Perimenopause & Menopause Consultation In Brandenburg

Proactive Health Through Hormonal Change

By the year 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% and 80% of women from 34 to 51 years of age encounter perimenopausal symptoms that diminish their quality of life and work productivity. Symptoms can vary from sleep disturbances and brain fog to anxiety and diminished energy levels. Frequently, these symptoms remain undiagnosed and are not addressed. The consequences affect families and impose a substantial economic burden through missed workdays, absenteeism, and women exiting their careers.

This transition is driven by a decline in hormone levels. Beyond the reproductive organs (such as the uterus, ovaries, and breast), women possess estrogen (ER) and androgen (AR) receptors throughout the body, including in the brain, liver, kidneys, adipose tissue, bones, and immune cells. These receptors play a role in various functions, spanning from bone density and metabolic processes to reproduction, cognitive abilities, and emotional states.

Consider these hormones as fundamental "building blocks." The three primary ones are:

Progesterone, known as "the calm regulator": A reduction in this hormone can lead to disrupted sleep, feelings of anxiety, and heavy menstrual bleeding.
Estrogen, often called "the main character": The depletion of estrogen can affect brain function, causing memory issues and trouble concentrating, or reduce quality of life through joint pain and vasomotor symptoms like night sweats and hot flashes.
Testosterone, or "the drive booster": A decrease in this hormone impacts motivation, sex drive, and muscle mass.

Smiling woman in black sweater representing perimenopause and menopause care

Perimenopause vs. Menopause: Defining The Stages Without Hormone Therapy

Perimenopause

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

Age of Onset: Usually begins at age 34 or later.
Definition: A transitional phase initiated by the diminishing function of the ovaries.
Duration: It commonly spans a period of 4 to 10 years.
Menstrual Cycle: Periods become unpredictable; they can be lighter, heavier, shorter, longer, or missed altogether.
Hormone Levels: Progesterone levels decline first, followed by erratic fluctuations in estrogen and a gradual decrease in testosterone. A diagnosis is typically made based on symptoms, not blood work.
Fertility: Pregnancy is still possible; continuing with a chosen method of birth control is advisable.
Key Symptoms: Common 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 in time that signals the conclusion of a woman's reproductive phase.

Age of Onset: It generally happens around age 51, with a typical range of 45 to 55 years.
Definition: This is a confirmed milestone that is established after a full 12 months have passed without a menstrual period.
Duration: It is a singular event. The period that follows this point is known as Postmenopause.
Menstrual Cycle: Menstruation has ceased entirely.
Hormone Levels: Hormone production stabilizes at a consistently low level.
Fertility: Conception is no longer possible.
Key Symptoms & Risks: Issues like hot flashes and vaginal dryness can continue. There is an elevated risk of bone density loss (osteoporosis), as well as an increased risk of dementia and Alzheimer’s disease for individuals not using Hormone Replacement Therapy (HRT).

Understanding the Symptoms 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 fluctuating progesterone levels (impacting GABA receptors) and reduced estrogen leading to night sweats. A drop in melatonin after 40 also contributes to the problem.
Low Energy and Fatigue (~80%): Estrogen helps manage cortisol and aids mitochondrial function. When it decreases, it results in metabolic stress and a reduction in cellular energy, which frequently accompanies 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 utilize glucose for energy. Falling estrogen levels lead to 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. A drop in this hormone can make the brain incorrectly perceive the body as too hot, initiating abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): Falling estrogen levels diminish the production of serotonin (the "happiness hormone"), while lower progesterone lessens the brain's calming effects, resulting in heightened reactivity and mood fluctuations.
Abdominal Weight Gain (50%): The loss of 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%): Reduced estrogen levels cause decreased blood flow, collagen, and elasticity in the pelvic tissues, which can result in atrophy and painful intercourse (dyspareunia).
Low Libido (40–45%): This is primarily caused by a significant drop in testosterone levels between the ages of 45 and 55, compounded by the physical discomfort and tiredness resulting from low estrogen.
Depressive Symptoms (40–45%): The likelihood of developing new-onset depression rises by 2 to 4 times during the perimenopausal transition 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 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: Our Approach and Your Next Steps

At The Longevity Practice, our focus is on using early and precise diagnostics to identify health risks before they develop into problems. Rather than responding to illness after it occurs, we devise straightforward, individualized strategies to preserve health over the long term. We aim to provide each patient with profound insight into their own body, complemented by actionable steps they can implement immediately. By centering our practice on prevention and clarity, we assist patients in constructing a longer, more vibrant life.

Our Core Principles

Our primary commitment is to help individuals feel their best regardless of age and to assist them in achieving longer, healthier lifespans. To accomplish this mission, we adhere to several fundamental principles:

Scientific Accuracy
Personalized Plans
Preventive Focus
Clarity and Direction
Extended Healthspan
Trust and Openness

Note: Our methodology is built around sustainable and non-invasive solutions. We concentrate on these core principles to promote enduring physiological correction and effective long-term health management.

Next Steps

Find out if our approach is suitable for you. You can book your consultation online and Schedule an appointment

Evidence-based Longevity In Brandenburg

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 Brandenburg

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.