Hormone Balancing In Munich Schwabing

To Anticipate Is To Avert

Post-menopause constitutes one-third of a woman's life (approximately 33 years, considering the average menopause age of 51 and an average female life expectancy of 84 in the EU). Additionally, women can experience symptoms of perimenopause for as long as 10 years. This means that approximately half of a woman's life may be impacted by a range of symptoms that diminish her quality of life and productivity.

Individuals undergoing HRT (Hormone Replacement Therapy) often describe the experience as “feeling like themselves again”. Therefore, identifying the optimal treatment frequency and dosage represents a significant investment in one's well-being for the upcoming 30-40 years.

Here is a simplified guide for self-assessment to help identify which hormone might be deficient:

Low Progesterone: Feelings of anxiety, irritation, and being wired may be present.
Low Estrogen: Symptoms can include dryness, feeling hot, and tearfulness.
Low Testosterone: You might experience fatigue, weakness, and a lack of motivation.

It is important to remember that each woman experiences symptoms differently and with varying levels of intensity. Hormones can have overlapping or synergistic effects. Addressing and resolving these symptoms is typically an 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.

Identifying Hormonal Imbalances: Symptoms Across The Body

Sleep: Deficient Progesterone results in disrupted sleep and nocturnal awakenings (loss of GABA calming effect); Inadequate Estrogen leads to night sweats and early-morning awakenings.
Mood: Inadequate Progesterone causes irritability and anxiety; Deficient Estrogen is associated with depression and anhedonia; Low Testosterone diminishes motivation and assertiveness.
Menstrual Cycle: Insufficient Progesterone results in heavy, unpredictable bleeding (due to unopposed estrogen); A lack of Estrogen causes shorter or missed cycles.
Vasomotor Symptoms: Deficient Estrogen is the main cause of hot flashes and night sweats.
Libido & Sexual Function: Low Estrogen results in vaginal dryness and pain; Insufficient Testosterone is the main reason for decreased spontaneous desire and less intense orgasms.
Cognitive Symptoms: A lack of Estrogen leads to "brain fog" and memory difficulties; Deficient Testosterone impairs strategic thinking and mental focus.
Metabolism: Insufficient Estrogen contributes to central fat accumulation (belly fat) and insulin resistance; Low Testosterone leads to a reduction in lean muscle mass, which lowers the metabolic rate.
Skin & Hair: Deficient Estrogen diminishes collagen and skin elasticity; Inadequate Testosterone may play a role in thinning hair.
Bone & Muscle: A lack of Estrogen is a significant factor in osteoporosis and sarcopenia; Insufficient Testosterone lowers physical endurance and muscular strength.
Urogenital Health: Deficient Estrogen causes Genitourinary Syndrome of Menopause (resulting in atrophy, itching, and recurrent UTIs).

What The Treatment Journey Can Look Like

HRT is a fluid and repetitive process customized to your individual biological needs. Differing from a typical prescription, your physician will modify dosages and schedules according to blood test results and symptom monitoring. Generally, one hormone is stabilized before another is added, with follow-up appointments eventually scheduled every 3–6 months.

Progesterone (Oral Micronized): Bioidentical progesterone originates from plants and is readily absorbed. Its advantages include safeguarding the uterine lining, balancing hormones, alleviating anxiety, and enhancing sleep. The standard protocol involves 100mg–200mg taken at night (as it can cause sleepiness). Women in perimenopause typically use it during the latter half of their cycle (days 14–28); women with unpredictable cycles and those who are post-menopausal use it continuously.
Estradiol (Transdermal): Transdermal delivery methods (gels/patches) are considered safer than oral estrogen. While taking estrogen orally can increase the risk of blood clots fourfold, studies (e.g., BMJ 2019) indicate that transdermal application does not carry this elevated risk because the hormone enters the bloodstream directly through the skin. Gels are often used at the beginning for simple dosage adjustments, and it generally requires 4–8 weeks of regular application to notice symptom improvement.
Transdermal Testosterone: Testosterone is beneficial for libido and energy levels, but formulations designed for women are not widely available except in Australia. The dosage is minimal (around 300mcg/day), as higher amounts can lead to acne or unwanted hair growth.
Dehydroepiandrosterone (DHEA): This is occasionally used as a hormonal precursor, though its effectiveness when taken orally is variable. Note: Vaginal DHEA is intended for treating localized atrophy and not for systemic hormone replacement.
Medical Supervision: All forms of HRT must be prescribed and monitored by a qualified 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 (HRT) Effectiveness

First Few Weeks You may begin to experience slight relief from symptoms, including better sleep, an improved mood, or more energy. This timing depends on which hormone you begin with. Progesterone tends to work more quickly, whereas Estradiol requires at least 2 to 4 weeks for initial effects to become noticeable. This is also the time to establish your routine for application—when, how, and where.
1 to 3 Months During this period, the dosage is tested, as the therapy is personalized based on your symptoms. If symptoms return, the dose is raised. If you experience breast tenderness or migraines, we may reduce the estrogen. Ideally, your mood swings begin to even out, and your energy levels rise. Symptoms such as hot flashes or night sweats should happen less often.
3 to 6 Months This is the timeframe when most individuals feel substantial relief, as transdermal Estradiol and Testosterone require some time to produce their full effect. Hot flashes, night sweats, and vaginal dryness frequently show dramatic improvement, and mood fluctuations occur much less.
6 to 12 Months You are now experiencing the complete benefits of the treatment and seeing a notable enhancement in your quality of life. You recognize that changes can still occur and are able to adjust the dosage or method of administration as needed.
Month 13 Onwards Over the long term, further benefits continue to build, such as enhanced bone strength (lowering the risk of osteoporosis) and improved cardiovascular health, which supports your well-being as you get older. It's important to note that these benefits are most effective when combined with strength training, a nutritious diet, and adequate protein consumption.

Next Steps

At The Longevity Practice, our focus is on detecting risks before they develop into health issues by using early and accurate diagnostics. Rather than simply reacting to illness, we develop precise, individualized plans for preserving long-term health. Our aim is to provide every patient with a thorough understanding of their own body, complete with actionable steps to take immediately. With a core focus on prevention and clarity, we guide patients in building a longer, healthier existence.

Discover if our methodology suits your needs. Book your consultation online and Schedule an appointment

Evidence-based Longevity In Munich Schwabing

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 Schwabing

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.