Early Perimenopause Consultation Services In Berlin Mitte Beginning At 199€

The Benefit Of Proactive Understanding

By 2030, 1.2 billion women are projected to reach menopause, a figure that will rise to 1.65 billion by 2050. Prior to menopause, between 60-80% of women from age 34 to 51 encounter perimenopause symptoms which negatively impact their life quality and work productivity. These symptoms span from issues with sleep to cognitive fog, feelings of anxiety, and diminished energy levels. Frequently, these conditions remain undiagnosed and are not addressed with treatment. The consequences affect families and create substantial economic costs from missed workdays, higher absenteeism, and women exiting the labor force.

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, adipose tissue, bones, and immune cells. These receptors govern a range of functions, including bone density, metabolism, reproduction, cognitive abilities, and mood regulation.

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

Progesterone aka "the calm regulator": A reduction in its levels can lead to sleep disturbances, anxiety, and excessive menstrual bleeding.
Estrogen aka "the main character" Its depletion can affect brain function, causing memory problems and concentration difficulties, or diminish life quality through joint pain and vasomotor symptoms like night sweats and hot flashes.
Testosterone aka the "the drive booster." A decrease in this hormone impacts motivation, sex drive, and muscle volume.

Perimenopause vs. Menopause: Key Differences Without Hormone Therapy

Perimenopause

Frequently described as “the second puberty,” this period represents the multi-year stage that precedes the final cessation of menstruation.

Age of Onset: Generally begins at 34 years of age or later.
Definition: A transitional phase initiated by the diminishing function of the ovaries.
Duration: Typically persists for a period of 4 to 10 years.
Menstrual Cycle: Grows erratic; periods can become lighter, heavier, shorter, longer, or 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 bloodwork.
Fertility: Pregnancy is still possible; continuing with a preferred method of birth control is advised.
Key Symptoms: Includes sleep disturbances, tiredness, hot flashes, night sweats, mood shifts, anxiety, cognitive fog, joint pain or stiffness, muscle soreness, vaginal dryness, reduced libido, 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 at approximately age 51 (with a common range of 45–55).
Definition: A defined point that is confirmed following 12 straight months with no menstrual period.
Duration: A singular event. The period that comes after this point is known as Postmenopause.
Menstrual Cycle: Entirely ceases.
Hormone Levels: Hormonal levels stabilize at a new, consistently low baseline.
Fertility: Conception is no longer possible.
Key Symptoms & Risks: Symptoms like hot flashes and vaginal 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 using 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 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 stress and lower cellular energy, which frequently happens in conjunction with sleep issues.
Joint & Muscle Pain (65%): The depletion of estrogen raises levels of pro-inflammatory cytokines, causing body-wide inflammation and diminished joint lubrication, which can manifest as stiffness or "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 (the hippocampus), which compromises 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 sense overheating, which initiates abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): A fall in estrogen lowers the production of serotonin ("happiness hormone"), and declining progesterone lessens the brain's natural calming effect, resulting in heightened reactivity and mood fluctuations.
Abdominal Weight Gain (50%): A reduction in estrogen heightens insulin resistance. The body then intentionally accumulates visceral fat around the abdomen in an effort to generate estrone (a form of estrogen) from these fat cells.
Vaginal Dryness & Pain (40%): The decrease in estrogen diminishes blood circulation, collagen, and elasticity within the pelvic tissues, which causes atrophy and pain during sexual intercourse (dyspareunia).
Low Libido (40–45%): This is prompted by a significant drop in testosterone levels between the ages of 45 and 55, which is exacerbated 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 the effect of estrogen on the density 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 elasticity that also impacts the vaginal tissues.

Our Approach At The Longevity Practice And Your 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 after it occurs, we develop straightforward, customized strategies for preserving health over the long term. We aim to provide each patient with a thorough insight into their own body, complemented by actionable measures they can implement immediately. By emphasizing prevention and clarity, we guide patients in 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 mission, we adhere to a number of fundamental principles:

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

Note: Our methodology is centered around sustainable and non-invasive solutions. We concentrate on these foundational principles to promote enduring physiological adjustments and effective long-term health oversight.

Next Steps

Find out if our methodology is a good fit for your needs. Reserve your consultation through our online system and Schedule an appointment

Evidence-based Longevity In Berlin Mitte

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 Mitte

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

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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.