Perimenopause & Menopause Consultation In Aachen

The Value of Proactive Insight

By 2030, 1.2 billion women will reach menopause, with this figure rising to 1.65 billion by 2050. Before menopause, 60-80% of women between 34 and 51 experience perimenopausal symptoms that diminish their quality of life and work performance. Symptoms can include everything from sleep issues to cognitive fog, anxiousness, and diminished energy. Often, these symptoms are not diagnosed or managed. The consequences affect families and create a substantial economic burden through missed work, absenteeism, and women exiting the labor market.

A decrease in hormones is the underlying cause. In addition to reproductive organs like the uterus, ovaries, and breast, women possess Estrogen (ER) and androgen (AR) receptors in the brain, liver, kidneys, fat tissue, bones, and immune cells. These receptors regulate a wide range of functions, from bone mass and metabolic rate to reproductive health, mental processes, and emotional state.

Consider these hormones as essential “building blocks.” The “Big Three” are:

Progesterone aka "the calm regulator": A reduction in this hormone can lead to sleep disturbances, feelings of anxiety, and heavy menstrual bleeding.
Estrogen aka "the main character" A drop in estrogen can affect cognitive function, causing memory problems and trouble with concentration, or it can reduce quality of life through joint discomfort and vasomotor symptoms like night sweats and hot flashes.
Testosterone aka the "the drive booster." A decrease in testosterone impacts one's drive, sex drive, and lean muscle.

Smiling woman in black sweater representing perimenopause and menopause care

Comparing Perimenopause and Menopause: The Essential Differences

Perimenopause

Known colloquially as “the second puberty,” this multi-year period precedes the final cessation of menstrual cycles.

Age of Onset: Usually begins at 34 years of age or later.
Definition: This transitional phase is initiated by a reduction in the function of the ovaries.
Duration: It typically spans a period of 4 to 10 years.
Menstrual Cycle: Menstruation becomes erratic; periods can be less or more intense, shorter or longer in duration, or missed altogether.
Hormone Levels: Progesterone levels decline first, estrogen fluctuates erratically, and testosterone shows a gradual reduction. A diagnosis is typically made based on symptoms, not bloodwork.
Fertility: Pregnancy remains possible; continuing with a chosen method of birth control is advised.
Key Symptoms: Common indicators include disturbed sleep, tiredness, hot flashes, night sweats, shifts in mood, anxiety, cognitive fog, joint pain or stiffness, muscle soreness, vaginal dryness, reduced libido, and symptoms of depression.

Menopause

Menopause represents a distinct moment that signifies the conclusion of a woman's fertile years.

Age of Onset: It generally happens at approximately age 51 (with a common range of 45–55).
Definition: It is a defined event that is confirmed after twelve months in a row without menstruation.
Duration: It is a singular event. The period that comes after this point is called Postmenopause.
Menstrual Cycle: Menstruation has permanently stopped.
Hormone Levels: Hormonal levels stabilize at a consistently low point.
Fertility: It is no longer possible to become pregnant.
Key Symptoms & Risks: Symptoms like hot flashes and vaginal dryness might continue. There is an elevated risk of bone density reduction (osteoporosis) and a higher risk of dementia and Alzheimer’s for individuals not using Hormone Replacement Therapy (HRT).

Symptoms and Hormonal Drivers of Perimenopause & Menopause

Sleep Problems (50–55%): This covers insomnia, waking often during the night (WASO), and sleep that is not refreshing. It is caused by fluctuating progesterone (which impacts GABA receptors) and low estrogen that leads to night sweats. A decrease in melatonin after 40 also exacerbates the problem.
Low Energy and Fatigue (~80%): Estrogen helps manage cortisol and aids mitochondrial activity. When it decreases, it results in metabolic stress and a reduction in cellular energy, which frequently happens in conjunction with sleep issues.
Joint & Muscle Pain (65%): A decrease in estrogen elevates pro-inflammatory cytokines, which causes body-wide inflammation and less lubrication in the joints, resulting in stiffness or conditions like "frozen shoulder".
Brain Fog (60%): Neurons need estrogen to utilize glucose for energy. Falling estrogen levels result in a "hypometabolic" condition in the brain's memory areas (hippocampus), which hinders one's ability to concentrate.
Hot Flashes & Night Sweats (50–55%): The hypothalamus (the body's internal thermostat) is regulated by estrogen. A reduction in estrogen makes the brain incorrectly sense that the body is too hot, which sets off abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): A fall in estrogen lowers the production of serotonin ("happiness hormone"), while less progesterone diminishes the brain's "calming" effect, resulting in heightened reactivity and fluctuating moods.
Abdominal Weight Gain (50%): The loss of estrogen leads to higher insulin resistance. The body intentionally accumulates visceral fat around the abdomen in an effort to create estrone (a type of estrogen) from these fat cells.
Vaginal Dryness & Pain (40%): Reduced estrogen diminishes blood circulation, collagen, and flexibility in the pelvic tissues, which can cause atrophy and pain during sexual intercourse (dyspareunia).
Low Libido (40–45%): This is caused by a significant drop in testosterone from ages 45 to 55, along with the physical pain and tiredness resulting from low estrogen levels.
Depressive Symptoms (40–45%): The likelihood of developing depression for the first time rises by 2–4x in perimenopause because of estrogen's effect on the density of serotonin receptors in the brain.
Dry Skin & Urinary Problems (35–45%): These issues stem from the same reduction in collagen, moisture retention, and tissue flexibility that also impacts the vaginal tissues.

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 Longevity Practice Philosophy & How to Get Started

The Longevity Practice is dedicated to detecting health risks before they develop into problems by using early and accurate diagnostics. Rather than responding to illness, we develop straightforward, customized strategies for sustaining health over the long term. We aim to provide each patient with profound insight into their own body and actionable steps for immediate implementation. By centering our approach on prevention and clarity, we guide patients toward constructing a longer, more healthful life.

Our Core Principles

Our main objective is to help individuals feel optimal at every stage of life and to assist them in achieving longer, healthier lifespans. To accomplish this, our work is centered around a number of fundamental principles:

Precision in Science
Individualized Care
A Focus on Prevention
Clear Guidance
Extended Healthspan
Transparent & Trustworthy

Note: Our methodology is built around sustainable and non-invasive solutions. We concentrate on these key principles to achieve durable physiological improvements and effective long-term health strategies.

Next Steps

Discover if our methodology is a good fit. Book your consultation via our website and schedule your visit

Evidence-based Longevity In Aachen

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 Perimenopause And Menopause Focus Session In Aachen

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: Assess menopausal stage and symptom profile to evaluate disease risk associated with hormonal decline and determine optimal clinical interventions.

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

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.

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.

Anne, 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.