diminishes collagen levels and skin elasticity; insufficient Testosterone can 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: Insufficient Estrogen results in Genitourinary Syndrome of Menopause, characterized by atrophy, itching, and recurrent urinary tract infections.

An Overview of the Treatment Process

HRT is an adaptive, ongoing process customized to your individual biological needs. In contrast to a fixed prescription, your physician will modify dosages and schedules according to your blood test results and symptom monitoring. 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): Derived from plants, bioidentical progesterone is readily absorbed by the body. Its advantages include safeguarding the uterine lining, regulating hormones, alleviating anxiety, and enhancing sleep quality. The standard regimen is 100mg–200mg taken at bedtime to accommodate its sedative effect. Women in perimenopause typically use it in the latter half of their cycle (days 14–28), while those with irregular periods and post-menopausal women take it on a continuous basis.
Estradiol (Transdermal): Applying estrogen through the skin with gels/patches is considered safer than taking it orally. While oral estrogen can increase the risk of blood clots fourfold, research (e.g., BMJ 2019) indicates 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 typically observed after 4–8 weeks of regular application.
Transdermal Testosterone: While testosterone can improve libido and energy levels, formulations specifically for women are uncommon outside of Australia. A very low dose is used (approx. 300mcg/day), since higher amounts can lead to side effects like acne or unwanted hair growth.
Dehydroepiandrosterone (DHEA): This is sometimes administered as a hormonal precursor, though its effectiveness when taken orally can be variable. 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: Any 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.

Hormone Replacement Therapy: A Timeline of Effects

First Few Weeks You may begin to experience slight relief from symptoms, including better sleep, mood, or energy levels. This depends on which hormone therapy is initiated first. Progesterone tends to work more quickly, whereas Estradiol requires a minimum of 2 to 4 weeks for subtle effects to become noticeable. This period is also for establishing a personal application routine.
1 to 3 Months During this phase, the dosage is adjusted, as the therapy is personalized to your specific symptoms. The dose is raised if symptoms return. If you experience breast tenderness or migraines, the estrogen dosage may be reduced. Ideally, mood fluctuations begin to even out, and energy levels rise. The occurrence of symptoms like hot flashes or night sweats should become less frequent.
3 to 6 Months This timeframe is when a majority of individuals report substantial relief, as it takes time for transdermal Estradiol and Testosterone to become fully effective. Issues such as hot flashes, night sweats, and vaginal dryness frequently show marked improvement, while mood swings occur far less often.
6 to 12 Months You now experience the complete benefits of the therapy, observing a notable enhancement in your overall quality of life. You also recognize that adjustments may still be necessary and can modify the dosage or method of administration accordingly.
Month 13 Onwards Over the long term, further advantages accumulate, such as improved bone density (which lowers osteoporosis risk) and enhanced cardiovascular health, contributing to your continued wellness as you get older. It is important to note that these benefits are most effective when combined with strength training, a nutritious diet, and adequate protein consumption.

What Comes Next

At The Longevity Practice, our emphasis is on detecting health risks before they develop into problems by using early and accurate diagnostics. Rather than responding to illness, we develop straightforward, customized strategies for preserving long-term health. We aim to provide each patient with a thorough understanding of their own body and actionable steps for today. By prioritizing prevention and clarity, we support our patients in constructing a longer, more healthful life.

Discover if our approach is the right fit for you. Book your consultation online and make an appointment

Evidence-based Longevity In Erfurt

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 Erfurt

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.