Hormonal Balance In Munich Nymphenburg

Prevention Through Foresight

One-third of a woman's life occurs after menopause (which is approximately 33 years, considering the average menopause age of 51 and an average EU female life expectancy of 84). Additionally, women can spend as long as 10 years managing perimenopause symptoms. This means that for nearly half of their lives, women may experience a range of symptoms that diminish their quality of life and productivity.

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

A basic guide for self-assessment to help identify a potential hormone deficiency:

Low Progesterone: You might experience feelings of anxiety, irritability, and being on edge.
Low Estrogen: You might experience dryness, heat, and tearfulness.
Low Testosterone: You might experience fatigue, weakness, and a lack of motivation.

It is important to note that symptoms and their intensity levels vary from woman to woman. There can also be an overlap or synergistic effect among the hormones. The process of troubleshooting and alleviating symptoms is frequently an iterative one.

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.

Recognizing Hormonal Imbalance Symptoms Across The Body

Sleep: Low Progesterone results in disrupted sleep and waking during the night (due to the loss of GABA's calming effect); Low Estrogen leads to night sweats and waking up early in the morning.
Mood: Low Progesterone can cause feelings of irritability and anxiety; Low Estrogen is associated with depression and anhedonia; Low Testosterone diminishes motivation and assertiveness.
Menstrual Cycle: Low Progesterone results in heavy, erratic periods (from unopposed estrogen); Low Estrogen leads to shorter or missed menstrual cycles.
Vasomotor Symptoms: Low Estrogen is the main cause of hot flashes and nocturnal sweating.
Libido & Sexual Function: Low Estrogen leads to vaginal dryness and discomfort; Low Testosterone is the main reason for a decrease in spontaneous desire and less intense orgasms.
Cognitive Symptoms: Low Estrogen results in "brain fog" and memory problems; Low Testosterone diminishes strategic thought processes and mental focus.
Metabolism: Low Estrogen encourages the accumulation of central fat (abdominal fat) and contributes to insulin resistance; Low Testosterone leads to a reduction in lean muscle mass, which slows the metabolic rate.
Skin & Hair: Low Estrogen diminishes collagen levels and the skin's elasticity; Low Testosterone may play a role in thinning hair.
Bone & Muscle: Low Estrogen is a significant factor in the development of osteoporosis and sarcopenia; Low Testosterone decreases physical endurance and muscular power.
Urogenital Health: Low Estrogen results in Genitourinary Syndrome of Menopause, characterized by atrophy, itching, and recurrent UTIs.

An Overview Of A Potential Treatment Plan

HRT is an adaptive, ongoing process customized to your individual biological needs. Instead of a fixed prescription, a physician modifies doses and schedules according to blood test results and symptom monitoring. The usual approach is to stabilize a single hormone before adding another, with follow-up appointments scheduled every 3–6 months over time.

Progesterone (Oral Micronized): Derived from plants, bioidentical progesterone is readily absorbed by the body. Its advantages include safeguarding the uterine lining, promoting hormonal equilibrium, alleviating anxiety, and enhancing sleep quality. The standard protocol involves taking 100mg–200mg in the evening, as it can cause sleepiness. Typically, perimenopausal women use it in the latter half of their cycle (days 14–28), whereas women with erratic cycles and those who are post-menopausal use it on a continuous basis.
Estradiol (Transdermal): Topical application methods like gels or patches are considered a safer alternative to oral estrogen. While oral estrogen can increase the risk of blood clots fourfold, studies (such as the BMJ 2019 study) indicate that transdermal application does not carry this elevated risk because the hormone enters the bloodstream directly via the skin. Gels are often prescribed at the beginning to allow for simple dose adjustments, with symptom improvement usually observed after 4–8 weeks of regular application.
Transdermal Testosterone: While testosterone can boost libido and energy levels, formulations specifically for women are uncommon outside of Australia. A very low dose is administered (approx. 300mcg/day), since higher amounts can lead to side effects like acne or unwanted hair growth.
Dehydroepiandrosterone (DHEA): It is occasionally utilized as a hormonal precursor, though its effectiveness when taken orally can be variable. Note: Vaginal DHEA is intended only for treating localized atrophy and not for systemic hormone replacement.
Medical Supervision: A prescription and ongoing supervision 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 Is The Timeline For Hormone Replacement Therapy (HRT) Results?

First Few Weeks Minor relief from symptoms may become apparent, including better sleep, mood, or energy levels. The specific effects depend on which hormone treatment is initiated first. Progesterone tends to work more quickly, whereas Estradiol typically requires a minimum of 2 to 4 weeks before small changes are noticeable. During this time, you establish a personal routine for when, how, and where to apply the treatment.
1 to 3 Months The dosage is adjusted during this period, as the therapy is personalized based on your symptoms. If symptoms reappear, the dosage is increased. If you experience breast tenderness or migraines, we work to reduce the estrogen dose. Ideally, mood fluctuations begin to even out, and you experience a rise in energy. The occurrence of symptoms such as hot flashes or night sweats should lessen.
3 to 6 Months Most individuals report substantial relief in this timeframe, as transdermal Estradiol and Testosterone require several months to become fully effective. There is often a dramatic improvement in hot flashes, night sweats, and vaginal dryness, while mood swings occur far less often.
6 to 12 Months You experience the complete benefits of the therapy and see a notable enhancement in your overall quality of life. You also develop an understanding that adjustments may still be needed and can modify the dosage or method of administration accordingly.
Month 13 Onwards Over the long term, further advantages accrue, such as increased bone strength (which lowers the risk of osteoporosis) and improved cardiovascular health, contributing to your long-term wellness. It is important to note that these long-term benefits are most effective when combined with strength training, a nutritious diet, and adequate protein consumption.

Next Steps

At The Longevity Practice, we are dedicated to identifying potential health risks before they develop into problems by using early and accurate diagnostic methods. Rather than merely responding to illness, our approach is to develop straightforward, individualized plans for preserving health over the long term. We aim to provide each patient with profound insight into their own body and actionable steps they can implement immediately. By focusing on prevention and providing clarity, we guide patients toward constructing a longer, healthier future.

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

Evidence-based Longevity In Munich Nymphenburg

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 Nymphenburg

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.