Consultation For Early Perimenopause In Berlin Steglitz From 199€

The Protective Power Of Prevention

By 2030, 1.2 billion women are projected to reach menopause, a figure that will rise to 1.65 billion by 2050. Prior to this stage, an estimated 60-80% of women between the ages of 34 and 51 encounter perimenopausal symptoms that diminish their quality of life and work performance. Symptoms can vary widely, including sleep disturbances, cognitive fog, anxiety, and diminished energy levels. Frequently, these symptoms are not diagnosed or addressed. The consequences affect families and create a substantial economic burden through missed workdays, absenteeism, and women exiting their careers.

The underlying cause is a decline 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 play a role in regulating functions ranging from bone density and metabolism to reproduction, cognitive processes, and mood.

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

Progesterone aka "the calm regulator": A reduction in this hormone can lead to sleep disturbances, anxiety, and significant menstrual bleeding.
Estrogen aka "the main character" A decrease in estrogen can affect cognitive function, causing memory issues and trouble concentrating, or degrade quality of life through joint pain and vasomotor symptoms like night sweats and hot flashes.
Testosterone aka the "the drive booster." A drop in this hormone can impact motivation, sex drive, and muscle mass.

Differentiating Perimenopause And Menopause Without Hormone Therapy

Perimenopause

Commonly referred to as “the second puberty,” this stage represents the several-year period preceding the final menstrual cycle.

Age of Onset: Generally begins at age 34 or later.
Definition: It is a transitional phase initiated by diminishing ovarian function.
Duration: The duration is typically between 4 and 10 years.
Menstrual Cycle: The menstrual cycle grows irregular, with periods that can be lighter, heavier, shorter, longer, or missed altogether.
Hormone Levels: Progesterone is the initial hormone to decline, followed by unpredictable fluctuations in estrogen and a gradual decrease in testosterone. 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: Sleep disturbances, tiredness, hot flashes, night sweats, mood fluctuations, 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 signifies the conclusion of the reproductive phase of life.

Age of Onset: It generally happens around the age of 51 (with a typical range of 45–55).
Definition: This is a defined point achieved after experiencing 12 straight months without a menstrual period.
Duration: It is a singular event. The period that follows this point is called Postmenopause.
Menstrual Cycle: Totally ceases.
Hormone Levels: Hormone levels stabilize at a consistently low level.
Fertility: Conception is no longer possible.
Key Symptoms & Risks: Symptoms like hot flashes and dryness can continue. The likelihood of bone loss (osteoporosis) rises, as does the potential for dementia and Alzheimer’s disease in individuals not undergoing Hormone Replacement Therapy (HRT).

Symptoms And Hormonal Shifts Of 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 progesterone shifts (impacting GABA receptors) and low estrogen that results in 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 reduction in estrogen results in metabolic stress and a decrease in cellular energy, which frequently happens in conjunction with sleep problems.
Joint & Muscle Pain (65%): A decrease in estrogen elevates pro-inflammatory cytokines, which causes systemic inflammation and less joint lubrication, 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. A drop in this hormone can make the brain incorrectly perceive the body as too hot, which sets off abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): Falling estrogen levels lower the production of serotonin ("happiness hormone"), and decreasing progesterone lessens the brain's calming effect, which can cause heightened reactivity and emotional 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 (an estrogen type) from these fat cells.
Vaginal Dryness & Pain (40%): Decreased estrogen diminishes blood circulation, collagen levels, and elasticity within pelvic tissues, resulting in atrophy and pain during sexual intercourse (dyspareunia).
Low Libido (40–45%): This is prompted by a significant drop in testosterone from ages 45 to 55, along 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 2 to 4 times because of how estrogen affects the density of serotonin receptors in the brain.
Dry Skin & Urinary Problems (35–45%): This results from the same reduction in collagen, moisture retention, and tissue elasticity that impacts the vaginal walls.

The Longevity Practice Philosophy And Your Next Steps

The Longevity Practice is dedicated to detecting health risks prior to their development into problems by using early and accurate diagnostics. Rather than responding to illness after it occurs, we design straightforward, customized strategies for preserving health over the long term. We aim to provide each patient with profound insight into their own body and actionable measures they can implement immediately. By emphasizing prevention and clear communication, we assist our 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 journey toward living longer, healthier lives. To accomplish this, our practice is centered on several fundamental principles:

Scientific Accuracy
Tailored Approaches
Preventive Focus
Transparent Guidance
Extended Healthspan
Openness And Trust

Note: Our methodology is founded on sustainable and non-invasive solutions. We adhere to these key principles to facilitate enduring physiological adjustments and effective long-term health maintenance.

Next Steps

Find out if our approach is a good fit for you. Reserve your consultation online and Book Your Appointment

Evidence-based Longevity In Berlin Steglitz

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 Steglitz

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

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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.