Early Perimenopause Consultation In Berlin Charlottenburg Starting From 199€

A Shield Of Foresight

1.2 billion women will hit menopause by 2030 and 1.65 by 2050. Even before that, 60-80% of women aged 34 to 51 years old experience perimenopause symptoms that affect their quality of life and productivity. These range from sleep problems to brain fog, anxiety and low energy. Many times they go undiagnosed and untreated. This impacts families and brings a significant cost to our economies due to lost workdays, absenteeism, and women leaving the workforce.

It’s caused by hormone decline. Women have Estrogen (ER) and androgen (AR) receptors in brain, liver, kidney, adipose tissue, bone and immune cells aside from reproductive organs (uterus, ovaries, breast). They influence functions from bone density and metabolism to reproduction, cognition and mood.

Think of them as lego “building blocks”. The "Big Three" are:

Progesterone aka "the calm regulator": Its decline may cause sleep disruption, anxiety, and heavy bleeding.
Estrogen aka "the main character" Its loss may impact the brain function (memory impairment, difficulty concentrating) or quality of life due to joint pain and vasomotor issues (night sweats, hot flashes).
Testosterone aka the "the drive booster." Its decline affects motivation, libido and muscle mass.

Perimenopause vs. Menopause: Key Distinctions Without Hormone Therapy

Perimenopause

Often called “the second puberty,” this is the multi-year phase leading up to the end of menstruation.

Age of Onset: Typically starts at age 34 or older.
Definition: A transition triggered by a decline in ovarian function.
Duration: Generally lasts between 4 to 10 years.
Menstrual Cycle: Becomes irregular; cycles may be lighter, heavier, shorter, longer, or skipped entirely.
Hormone Levels: Progesterone is the first to decrease, while estrogen rises and falls unpredictably and testosterone decreases gradually. Diagnosis is usually based on symptoms rather than blood tests.
Fertility: You can still get pregnant; it is recommended to continue using your preferred birth control option.
Key Symptoms: Sleep disruption, fatigue, hot flashes, night sweats, mood swings, anxiety, brain fog, joint pain or stiffness, muscle aches, vaginal dryness, low libido, and depressive symptoms.

Menopause

Menopause is a specific point in time, marking the end of the reproductive years.

Age of Onset: Usually occurs around age 51 (typically ranging from 45–55).
Definition: A fixed milestone reached after 12 consecutive months without a period.
Duration: A single point in time. The phase following this milestone is referred to as Postmenopause.
Menstrual Cycle: Completely absent.
Hormone Levels: Hormones reach a flatline and remain consistently low.
Fertility: You cannot get pregnant anymore.
Key Symptoms & Risks: Symptoms such as hot flashes and dryness may persist. The risk of bone loss (osteoporosis) increases, as does the risk of dementia and Alzheimer’s disease for those not on Hormone Replacement Therapy (HRT).

Hormonal Changes And Symptoms During The Perimenopause & Menopause

Sleep Problems (50–55%): Includes insomnia, frequent waking (WASO), and non-restorative sleep. Driven by progesterone fluctuations (which affect GABA receptors) and low estrogen causing night sweats. Melatonin decline after age 40 further compounds the issue.
Low Energy and Fatigue (~80%): Estrogen regulates cortisol and supports mitochondrial function. Its decline leads to metabolic stress and cellular energy drops, often occurring alongside sleep disturbances.
Joint & Muscle Pain (65%): Loss of estrogen increases pro-inflammatory cytokines, leading to systemic inflammation and reduced joint lubrication (stiffness or "frozen shoulder").
Brain Fog (60%): Estrogen is required for neurons to burn glucose. Dropping levels create a "hypometabolic" state in the brain's memory centers (hippocampus), impairing concentration.
Hot Flashes & Night Sweats (50–55%): Estrogen regulates the hypothalamus (the body’s thermostat). Declines cause the brain to misinterpret body heat as overheating, triggering sudden cooling responses.
Anxiety & Irritability (50–60%): Dropping estrogen reduces serotonin ("happiness hormone") production, while declining progesterone reduces the brain's "calming" influence, leading to high reactivity and mood swings.
Abdominal Weight Gain (50%): Estrogen loss increases insulin resistance. The body deliberately stores visceral fat in the belly area to attempt to produce estrone (a form of estrogen) from fat cells.
Vaginal Dryness & Pain (40%): Loss of estrogen reduces blood flow, collagen, and elasticity in pelvic tissues, leading to atrophy and discomfort during intercourse (dyspareunia).
Low Libido (40–45%): Driven by a sharp decline in testosterone between ages 45–55, combined with the physical discomfort and fatigue caused by low estrogen.
Depressive Symptoms (40–45%): The risk of new-onset depression increases 2–4x during perimenopause due to estrogen’s impact on serotonin receptor density in the brain.
Dry Skin & Urinary Problems (35–45%): Caused by the same loss of collagen, moisture-retention, and tissue elasticity that affects the vaginal walls.

About The Longevity Practice & Next Steps

At The Longevity Practice, we focus on identifying risks before they become health problems through early, precise diagnostics. Instead of reacting to disease, we create clear, personalized plans to maintain long-term health. Our goal is to give every patient a deep understanding of their body along with practical steps they can take today. With prevention and clarity at the core, we help patients build a longer, healthier life.

Our Core Principles

Our priority is helping people feel their best at any age and supporting them in living longer, healthier lives. To achieve this, we focus on several core principles:

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

Note: Our approach centers on sustainable, non-invasive solutions. We focus on these core principles to ensure lasting physiological correction and long-term health management.

Next Steps

See if our approach is right for you. Book your consultation online and Schedule an appointment

Evidence-based Longevity In Berlin Charlottenburg

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 Berlin Charlottenburg

The cost for a Perimenopause and Menopause Focus Session is based on the German healthcare pricing system (GOÄ – Gebührenordnung für Ärzte). A single consultation visit is priced at 199€. However, 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.