Hormone Balancing Treatments In Gera

Proactive Measures for Future Wellness

Women spend approximately one-third of their lives in the post-menopausal phase (around 33 years, considering the average menopause onset at 51 and an EU life expectancy for women of 84). Additionally, the symptoms of perimenopause can affect women for as long as 10 years. This means that for nearly half their lives, many women experience a range of symptoms that can diminish their well-being and efficiency.

Individuals undergoing HRT (Hormone Replacement Therapy) frequently describe a return to their former sense of self. Therefore, identifying the optimal treatment frequency and dosage represents a significant investment in one's well-being for the coming 30-40 years.

A basic guide to help identify which hormone might be deficient:

Low Progesterone: Feelings of anxiety, irritation, and being overly stimulated may occur.
Low Estrogen: You might experience sensations of dryness, heat, and tearfulness.
Low Testosterone: Symptoms can include fatigue, weakness, and a lack of motivation.

It is important to recognize that symptoms and their severity vary from one woman to another. Hormones can have overlapping or synergistic effects. Consequently, diagnosing 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 Symptoms

Sleep: Deficient Progesterone can lead to disrupted sleep and waking during the night (due to a reduced calming effect from GABA); low Estrogen can result in night sweats and waking up early in the morning.
Mood: A lack of Progesterone can cause irritability and anxiety; insufficient Estrogen is associated with depression and a loss of pleasure; low Testosterone diminishes motivation and confidence.
Menstrual Cycle: Insufficient Progesterone can lead to heavy, erratic periods (from unopposed estrogen); a deficiency in Estrogen can cause cycles to become shorter or be missed entirely.
Vasomotor Symptoms: A deficiency in Estrogen is the main cause of hot flashes and nocturnal sweating.
Libido & Sexual Function: Insufficient Estrogen results in vaginal dryness and discomfort; low Testosterone is the principal reason for decreased spontaneous desire and less intense orgasms.
Cognitive Symptoms: A lack of Estrogen can lead to "brain fog" and memory issues; low Testosterone can impair strategic thought and mental focus.
Metabolism: Deficient Estrogen encourages abdominal fat accumulation and insulin resistance; low Testosterone results in a reduction of lean muscle, which lowers the metabolic rate.
Skin & Hair: Insufficient Estrogen decreases collagen levels and skin suppleness; low Testosterone may play a role in thinning hair.
Bone & Muscle: A significant factor in osteoporosis and sarcopenia is low Estrogen; reduced Testosterone leads to decreased physical endurance and muscular power.
Urogenital Health: Insufficient Estrogen can cause Genitourinary Syndrome of Menopause, characterized by atrophy, itching, and recurrent urinary tract infections.

Understanding the Treatment Process

HRT is a personalized and evolving process, adjusted to fit your specific biological needs. It differs from a typical prescription, as your physician will modify doses and schedules according to blood test results and how your symptoms change. The usual approach is to balance one hormone first before adding another, with follow-up appointments scheduled every 3–6 months.

Progesterone (Oral Micronized): Bioidentical progesterone, which is sourced from plants, is readily absorbed by the body. Its advantages involve safeguarding the uterine lining, regulating hormones, alleviating anxiety, and enhancing sleep quality. The typical regimen is 100mg–200mg taken in the evening because of its sedative effects. Women in perimenopause generally use it in the latter part of their cycle (days 14–28), while those with irregular periods or who are post-menopausal take it on a continuous basis.
Estradiol (Transdermal): Applying estradiol through the skin (via gels/patches) is a safer alternative to 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, since the hormone enters the bloodstream directly via the skin. Gels are often prescribed at first to allow for simple dosage adjustments, with symptom improvement generally observed after 4–8 weeks of regular application.
Transdermal Testosterone: Testosterone can boost libido and energy levels; however, formulations designed for women are not widely available except in Australia. The dose is kept very low (approx. 300mcg/day) because higher amounts may lead to side effects like acne or unwanted hair growth.
Dehydroepiandrosterone (DHEA): This is occasionally administered as a precursor hormone, although its effects when taken orally can be unpredictable. Note: DHEA applied vaginally is intended only for treating local atrophy and does not function as a systemic hormone replacement.
Medical Supervision: A prescription and ongoing supervision by 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 for HRT Effectiveness

First Few Weeks You may begin to experience slight relief from symptoms, including better sleep, mood, or energy levels. The timing of these changes is contingent on which hormone you begin treatment with. Progesterone tends to work more quickly, whereas Estradiol typically requires a minimum of 2 to 4 weeks before small effects are noticeable. During this time, you establish a personal routine for application, including the timing, method, and location.
1 to 3 Months The dosage is evaluated during this period, as the therapy is customized to your specific symptoms. The dose is raised if symptoms return. In cases of breast tenderness or migraines, we aim to reduce the estrogen dose. Ideally, mood fluctuations should begin to even out, and you should feel more energetic. The occurrence of symptoms such as hot flashes or night sweats ought to diminish.
3 to 6 Months The majority of individuals report substantial relief in this timeframe, as transdermal Estradiol and Testosterone require more time to become fully effective. Symptoms like hot flashes, night sweats, and vaginal dryness frequently show marked improvement, while mood swings occur far less often.
6 to 12 Months At this stage, you are experiencing the complete benefits of the therapy and can perceive an enhanced quality of life. You also recognize that adjustments may still be needed and are able to modify the dosage or method of administration accordingly.
Month 13 Onwards Over the long term, further advantages accrue, such as improved bone density (which lowers osteoporosis risk) and enhanced cardiovascular health, contributing to your wellness as you get older. It is important to remember that these benefits are most effective when combined with strength training, a nutritious diet, and adequate protein consumption.

Your Path Forward

At The Longevity Practice, our emphasis is on using early and accurate diagnostics to detect health risks before they develop into problems. Rather than responding to illness, our approach is to design straightforward, individualized strategies for sustaining health over the long term. We aim to provide each patient with profound insight into their own body, complemented by actionable steps for immediate implementation. By centering on prevention and clear communication, we guide patients in constructing a longer and healthier life.

Find out if our approach is a good fit for you. Book your consultation online and set up your appointment

Evidence-based Longevity In Gera

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 Gera

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.