Perimenopause & Menopause Consultation In Bad Freienwalde

Anticipating Hormonal Shifts

By 2030, 1.2 billion women will reach menopause, a figure projected to rise to 1.65 billion by 2050. Prior to menopause, between 60% and 80% of women from ages 34 to 51 encounter perimenopausal symptoms that impact their well-being and professional performance. Symptoms can include everything from sleep disturbances and mental cloudiness to anxiety and reduced energy levels. Frequently, these symptoms are not identified or addressed. The consequences affect families and create substantial economic costs from missed work, increased absenteeism, and women exiting their careers.

This transition is prompted by a decrease in hormone levels. 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 play a role in regulating functions ranging from bone mass and metabolic rate to reproductive health, cognitive processes, and emotional state.

Consider these hormones as essential "building blocks". The three primary hormones are:

Progesterone, the “calm regulator”: A reduction in this hormone can lead to disturbed sleep, feelings of anxiety, and excessive menstrual bleeding.
Estrogen, the “main character”: A decrease in estrogen can affect cognitive functions, causing memory problems and concentration difficulties, or diminish quality of life through joint discomfort and vasomotor symptoms like night sweats and hot flashes.
Testosterone, the “drive booster”: A fall in testosterone levels can impact motivation, sex drive, and lean muscle tissue.

Smiling woman in black sweater representing perimenopause and menopause care

Comparing Perimenopause and Menopause: Essential Differences

Perimenopause

Frequently referred to as “the second puberty,” this stage is a years-long transition that precedes the final menstrual period.

Age of Onset: Usually begins at 34 years of age or later.
Definition: A transitional period initiated by diminishing ovarian activity.
Duration: It commonly spans a period of 4 to 10 years.
Menstrual Cycle: Periods become unpredictable; they can vary in flow (lighter or heavier), length (shorter or longer), or may be missed altogether.
Hormone Levels: Progesterone levels are the first to drop, estrogen fluctuates erratically, and testosterone shows a gradual decline. A diagnosis is typically made based on symptoms, not blood work.
Fertility: Pregnancy is still possible; continuing with a preferred method of contraception is advised.
Key Symptoms: Includes sleep disturbances, tiredness, hot flashes, night sweats, mood fluctuations, anxiety, mental cloudiness, joint pain or stiffness, muscle soreness, vaginal dryness, reduced libido, and symptoms of depression.

Menopause

Menopause refers to a single moment that signifies the conclusion of a woman's reproductive phase.

Age of Onset: It generally happens at approximately 51 years of age (with a common range of 45–55).
Definition: An exact point in time confirmed after a woman has gone 12 months in a row without menstruating.
Duration: It is a singular event. The period that follows this event is known as Postmenopause.
Menstrual Cycle: Menstruation has permanently ceased.
Hormone Levels: Hormone production stabilizes at a consistently low level.
Fertility: Conception is no longer possible.
Key Symptoms & Risks: Symptoms like hot flashes and vaginal dryness might continue. There is an elevated risk of bone density loss (osteoporosis), along with a higher risk for dementia and Alzheimer’s disease in individuals not using Hormone Replacement Therapy (HRT).

Symptoms and Hormonal Shifts in Perimenopause and 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 levels that trigger night sweats. A decrease in melatonin after 40 also contributes to the problem.
Low Energy and Fatigue (~80%): Estrogen helps manage cortisol and aids mitochondrial activity. When it declines, it results in metabolic stress and a reduction in cellular energy, which often happens in conjunction with poor sleep.
Joint & Muscle Pain (65%): A decrease in estrogen elevates pro-inflammatory cytokines, causing body-wide inflammation and diminished joint lubrication, which can manifest as stiffness or a "frozen shoulder."
Brain Fog (60%): Neurons need estrogen to utilize glucose for energy. Falling estrogen levels induce a "hypometabolic" condition in the brain's memory areas (like the hippocampus), which affects focus.
Hot Flashes & Night Sweats (50–55%): The hypothalamus, the body's internal thermostat, is regulated by estrogen. A drop in estrogen causes 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 (the "happiness hormone"), and a decrease in progesterone lessens the brain's calming effect, resulting in heightened reactivity and mood shifts.
Abdominal Weight Gain (50%): The loss of estrogen leads to greater 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%): A reduction in estrogen decreases blood circulation, collagen, and flexibility in pelvic tissues, which can result in tissue thinning (atrophy) and pain during sexual intercourse (dyspareunia).
Low Libido (40–45%): This is caused by a significant drop in testosterone between the ages of 45 and 55, along with the physical soreness and tiredness resulting from low estrogen.
Depressive Symptoms (40–45%): The likelihood of developing depression for the first time rises by a factor of 2 to 4 in perimenopause because of estrogen's effect on the concentration 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 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

Our Approach at The Longevity Practice and Your Next Steps

The Longevity Practice is dedicated to detecting health risks with early and accurate diagnostics before they develop into more serious conditions. Rather than responding to illness, our method involves developing straightforward, customized strategies for preserving health over the long term. We aim to provide each patient with profound insight into their own physiology, complemented by actionable steps for immediate implementation. By emphasizing prevention and clear communication, we guide patients in constructing a foundation for a longer, more vibrant life.

Our Core Principles

Our primary objective is to assist individuals in achieving optimal well-being at every stage of life and to support their pursuit of an extended, healthier lifespan. To accomplish this, our practice is built upon a set of foundational principles:

Scientific Accuracy
Individualized Care
A Focus on Prevention
Clear Direction
Extended Healthspan
Trust and Openness

Note: Our methodology is centered around sustainable and non-invasive interventions. We adhere to these core principles to facilitate durable physiological improvements and support ongoing health maintenance.

Next Steps

Discover if our methodology aligns with your needs. Reserve your consultation through our online system and Schedule an appointment

Evidence-based Longevity In Bad Freienwalde

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 Bad Freienwalde

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.