Expert Perimenopause and Menopause Support in Augsburg

An Advantage Through Awareness

By 2030, 1.2 billion women are projected to reach menopause, a figure set to rise to 1.65 billion by 2050. Before this stage, 60-80% of women between the ages of 34 and 51 encounter perimenopausal symptoms that diminish their quality of life and work productivity. These can include sleep issues, brain fog, anxiety, and diminished energy. These conditions are frequently not diagnosed or addressed. The consequence is a substantial effect on families and a considerable economic burden stemming from missed work, absenteeism, and women exiting the labor market.

The root cause is a decrease in hormones. Women possess Estrogen (ER) and androgen (AR) receptors not only in reproductive organs (uterus, ovaries, breast), but also in the brain, liver, kidney, adipose tissue, bone, and immune cells. These receptors influence a range of functions, from bone density and metabolism to reproduction, cognitive processes, and emotional state.

Consider them to be fundamental “building blocks.” The three primary ones are:

Progesterone aka "the calm regulator": A reduction in this hormone can lead to disturbed sleep, feelings of anxiety, and excessive menstrual bleeding.
Estrogen aka "the main character" The depletion of estrogen can affect brain function (leading to memory problems and concentration difficulties) or diminish quality of life through joint discomfort and vasomotor symptoms (night sweats, hot flashes).
Testosterone aka the "the drive booster." A decrease in testosterone levels impacts one's motivation, libido, and muscle mass.

Smiling woman in black sweater representing perimenopause and menopause care

Key Differences Between Perimenopause and Menopause

Perimenopause

Frequently referred to as “the second puberty,” this stage is a multi-year period that precedes the final cessation of menstrual cycles.

Age of Onset: Generally begins at 34 years of age or later.
Definition: A transitional period initiated by a reduction in the function of the ovaries.
Duration: Usually extends for a period of 4 to 10 years.
Menstrual Cycle: Periods become unpredictable; they can be lighter, heavier, shorter, longer, or missed altogether.
Hormone Levels: Progesterone levels are the first to drop, estrogen fluctuates erratically, and testosterone declines slowly. A diagnosis is typically made based on symptoms, not bloodwork.
Fertility: Pregnancy is still possible; continuing with your chosen method of birth control is advised.
Key Symptoms: Includes disturbed sleep, exhaustion, hot flashes, night sweats, mood fluctuations, anxiety, cognitive fog, joint pain or stiffness, muscle soreness, vaginal dryness, reduced libido, and symptoms of depression.

Menopause

Menopause refers to a distinct moment in time that signals the conclusion of a woman's reproductive phase.

Age of Onset: Commonly happens at approximately age 51 (with a typical range of 45–55).
Definition: A defined point achieved following 12 straight months without a menstrual period.
Duration: An individual moment in time. The period that comes after this point is known as Postmenopause.
Menstrual Cycle: Menstruation has ceased entirely.
Hormone Levels: Hormonal levels stabilize at a new, consistently low baseline.
Fertility: Conception is no longer possible.
Key Symptoms & Risks: Symptoms like hot flashes and dryness can continue. There is a heightened risk of bone density loss (osteoporosis), along with an increased risk for dementia and Alzheimer’s disease in individuals not using Hormone Replacement Therapy (HRT).

Perimenopause and Menopause: Hormones and Associated Symptoms

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 leading to night sweats. A decrease in melatonin after age 40 also contributes to the problem.
Low Energy and Fatigue (~80%): Estrogen helps control cortisol and aids mitochondrial function. A reduction in estrogen results in metabolic stress and a decrease in cellular energy, which frequently happens in conjunction with sleep disturbances.
Joint & Muscle Pain (65%): A decrease in estrogen elevates pro-inflammatory cytokines, causing body-wide inflammation and less joint lubrication, which can result in stiffness or conditions like "frozen shoulder."
Brain Fog (60%): Neurons need estrogen to metabolize glucose. When estrogen levels fall, a "hypometabolic" condition develops in the brain’s memory areas (the hippocampus), which hinders concentration.
Hot Flashes & Night Sweats (50–55%): The hypothalamus, which acts as the body's thermostat, is regulated by estrogen. Reduced estrogen levels can cause the brain to incorrectly perceive the body as too hot, initiating abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): Falling estrogen levels lower the production of serotonin ("happiness hormone"), while decreasing progesterone diminishes the brain's "calming" effect, resulting in heightened reactivity and mood fluctuations.
Abdominal Weight Gain (50%): A lack of estrogen heightens insulin resistance. The body intentionally accumulates visceral fat around the abdomen in an effort to generate estrone (an estrogen type) from these fat cells.
Vaginal Dryness & Pain (40%): Reduced estrogen diminishes blood circulation, collagen, and elasticity within the pelvic tissues, which can cause atrophy and pain during intercourse (dyspareunia).
Low Libido (40–45%): This is primarily caused by a significant drop in testosterone between the ages of 45 and 55, along with the physical discomfort and tiredness resulting from low estrogen.
Depressive Symptoms (40–45%): During perimenopause, the likelihood of developing depression for the first time rises 2–4x because of how estrogen affects the density of serotonin receptors in the brain.
Dry Skin & Urinary Problems (35–45%): These issues stem from the identical reduction in collagen, moisture retention, and tissue elasticity that also impacts the vaginal walls.

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: Our Philosophy and Your Next Steps

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, our approach is to develop straightforward, individualized strategies for sustaining long-term well-being. We aim to provide each patient with profound insight into their own body and actionable steps for immediate implementation. By centering our work on prevention and clarity, we guide patients toward constructing a longer, more healthful life.

Our Core Principles

Our primary objective is to assist individuals in feeling optimal at every stage of life and to support their pursuit of a longer, healthier existence. To accomplish this, our work is centered on several foundational principles:

Scientific Precision
Personalization
Prevention First
Clarity & Guidance
Long-Term Healthspan
Trust & Transparency

Note: Our methodology is built around sustainable and non-invasive options. We concentrate on these key principles to facilitate enduring physiological adjustments and effective long-term health stewardship.

Next Steps

Discover if our approach is the right fit for you. Reserve your consultation online and Schedule an appointment

Evidence-based Longevity In Augsburg

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 Augsburg

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

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

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.