Achieve Hormonal Balance In Munich Harlaching

Proactive Care Is The Best Prevention

A third of a woman's life, amounting to roughly 33 years, takes place after menopause, based on an average menopausal age of 51 and an EU life expectancy of 84. Furthermore, women might spend up to a decade coping with perimenopausal symptoms. This equates to nearly half of a woman's life being spent with a range of symptoms that negatively impact her quality of life and productivity.

Patients undergoing HRT (Hormone Replacement Therapy) often say they “feel like themselves again”. Therefore, identifying the correct treatment rhythm and dosage is a vital investment in the next 30-40 years of your life.

A basic self-assessment guide to determine which hormone may be low:

Low Progesterone: You might experience feelings of anxiety, irritability, and being over-stimulated.
Low Estrogen: You might notice sensations of dryness, heat, and weepiness.
Low Testosterone: You might feel fatigued, weak, and uninspired.

It's important to note that each woman can have different symptoms at varying levels of intensity. There can also be an overlap or a synergistic effect among hormones. Correcting and alleviating symptoms is frequently a gradual and 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.

The Body-Wide Signs Of A Hormonal Imbalance

Sleep: Insufficient Progesterone leads to interrupted sleep and waking during the night (from the loss of GABA's calming influence); low Estrogen is a cause of night sweats and waking in the early morning.
Mood: A Progesterone deficiency can cause irritability and anxiety; low Estrogen is associated with depression and anhedonia; inadequate Testosterone dampens motivation and assertiveness.
Menstrual Cycle: A lack of Progesterone results in heavy, erratic bleeding (due to unopposed estrogen); diminished Estrogen leads to shorter or missed periods.
Vasomotor Symptoms: Inadequate Estrogen is the main cause of hot flashes and nocturnal sweating.
Libido & Sexual Function: Low Estrogen results in vaginal dryness and discomfort; a Testosterone deficit is the key reason for diminished spontaneous desire and less powerful orgasms.
Cognitive Symptoms: A lack of Estrogen leads to "brain fog" and memory issues; insufficient Testosterone impairs strategic thinking and mental sharpness.
Metabolism: Low Estrogen encourages the storage of visceral fat (belly fat) and insulin resistance; a Testosterone deficiency results in a loss of lean muscle, which lowers the metabolic rate.
Skin & Hair: Inadequate Estrogen diminishes collagen and skin elasticity; low Testosterone may be a factor in reduced hair thickness.
Bone & Muscle: Insufficient Estrogen is a primary factor in osteoporosis and sarcopenia; low Testosterone decreases physical endurance and the strength of muscles.
Urogenital Health: A lack of Estrogen causes Genitourinary Syndrome of Menopause (characterized by atrophy, itching, and recurrent UTIs).

Understanding The Treatment Process

HRT is a responsive, ongoing process that is customized for your specific biology. Unlike a typical prescription, your physician will fine-tune dosages and timing in response to blood work and symptom monitoring. You will generally stabilize one hormone prior to starting another, progressing to check-in appointments every 3–6 months.

Progesterone (Oral Micronized): Derived from plants, bioidentical progesterone is absorbed with ease. Its benefits are protecting the uterine lining, balancing other hormones, lessening anxiety, and promoting better sleep. The standard protocol is 100mg–200mg before bed (as it induces drowsiness). Perimenopausal women usually take it in the latter half of their cycle (days 14–28); women with irregular periods and those who are post-menopausal take it continuously.
Estradiol (Transdermal): Transdermal applications (gels/patches) offer a safer alternative to oral estrogen. While oral estrogen can elevate the risk of blood clots by four times, research (like the BMJ 2019 study) indicates that transdermal application poses no such added risk, as the hormone is absorbed straight through the skin into circulation. Gels are typically used at first for easy dosage titration, and it usually requires 4–8 weeks of regular application to notice symptom improvement.
Transdermal Testosterone: Testosterone is beneficial for libido and energy, yet formulations designed for women are not widely available beyond Australia. The dosage is kept minimal (roughly 300mcg/day), since higher amounts can trigger acne or hair growth.
Dehydroepiandrosterone (DHEA): This is occasionally used as a hormonal precursor, but its effects when taken orally are not always reliable. Note: Vaginal DHEA is for treating localized atrophy specifically, not for systemic hormone therapy.
Medical Supervision: Any HRT program necessitates a prescription and the guidance of a 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.

The Timeline For Hormone Replacement Therapy Efficacy

First Few Weeks You may experience some initial symptom relief, like enhancements in your sleep, mood, or energy levels. This will vary based on the hormone you start with. Progesterone delivers effects more quickly, while Estradiol requires a minimum of 2 to 4 weeks for initial effects to be felt. You will establish your routine for when, how, and where to apply it.
1 to 3 Months You evaluate the dosage since this therapy is customized to your symptoms. If symptoms return, your dosage is raised. If you experience breast tenderness or migraines, we will attempt to lower the estrogen. Ideally, your mood swings will begin to level out and your energy levels will rise. Symptoms such as hot flashes or night sweats ought to diminish in frequency.
3 to 6 Months This is the period when most individuals feel significant improvement, as transdermal Estradiol and Testosterone need time to take full effect. Hot flashes, night sweats, and vaginal dryness usually improve significantly, and mood swings become far less common.
6 to 12 Months You can now enjoy the complete impact of the treatment and see an enhancement in your quality of life. You are also aware that adjustments may still be needed and can modify the dosage or administration method.
Month 13 Onwards Additional advantages compound over time, including stronger bones (which lowers osteoporosis risk) and improved heart health, contributing to your wellness as you age. Be aware that these benefits are maximized when coupled with strength training, a healthy diet, and sufficient protein consumption.

Next Steps

At The Longevity Practice, our methodology is to identify potential risks before they become active health problems by using early, accurate diagnostics. We create transparent, personalized roadmaps to sustain long-term health instead of just reacting to illness. Our aim is to equip every patient with an in-depth knowledge of their own body and practical actions they can take right away. With a foundation of prevention and clarity, we guide patients toward building a longer, more healthful life.

Discover if our method is suitable for you. Book your consultation via our website and Schedule an appointment

Evidence-based Longevity In Munich Harlaching

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 Harlaching

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

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.