Perimenopause & Menopause Consultation In Bremen

Proactive Insight Into Hormonal Health

By 2030, 1.2 billion women will reach menopause, with this number expected to climb to 1.65 billion by 2050. Before this stage, 60-80% of women between the ages of 34 and 51 contend with perimenopause symptoms that negatively impact their life quality and productivity. These symptoms span from sleep issues to brain fog, anxiety, and diminished energy. Often, they remain undiagnosed and unaddressed. This situation affects families and creates a substantial economic burden through missed workdays, absenteeism, and women exiting the workforce.

This is triggered by a reduction in hormones. Women possess Estrogen (ER) and androgen (AR) receptors not only in reproductive organs (uterus, ovaries, breast) but also in the brain, liver, kidney, adipose tissue, bone, and immune cells. These receptors influence a range of functions, from bone density and metabolic rate to reproduction, cognitive abilities, and mood.

You can view them as fundamental “building blocks.” The three most significant are:

Progesterone, also known as "the calm regulator": A drop in its levels can lead to sleep disruption, anxiety, and heavy menstrual bleeding.
Estrogen, referred to as "the main character": Its depletion can affect brain function (causing memory impairment and concentration difficulties) or quality of life through joint pain and vasomotor symptoms (such as night sweats and hot flashes).
Testosterone, or "the drive booster": Its decline influences motivation, libido, and the maintenance of muscle mass.

Smiling woman in black sweater representing perimenopause and menopause care

Perimenopause and Menopause: Critical Differences Without HRT

Perimenopause

Frequently described as “the second puberty,” this is the transitional phase lasting several years that precedes the cessation of menstruation.

Age of Onset: Usually commences at age 34 or later.
Definition: A transition initiated by a decrease in ovarian function.
Duration: Typically persists for 4 to 10 years.
Menstrual Cycle: Becomes erratic; periods might be lighter, heavier, shorter, longer, or missed completely.
Hormone Levels: Progesterone is the first hormone to drop, while estrogen fluctuates unpredictably and testosterone shows a gradual decline. Diagnosis is generally made from symptoms, not blood tests.
Fertility: You are still able to conceive; it is advisable to maintain your current birth control method.
Key Symptoms: Sleep disturbances, fatigue, 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 is defined as a precise moment in time, signifying the conclusion of the reproductive phase.

Age of Onset: Commonly happens around the age of 51 (with a typical span of 45–55).
Definition: A definitive milestone that is confirmed after 12 consecutive months have passed without a menstrual period.
Duration: A singular moment in time. The period following this event is called Postmenopause.
Menstrual Cycle: Is entirely absent.
Hormone Levels: Hormones stabilize and stay at a consistently low level.
Fertility: You can no longer become pregnant.
Key Symptoms & Risks: Symptoms like hot flashes and dryness may continue. The likelihood of bone loss (osteoporosis) rises, along with the risk of dementia and Alzheimer’s disease for women not using Hormone Replacement Therapy (HRT).

Symptoms and Hormonal Fluctuations of Perimenopause & Menopause

Sleep Problems (50–55%): Encompasses insomnia, frequent nocturnal awakenings (WASO), and unrefreshing sleep. This is prompted by progesterone variations (which influence GABA receptors) and low estrogen that causes night sweats. The decline of melatonin after age 40 further complicates the situation.
Low Energy and Fatigue (~80%): Estrogen manages cortisol levels and aids mitochondrial activity. Its reduction results in metabolic stress and a decrease in cellular energy, which often coincides with sleep issues.
Joint & Muscle Pain (65%): The depletion of estrogen elevates pro-inflammatory cytokines, which results in systemic inflammation and decreased joint lubrication (leading to stiffness or a “frozen shoulder”).
Brain Fog (60%): Estrogen is essential for neurons to metabolize glucose. Diminishing levels induce a “hypometabolic” condition in the brain's memory areas (hippocampus), which hinders concentration.
Hot Flashes & Night Sweats (50–55%): Estrogen governs the hypothalamus (the body's thermostat). Reductions cause the brain to incorrectly perceive the body as overheating, activating abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): Decreasing estrogen lowers serotonin (the “happiness hormone”) synthesis, while a drop in progesterone lessens the brain’s “calming” signals, causing heightened reactivity and mood fluctuations.
Abdominal Weight Gain (50%): The loss of estrogen elevates insulin resistance. The body then purposefully accumulates visceral fat in the abdominal region to try and synthesize estrone (an estrogen type) from fat cells.
Vaginal Dryness & Pain (40%): A reduction in estrogen diminishes blood circulation, collagen, and elasticity within pelvic tissues, causing atrophy and pain during intercourse (dyspareunia).
Low Libido (40–45%): Caused by a steep fall in testosterone between ages 45 and 55, which is intensified by the physical discomfort and tiredness from low estrogen.
Depressive Symptoms (40–45%): The probability of developing new-onset depression rises two- to four-fold during perimenopause, owing to estrogen’s role in serotonin receptor density in the brain.
Dry Skin & Urinary Problems (35–45%): Stems from the identical reduction in collagen, moisture retention, and tissue elasticity that impacts the vaginal walls.

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's Approach and Your Next Steps

At The Longevity Practice, our focus is on spotting risks before they escalate into health issues by using early, accurate diagnostics. In place of a reactive approach to illness, we formulate clear, customized strategies to preserve long-term wellness. Our objective is to arm every patient with a profound knowledge of their body and provide them with actionable steps for today. With a foundation of prevention and clarity, we empower patients to cultivate a longer, more healthful life.

Our Core Principles

Our foremost goal is to help individuals feel their absolute best at any stage of life and to assist them in achieving longer, healthier lives. To do this, we adhere to several foundational principles:

Scientific Accuracy
Individualized Care
A Proactive Stance
Clear Insight & Support
Sustained Wellness
Honesty & Reliability

Note: Our methodology is centered on lasting, non-invasive strategies. We concentrate on these foundational principles to secure durable physiological correction and long-range health management.

Next Steps

Find out if our methodology is suitable for you. Book your consultation online and Schedule an appointment

Evidence-based Longevity In Bremen

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 Bremen

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

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

Book appointment

Introduction Session

0€

Schedule a quick video call to learn more about The Longevity Practice services and approach.

Duration: 15 minutes

Book Call

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.