Hormone Balancing In Hannover

The Power of Proactive Intervention

Post-menopause accounts for one-third of a woman's life, which is about 33 years, based on an average menopause age of 51 and an EU life expectancy of 84 for women. Additionally, women can experience perimenopausal symptoms for as long as a decade. This means approximately half of a woman's life is spent managing a range of symptoms that can reduce both quality of life and personal productivity.

Individuals undergoing HRT (Hormone Replacement Therapy) often say they “feel like themselves again”. For this reason, finding the correct treatment rhythm 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, irritability, and being 'wired' may occur.
Low Estrogen: You might experience sensations of dryness, heat, and tearfulness.
Low Testosterone: This can lead to feelings of fatigue, weakness, and a lack of motivation.

It is important to remember that various women will have unique symptoms with varying levels of intensity. Hormones can have overlapping or synergistic effects. Addressing and resolving these symptoms is frequently a process of gradual adjustment.

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

An Overview of Treatment Protocols

Hormone Replacement Therapy is a fluid, adaptive process customized to your individual biological needs. It differs from a typical prescription, as your physician will modify doses and schedules according to blood work and how you track your symptoms. Generally, one hormone is stabilized before another is added, with follow-up appointments eventually 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 typically 100mg–200mg taken at bedtime to account for its sedative effect. Women in perimenopause frequently 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 estrogen through the skin (via gels/patches) is considered a safer alternative to oral forms. Although oral estrogen may increase blood clot risk fourfold, research (such as the BMJ 2019 study) indicates that transdermal application does not elevate this risk, because the hormone enters the bloodstream directly via the skin. Gels are often prescribed at the start for simple dose adjustments, with symptom improvement usually noticeable after 4 to 8 weeks of regular application.
Transdermal Testosterone: While testosterone can boost libido and energy levels, formulations designed for women are not widely available outside of Australia. A very low dose is administered (approx. 300mcg/day), since higher amounts may lead to side effects like acne or unwanted hair growth.
Dehydroepiandrosterone (DHEA): DHEA is occasionally prescribed as a hormonal precursor, though its effectiveness when taken orally can be variable. Important: Vaginal DHEA is intended only to treat localized atrophy and is not a substitute for systemic hormone therapy.
Medical Supervision: A prescription and ongoing oversight 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.

What to Expect: HRT Results Over Time

First Few Weeks You may begin to experience slight relief from symptoms, including better sleep, mood, or energy levels. The specific improvements depend on which hormone you begin treatment with. Progesterone tends to work more quickly, whereas Estradiol requires a minimum of 2 to 4 weeks before small changes are felt. During this time, you will establish a personal routine for when, how, and where to apply your treatment.
1 to 3 Months Your dosage will be evaluated, since this therapy is customized based on your specific symptoms. If your symptoms reappear, the dose is typically raised. Should you experience breast tenderness or migraines, we may look to reduce the estrogen dosage. Your mood should begin to even out, and you should notice a rise in your energy levels. The occurrence of symptoms like hot flashes or night sweats ought to become less common.
3 to 6 Months The majority of individuals report substantial relief in this period, as transdermal Estradiol and Testosterone require some time to become fully effective. Issues such as hot flashes, nocturnal sweating, 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 will also recognize that adjustments may still be necessary and can modify dosages or methods of administration accordingly.
Month 13 Onwards Over the long term, further advantages will accrue, such as improved bone density (which lowers the risk of osteoporosis) and enhanced cardiovascular health, contributing to your continued well-being as you get older. It is important to understand that these benefits are most effective when combined with strength training, a nutritious diet, and adequate protein consumption.

Moving Forward

At The Longevity Practice, we are dedicated to detecting health risks before they develop into problems, using early and accurate diagnostic methods. Rather than responding to illness after it occurs, we develop straightforward, customized strategies for preserving health over the long term. Our aim is to provide each patient with profound insight into their own body, complemented by actionable measures they can implement immediately. By centering our approach on prevention and clarity, we empower our patients to construct a longer and healthier existence.

Discover whether our methodology is a good fit for your needs. Reserve your consultation through our online system and Schedule an appointment

Evidence-based Longevity In Hannover

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 Hannover

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.