Perimenopause & Menopause Consultation In Bielefeld

Proactive Care for a Major Life Transition

By 2030, 1.2 billion women will reach menopause, a figure set to rise to 1.65 billion by 2050. Prior to this stage, 60-80% of women between the ages of 34 and 51 encounter perimenopausal symptoms that diminish their quality of life and work productivity. Symptoms can include everything from sleep disturbances and brain fog to anxiety and diminished energy. Frequently, these symptoms are not diagnosed or addressed. The consequences affect families and create a substantial economic burden through lost workdays, absenteeism, and women exiting the workforce.

This transition is driven by a decline in hormones. 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 various functions, spanning from bone density and metabolism to reproduction, cognitive processes, and mood.

Consider these hormones the primary “building blocks” of female physiology. The three most significant are:

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

Smiling woman in black sweater representing perimenopause and menopause care

Perimenopause and Menopause: Defining the Stages

Perimenopause

Commonly referred to as “the second puberty,” this stage represents the multi-year period preceding the cessation of menstruation.

Age of Onset: Usually begins at age 34 or later.
Definition: A transitional period initiated by diminishing ovarian function.
Duration: Typically spans a period of 4 to 10 years.
Menstrual Cycle: Menstrual cycles grow irregular, potentially becoming lighter, heavier, shorter, longer, or missed altogether.
Hormone Levels: Progesterone is the first 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 chosen method of birth control is advised.
Key Symptoms: Primary symptoms include sleep disturbances, fatigue, hot flashes, night sweats, mood fluctuations, anxiety, brain fog, joint pain or stiffness, muscle soreness, vaginal dryness, reduced libido, and symptoms of depression.

Menopause

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

Age of Onset: Commonly happens around age 51, with a typical range of 45–55.
Definition: A defined point that is confirmed after 12 months in a row without menstruation.
Duration: It is a single moment. The period after this point is known as Postmenopause.
Menstrual Cycle: Menstruation has ceased entirely.
Hormone Levels: Hormone levels stabilize at a new, consistently low baseline.
Fertility: Natural pregnancy 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), as well as dementia and Alzheimer’s disease for individuals not undergoing Hormone Replacement Therapy (HRT).

Symptoms and Their Hormonal Triggers in Perimenopause & Menopause

Sleep Problems (50–55%): Encompasses insomnia, waking often during the night (WASO), and unrefreshing sleep. Caused by fluctuating progesterone (impacting GABA receptors) and low estrogen leading 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 function. A reduction in estrogen results in metabolic stress and a decrease in cellular energy, frequently co-occurring with sleep issues.
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 effectively use glucose for energy. Falling 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. When estrogen levels fall, the brain may mistakenly sense overheating, activating abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): Falling estrogen levels diminish the production of serotonin ("happiness hormone"), and lower progesterone lessens the brain's calming effects, contributing to heightened reactivity and mood fluctuations.
Abdominal Weight Gain (50%): Reduced estrogen leads to higher 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%): A decline in estrogen diminishes blood flow, collagen, and elasticity in the pelvic tissues, resulting in atrophy and painful intercourse (dyspareunia).
Low Libido (40–45%): Caused by a significant drop in testosterone from ages 45 to 55, alongside the physical discomfort and fatigue associated with low estrogen.
Depressive Symptoms (40–45%): During perimenopause, the likelihood of developing depression for the first time rises by 2–4 times because of estrogen's effect on the density of serotonin receptors in the brain.
Dry Skin & Urinary Problems (35–45%): Results from the same reduction in collagen, moisture retention, and tissue elasticity that impacts the vaginal tissues.

Woman in her 40s experiencing perimenopause or menopause symptoms, wearing turquoise sweater in natural light

Modern menopause and perimenopause clinic, The Longevity Practise, with patient consultation space and wellness equipment

The Longevity Practice Approach 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, our approach is to develop straightforward, individualized strategies for preserving long-term wellness. We aim to provide each patient with a thorough knowledge of their own body and actionable steps they can implement immediately. By focusing on prevention and clarity, we assist patients in constructing a longer and healthier life.

Our Guiding Principles

Our main objective is to help individuals feel optimal at every stage of life and to support them in achieving longer, healthier lifespans. To accomplish this, our work is centered on several key principles:

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

Note: Our methodology is built around sustainable and non-invasive solutions. We adhere to these guiding principles to facilitate enduring physiological improvements and effective long-term health management.

How to Get Started

Discover if our methodology aligns with your needs. You can book your consultation online and Schedule an appointment

Evidence-based Longevity In Bielefeld

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 Bielefeld

The cost for a Perimenopause and Menopause Focus Session is based on the German healthcare pricing system (GOÄ – Gebührenordnung für Ärzte). 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.