Consultation For Early Perimenopause In Berlin Friedrichshain Beginning At 199€

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The Protection Of Proactive Insight

By 2030, 1.2 billion women will reach menopause, a figure set to rise to 1.65 by 2050. Before this stage, between 60-80% of women from ages 34 to 51 undergo perimenopause, which brings symptoms that diminish their life quality and work performance. Such symptoms vary from sleep disturbances and brain fog to anxiety and diminished energy. Frequently, these conditions are not diagnosed or addressed. The consequences extend to families and create substantial economic costs through missed work, absenteeism, and women exiting their careers.

The underlying cause is a reduction in hormones. Women possess Estrogen (ER) and androgen (AR) receptors not just in reproductive organs like the uterus, ovaries, and breast, but also in the brain, liver, kidneys, fat tissue, bones, and immune cells. These receptors affect a range of functions, including bone density, metabolism, reproduction, cognitive abilities, and mood.

Consider these hormones as essential “building blocks.” The three primary ones are:

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

Comparing Perimenopause And Menopause: Crucial Differences Without Hormone Therapy

Perimenopause

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

  • Age of Onset: The onset is generally at age 34 or later.
  • Definition: It is a transitional phase initiated by a reduction in ovarian activity.
  • Duration: The duration is typically from 4 to 10 years.
  • Menstrual Cycle: The menstrual cycle turns irregular, with periods becoming lighter, heavier, shorter, longer, or missed altogether.
  • Hormone Levels: Progesterone levels are the first to fall, estrogen levels fluctuate erratically, and testosterone diminishes slowly. A diagnosis is typically made based on symptoms instead of blood analysis.
  • Fertility: Pregnancy is still possible; continuing with a chosen method of birth control is advised.
  • Key Symptoms: Key symptoms include sleep disturbances, tiredness, hot flashes, nocturnal sweats, shifts in mood, anxiety, mental fogginess, joint pain or stiffness, muscle soreness, vaginal dryness, reduced libido, and symptoms of depression.

Menopause

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

  • Age of Onset: The typical age of onset is about 51 (with a common range of 45–55).
  • Definition: It is a defined point achieved following 12 straight months with no menstruation.
  • Duration: This is a singular event in time. The period after this event is known as Postmenopause.
  • Menstrual Cycle: The menstrual cycle has ceased entirely.
  • Hormone Levels: Hormone levels stabilize and stay at a consistently low level.
  • Fertility: It is no longer possible to become pregnant.
  • Key Symptoms & Risks: Symptoms like hot flashes and vaginal dryness might continue. The likelihood of bone density loss (osteoporosis) rises, along with the risk for dementia and Alzheimer’s disease in individuals not undergoing Hormone Replacement Therapy (HRT).

The Connection Between Hormonal Shifts And Symptoms In Perimenopause And Menopause

  • Sleep Problems (50–55%): This encompasses insomnia, waking often during the night (WASO), and sleep that is not refreshing. It is caused by fluctuating progesterone levels (impacting GABA receptors) and reduced estrogen that leads to night sweats. A decrease in melatonin after age 40 exacerbates the problem.
  • Low Energy and Fatigue (~80%): Estrogen helps manage cortisol and aids mitochondrial activity. A reduction in estrogen results in metabolic stress and a decrease 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 systemic inflammation and lessens joint lubrication, resulting in stiffness or conditions like "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 (hippocampus), which hinders concentration.
  • Hot Flashes & Night Sweats (50–55%): The hypothalamus (the body's internal thermostat) is regulated by estrogen. Reductions in this hormone cause the brain to incorrectly perceive the body as too hot, initiating abrupt cooling mechanisms.
  • Anxiety & Irritability (50–60%): Falling estrogen levels diminish the production of serotonin ("happiness hormone"), and decreasing progesterone lessens the brain's natural calming effect, resulting in heightened reactivity and mood fluctuations.
  • Abdominal Weight Gain (50%): A reduction in estrogen leads to greater 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%): The decline in estrogen diminishes blood circulation, collagen, and elasticity within the pelvic tissues, which results in atrophy and pain during sexual intercourse (dyspareunia).
  • Low Libido (40–45%): This is caused by a significant drop in testosterone from age 45 to 55, which is compounded by the physical discomfort and tiredness resulting from low estrogen.
  • Depressive Symptoms (40–45%): During perimenopause, the likelihood of developing new-onset depression rises by a factor of 2–4, owing to 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 elasticity that impacts the vaginal tissues.

Our Philosophy At The Longevity Practice And How To Proceed

The Longevity Practice is dedicated to detecting health risks with early and accurate diagnostics before they develop into problems. Rather than responding to illness, our approach is to develop straightforward, individualized strategies for sustaining health over the long term. We aim to provide each patient with profound insight into their own body and actionable measures for immediate implementation. Centered on prevention and transparency, we guide our 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 Rigor
  • Tailored Care
  • Proactive Prevention
  • Clear Guidance
  • Enduring Healthspan
  • Trust And Openness

Note: Our methodology revolves around sustainable and non-invasive methods. We adhere to these fundamental principles to facilitate enduring physiological improvements and effective long-term health supervision.

Next Steps

Find out if our methodology suits your needs. Reserve your consultation through our online system and Schedule an appointment

Evidence-based Longevity In Berlin Friedrichshain

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.

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Cost Of Perimenopause And Menopause Focus Session In Berlin Friedrichshain

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
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
Introduction Session
0€
Schedule a quick video call to learn more about The Longevity Practice services and approach.
Duration: 15 minutes

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.