Perimenopause & Menopause Consultation In Braunschweig

The Advantage of Proactive Knowledge

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, 60-80% of women between the ages of 34 and 51 encounter perimenopausal symptoms that diminish their quality of life and work productivity. These symptoms span from sleep disturbances and brain fog to anxiety and diminished energy levels. Frequently, these conditions are not diagnosed or treated. The consequences affect families and impose a substantial economic burden through missed workdays, absenteeism, and women exiting the workforce.

This is triggered by a reduction 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 functions ranging from bone density and metabolic processes to reproduction, cognitive abilities, and mood regulation.

Consider them analogous to fundamental “building blocks.” The three primary hormones are:

Progesterone aka "the calm regulator": A decrease in this hormone can lead to sleep disturbances, anxiety, and excessive bleeding.
Estrogen aka "the main character" Its depletion 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 reduction in this hormone impacts motivation, sex drive, and muscle mass.

Smiling woman in black sweater representing perimenopause and menopause care

Perimenopause and Menopause: The Essential Differences

Perimenopause

Frequently referred to as “the second puberty,” this transitional period spans several years before menstruation ceases completely.

Age of Onset: Usually begins at 34 years of age or later.
Definition: A transitional phase initiated by diminishing ovarian function.
Duration: Commonly persists for a period of 4 to 10 years.
Menstrual Cycle: Experiences irregularity; 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 declines slowly. 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 advised.
Key Symptoms: Includes disturbed sleep, exhaustion, 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 that signifies 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 without menstruation.
Duration: It is one specific moment. The stage that follows this event is known as Postmenopause.
Menstrual Cycle: Ceases entirely.
Hormone Levels: Hormone production stabilizes at a consistently low level.
Fertility: Conception 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 using Hormone Replacement Therapy (HRT).

Perimenopause and Menopause: Symptoms and Hormonal Shifts

Sleep Problems (50–55%): Encompasses insomnia, waking often during the night (WASO), and unrefreshing sleep. This is caused by fluctuating progesterone levels (impacting GABA receptors) and low 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 function. A drop in estrogen causes metabolic stress and reduced cellular energy, frequently co-occurring with sleep issues.
Joint & Muscle Pain (65%): Reduced estrogen levels elevate pro-inflammatory cytokines, resulting in widespread inflammation and decreased joint lubrication, which can cause stiffness or conditions like "frozen shoulder".
Brain Fog (60%): Neurons need estrogen to utilize glucose for energy. Falling estrogen 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 incorrectly perceive the body as too hot, initiating abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): A decrease in estrogen lowers the production of serotonin ("happiness hormone"), and falling progesterone diminishes 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%): Diminished estrogen causes 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 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%): During perimenopause, the likelihood of developing new depression rises by 2–4x because of how estrogen affects 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 Philosophy And How To Proceed

The Longevity Practice is dedicated to detecting potential risks with early and accurate diagnostics before they evolve into health issues. Rather than responding to illness, our approach is to develop straightforward, individualized strategies for sustaining long-term wellness. We aim to provide each patient with a thorough comprehension of their own body, complemented by actionable steps for immediate implementation. By prioritizing prevention and clarity, we guide patients in constructing a longer, healthier existence.

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, more healthful life. 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 revolves around sustainable and non-invasive solutions. We emphasize these foundational principles to promote enduring physiological improvements and effective long-term health management.

Next Steps

Discover if our methods align with your needs. Book your consultation online and Schedule an appointment

Evidence-based Longevity In Braunschweig

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 Braunschweig

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.