Consultation For Early Perimenopause In Berlin Kreuzberg From 199€

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A Proactive Defense Through Knowledge

By the year 2030, 1.2 billion women will reach menopause, with this number rising to 1.65 billion by 2050. Prior to menopause, 60-80% of women between the ages of 34 and 51 encounter symptoms of perimenopause that diminish their life quality and professional output. These symptoms can include everything from sleep disturbances and brain fog to anxiety and diminished energy. Frequently, these conditions are not diagnosed or addressed. The consequences affect families and create a substantial economic burden resulting from missed work, absenteeism, and women departing from their careers.

A decrease in hormones is the underlying cause. 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 density and metabolic processes to reproductive capability, cognitive function, and emotional state.

Consider these hormones as fundamental "building blocks." The three primary ones 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": The depletion of estrogen can affect cognitive functions (such as memory problems and trouble with concentration) or decrease quality of life through joint discomfort and vasomotor symptoms (including night sweats and hot flashes).
  • Testosterone, or "the drive booster": A drop in testosterone levels can impact one's motivation, sex drive, and muscle tissue.

Perimenopause And Menopause: Crucial Differences Outside Of Hormone Therapy

Perimenopause

Frequently referred to as “the second puberty,” this represents the transitional period of several years that precedes the final menstrual period.

  • Age of Onset: Usually begins at 34 years of age or later.
  • Definition: A transitional phase initiated by a reduction in the function of the ovaries.
  • Duration: Commonly extends for a period of 4 to 10 years.
  • Menstrual Cycle: Turns irregular, with periods potentially becoming lighter, heavier, shorter, longer, or missed altogether.
  • Hormone Levels: Progesterone levels are the first to drop, whereas estrogen fluctuates unpredictably and testosterone shows a gradual decline. 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, tiredness, hot flashes, nocturnal sweating, mood fluctuations, anxiety, cognitive fog, joint pain or rigidity, muscular soreness, vaginal dryness, reduced sex drive, 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: Generally happens around the age of 51 (with a common range of 45–55).
  • Definition: A specific landmark achieved following 12 straight months with no menstrual period.
  • Duration: It is a singular event in time. The period that comes after this point is known as Postmenopause.
  • Menstrual Cycle: Ceases entirely.
  • Hormone Levels: Hormone levels stabilize and stay at a consistently low level.
  • Fertility: Pregnancy is no longer possible.
  • Key Symptoms & Risks: Symptoms like hot flashes and dryness can 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 undergoing Hormone Replacement Therapy (HRT).

Hormone Fluctuations And Symptoms In Perimenopause And Menopause

  • Sleep Problems (50–55%): Encompasses insomnia, waking often during the night (WASO), and sleep that is not refreshing. This is caused by fluctuations in progesterone (impacting GABA receptors) and reduced estrogen levels that lead 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 stress and a reduction 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 lead to a "hypometabolic" condition in the memory areas of the brain (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 make the brain mistakenly perceive the body as too hot, which initiates abrupt cooling mechanisms.
  • Anxiety & Irritability (50–60%): A fall in estrogen lessens the production of serotonin ("happiness hormone") production, and decreasing progesterone diminishes the brain's "calming" effect, resulting in heightened reactivity and fluctuating moods.
  • Abdominal Weight Gain (50%): The loss of estrogen heightens insulin resistance. In response, 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 decrease in estrogen diminishes blood circulation, collagen, and elasticity within the pelvic tissues, which can cause atrophy and pain with intercourse (dyspareunia).
  • Low Libido (40–45%): This is prompted by a significant drop in testosterone for those aged 45–55, coupled with the physical unease and tiredness resulting from low estrogen levels.
  • 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 identical reduction in collagen, moisture retention, and tissue elasticity that impacts the vaginal tissues.

An Overview Of The Longevity Practice And Your Next Steps

The Longevity Practice is dedicated to detecting potential risks prior to them developing into health issues by using early and accurate diagnostic methods. Rather than responding to illness, our approach is to develop straightforward, individualized strategies for preserving health over the long term. We aim to provide each patient with profound insight into their own body, complemented by actionable measures they can implement immediately. By centering our practice on prevention and clarity, we guide patients in constructing a more extended and healthier existence.

Our Core Principles

Our primary objective is to assist individuals in feeling optimal at every stage of life and to help them live longer and more healthfully. To accomplish this, our work is centered on a number of key principles:

  • Scientific Accuracy
  • Individualized Care
  • A Proactive Approach
  • Clear Direction
  • Extended Healthy Lifespan
  • Honesty And Reliability

Note: Our methodology is built around sustainable and non-invasive options. We concentrate on these foundational principles to promote enduring physiological improvements and the long-term management of health.

Next Steps

Discover whether our method is a suitable fit for your needs. Book your consultation through our website and Schedule an appointment

Evidence-based Longevity In Berlin Kreuzberg

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 Kreuzberg

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.