Perimenopause & Menopause Consultation In Bayreuth

Preparedness Through Understanding

By 2030, 1.2 billion women are projected to reach menopause, a figure rising to 1.65 billion by 2050. Prior to this stage, a significant 60-80% of women between 34 and 51 years of age encounter perimenopausal symptoms that diminish their life quality and work performance. These can include everything from sleep issues to cognitive fog, anxiety, and diminished energy. Frequently, these conditions remain undiagnosed and unaddressed. The consequences affect families and create a substantial economic burden through missed work, absenteeism, and women exiting their careers.

The root cause is a decrease in hormones. 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 functions spanning from bone mass and metabolic rate to reproduction, cognitive abilities, and emotional state.

Consider these hormones as fundamental “building blocks.” The three most significant are:

Progesterone, also known as "the calm regulator": A reduction in this hormone can lead to disturbed sleep, feelings of anxiety, and excessive menstrual bleeding.
Estrogen, often called "the main character": Its depletion can affect cognitive function, causing memory problems and concentration issues, or reduce life quality through joint discomfort and vasomotor symptoms like night sweats and hot flashes.
Testosterone, referred to as "the drive booster": A decrease in this hormone can impact one's motivation, sex drive, and muscle tissue.

Smiling woman in black sweater representing perimenopause and menopause care

Distinguishing Perimenopause From Menopause

Perimenopause

Frequently described as “the second puberty,” this transitional period spans several years before menstruation ceases entirely.

Age of Onset: Generally begins at 34 years of age or later.
Definition: A transitional stage initiated by diminishing ovarian activity.
Duration: Usually extends for a period of 4 to 10 years.
Menstrual Cycle: Periods become unpredictable; they can be less or more intense, briefer or more extended, or missed altogether.
Hormone Levels: Progesterone levels are the first to drop, whereas estrogen fluctuates erratically, and testosterone shows a slow decline. A diagnosis is typically made based on symptoms, not bloodwork.
Fertility: Conception is still possible; continuing with your chosen method of birth control is advised.
Key Symptoms: Disturbed sleep, exhaustion, hot flashes, night sweats, emotional fluctuations, anxiety, cognitive fog, joint discomfort or stiffness, muscular pain, vaginal dryness, reduced libido, and symptoms of depression.

Menopause

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

Age of Onset: Generally happens at approximately age 51 (with a common range of 45–55).
Definition: A definitive point achieved following 12 straight months with no menstrual bleeding.
Duration: An individual moment. The period after this point is known as Postmenopause.
Menstrual Cycle: Ceases entirely.
Hormone Levels: Hormonal levels stabilize at a new, consistently low baseline.
Fertility: Pregnancy is no longer possible.
Key Symptoms & Risks: Issues like hot flashes and dryness can continue. There is a heightened risk of bone density loss (osteoporosis), along with an increased risk of dementia and Alzheimer’s disease in individuals not undergoing Hormone Replacement Therapy (HRT).

Hormone Fluctuations And Symptoms 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 (impacting GABA receptors) and reduced estrogen that leads to 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. A drop in estrogen results in metabolic strain and lower cellular energy, frequently happening in conjunction with sleep issues.
Joint & Muscle Pain (65%): Estrogen depletion elevates pro-inflammatory cytokines, which causes widespread inflammation and decreases joint fluid, 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 concentration.
Hot Flashes & Night Sweats (50–55%): The hypothalamus (the body's internal thermostat) is regulated by estrogen. Decreasing levels can make the brain 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 diminishing progesterone lessens the brain's "calming" influence, resulting in heightened reactivity and mood fluctuations.
Abdominal Weight Gain (50%): A loss of estrogen heightens insulin resistance. The body intentionally accumulates visceral fat around the abdomen in an effort to generate estrone (a type of estrogen) from these fat cells.
Vaginal Dryness & Pain (40%): Reduced estrogen diminishes blood circulation, collagen, and elasticity within the pelvic tissues, causing atrophy and pain during sexual intercourse (dyspareunia).
Low Libido (40–45%): This is caused by a significant drop in testosterone for those aged 45–55, in combination with the physical pain and exhaustion resulting from low estrogen.
Depressive Symptoms (40–45%): During perimenopause, the likelihood of developing depression for the first time rises by a factor of 2–4 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 decrease 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

The Longevity Practice Approach and 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 method involves crafting straightforward, individualized strategies for sustaining long-term wellness. We aim to provide each patient with profound insight into their own body and actionable measures they can implement immediately. By prioritizing prevention and understanding, we assist our patients in constructing a longer, more healthful life.

Our Core Principles

Our primary objective is to help individuals feel optimal at every stage of life and to assist them in achieving longer, healthier lifespans. In pursuit of this goal, we adhere to a number of fundamental principles:

Scientific Accuracy
Individualized Care
Proactive Prevention
Clear Direction
Extended Healthspan
Trustworthiness & Openness

Note: Our methodology is built around durable, non-invasive options. We concentrate on these foundational principles to promote enduring physiological adjustments and effective long-term health oversight.

Next Steps

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

Evidence-based Longevity In Bayreuth

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 Bayreuth

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.