Hormone Balancing In Munich Bogenhausen

To Predict Is To Prepare

Women spend one-third of their lives in post-menopause (which is about 33 years, considering the average menopause age of 51 and the EU average female life expectancy of 84). Furthermore, women can spend as long as 10 years navigating the symptoms of perimenopause. This equates to nearly half of a woman's life being impacted by a range of symptoms that can reduce her quality of life and productivity.

Patients undergoing HRT (Hormone Replacement Therapy) often say they “feel like themselves again”. For this reason, determining the ideal treatment rhythm and dosage is a vital investment in the next 30 to 40 years of your life.

A basic guide to help identify which hormone may be low:

Low Progesterone: You might experience feelings of anxiety, irritation, and being on edge.
Low Estrogen: You could feel dry, overheated, and prone to tears.
Low Testosterone: This may manifest as feeling fatigued, physically weak, and lacking drive.

It is important to note that each woman can experience different symptoms with varying levels of intensity. There can also be an overlap or a combined effect between different hormones. The process of identifying and resolving these symptoms is typically a gradual one.

Smiling woman in black sweater representing perimenopause and menopause care

Chart showing estrogen, progesterone, testosterone and FSH hormone changes across perimenopause stages to menopause

Symptoms Of Hormonal Imbalance Throughout The Body

Sleep: Deficient Progesterone leads to disrupted sleep and nighttime awakenings (from a loss of GABA's calming influence); low Estrogen is responsible for night sweats and awakenings in the early morning.
Mood: A lack of Progesterone contributes to irritability and anxiety; low Estrogen is associated with depression and anhedonia; insufficient Testosterone diminishes motivation and assertiveness.
Menstrual Cycle: Deficient Progesterone results in heavy, erratic bleeding (due to unopposed estrogen); low Estrogen leads to shorter or absent cycles.
Vasomotor Symptoms: A deficiency in Estrogen is the principal cause of hot flashes and nocturnal sweats.
Libido & Sexual Function: Insufficient Estrogen results in vaginal dryness and pain; low Testosterone is the main reason for decreased spontaneous sexual desire and less intense orgasms.
Cognitive Symptoms: Deficient Estrogen is a cause of "brain fog" and memory difficulties; low Testosterone impairs strategic thinking and mental focus.
Metabolism: A lack of Estrogen contributes to the accumulation of central body fat (belly fat) and insulin resistance; low Testosterone results in a loss of lean muscle, which in turn slows the metabolic rate.
Skin & Hair: Deficient Estrogen leads to a decrease in collagen and skin elasticity; low Testosterone may be a factor in reduced hair thickness.
Bone & Muscle: Insufficient Estrogen is a key factor in osteoporosis and sarcopenia; low Testosterone leads to a reduction in physical endurance and muscular strength.
Urogenital Health: A lack of Estrogen causes the Genitourinary Syndrome of Menopause (which includes atrophy, itching, and recurrent UTIs).

Understanding The Treatment Process

HRT is an evolving, step-by-step process customized to your individual biology. It differs from a standard prescription, as your physician will modify doses and schedules according to blood work and symptom monitoring. Typically, one hormone is stabilized before another is added, with follow-up appointments eventually scheduled every 3 to 6 months.

Progesterone (Oral Micronized): Derived from plants, bioidentical progesterone is readily absorbed. Its advantages include safeguarding the uterine lining, stabilizing hormones, alleviating anxiety, and enhancing sleep quality. The standard dosage is 100mg–200mg at night (to account for its drowsy effect). It is often taken by perimenopausal women in the latter half of their cycle (days 14–28), while women with erratic cycles and those in post-menopause use it continuously.
Estradiol (Transdermal): Topical methods (gels/patches) are a safer option than oral estrogen. While oral estrogen can increase the risk of blood clots fourfold, studies (like the BMJ 2019 study) indicate that transdermal application carries no such elevated risk because the hormone is absorbed straight through the skin into the circulation. Gels are often used at the start for simple dose adjustments, and it generally takes 4–8 weeks of regular use to notice symptom relief.
Transdermal Testosterone: Testosterone can enhance libido and energy, but formulations made specifically for women are uncommon outside of Australia. The dose is kept very low (around 300mcg/day), as a higher amount can result in acne or hair growth.
Dehydroepiandrosterone (DHEA): This is sometimes prescribed as a precursor hormone, though its effectiveness when taken orally can be variable. Note: Vaginal DHEA is formulated specifically for localized atrophy and is not intended for systemic hormone replacement.
Medical Supervision: All forms of HRT must be prescribed and monitored by a qualified medical professional.

Woman in her 40s experiencing perimenopause or menopause symptoms, wearing turquoise sweater in natural light

Modern menopause and perimenopause clinic, The Longevity Practise, with patient consultation space and wellness equipment

The Timeline For Hormone Replacement Therapy (HRT) Effectiveness

First Few Weeks You may begin to experience slight relief from symptoms, such as better sleep, an improved mood, or increased energy. The exact effect depends on which hormone you start with. Progesterone works more quickly, whereas Estradiol requires at least 2 to 4 weeks for small changes to be noticeable. You will establish a personal routine for when, how, and where to administer the treatment.
1 to 3 Months The dosage is adjusted during this period, as the therapy is personalized based on your symptoms. If symptoms return, your dosage will be increased. If you experience breast tenderness or migraines, we will likely lower the estrogen dose. In an ideal scenario, your mood fluctuations will start to even out, and your energy levels will rise. Symptoms such as hot flashes or night sweats ought to become less frequent.
3 to 6 Months This is the period when most individuals report substantial relief, as transdermal Estradiol and Testosterone require time to become fully effective. Hot flashes, night sweats, and vaginal dryness usually show dramatic improvement, and 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 gain an understanding that changes can still occur and learn to adapt the dosage or method of administration as needed.
Month 13 Onwards Further advantages accumulate over the long term, including stronger bones (which lowers the risk of osteoporosis) and better cardiovascular health, contributing to your long-term wellness. Be aware that these benefits are most effective when combined with strength training, a healthy diet, and sufficient protein consumption.

Next Steps

At The Longevity Practice, our emphasis is on detecting risks before they escalate into health issues by using early and accurate diagnostics. Rather than responding to illness, we develop straightforward, individualized strategies for preserving health over the long term. We aim to provide each patient with profound insight into their own body and actionable measures they can implement immediately. By focusing on prevention and clarity, we assist patients in constructing a longer, more healthful life.

Find out if our methodology is a good fit for you. Book your consultation online and Schedule an appointment.

Evidence-based Longevity In Munich Bogenhausen

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 Munich Bogenhausen

The cost for a Perimenopause and Menopause 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:

Perimenopause and Menopause 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

Book appointment

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

Book appointment

Introduction Session

0€

Schedule a quick video call to learn more about The Longevity Practice services and approach.

Duration: 15 minutes

Book Call

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.