Perimenopause & Menopause Consultation In Chemnitz

A Safeguard of Understanding

By 2030, an estimated 1.2 billion women will have reached menopause, with this number expected to climb to 1.65 billion by 2050. Prior to this, 60-80% of women between 34 and 51 years of age face perimenopausal symptoms that negatively impact their life quality and professional productivity. These symptoms can include sleep issues, brain fog, anxiety, and low energy. Often, these conditions are not properly diagnosed or treated. This situation affects families and carries a substantial economic toll from lost productivity, absenteeism, and women exiting the workforce.

This is all triggered by a decline in hormones. Women possess Estrogen (ER) and androgen (AR) receptors not just in reproductive organs (like the uterus, ovaries, and breast), but also in the brain, liver, kidneys, adipose tissue, bone, and immune cells. These receptors regulate functions spanning from bone density and metabolism to cognitive processes, mood, and reproduction.

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

Progesterone aka "the calm regulator": A reduction in this hormone can lead to sleep disturbances, anxiety, and heavy menstrual flow.
Estrogen aka "the main character" Its depletion can affect brain function, causing memory issues or difficulty focusing, and can also reduce quality of life through joint pain and vasomotor symptoms (such as night sweats and hot flashes).
Testosterone aka the "the drive booster." A decrease in this hormone impacts motivation, libido, and the maintenance of muscle mass.

Smiling woman in black sweater representing perimenopause and menopause care

Perimenopause and Menopause: A Clear Comparison

Perimenopause

Frequently called “the second puberty,” this is a transitional period lasting multiple years that precedes the final menstrual period.

Age of Onset: Usually commences at age 34 or later.
Definition: A transition initiated by a decrease in ovarian function.
Duration: Typically persists for a period of 4 to 10 years.
Menstrual Cycle: Becomes erratic; periods may become lighter, heavier, shorter, longer, or be missed altogether.
Hormone Levels: Progesterone is the first hormone to drop, while estrogen levels fluctuate unpredictably and testosterone shows a gradual decline. A diagnosis is generally made based on symptoms rather than blood work.
Fertility: Pregnancy is still possible; continuing with your chosen method of birth control is advised.
Key Symptoms: Disrupted sleep, tiredness, 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 is defined as a single moment in time that signifies the conclusion of a woman's reproductive phase.

Age of Onset: Generally happens around the age of 51 (with a common range of 45–55).
Definition: A definitive point confirmed after twelve straight months have passed without a menstrual period.
Duration: It is a singular event. The time following this point is known as Postmenopause.
Menstrual Cycle: Has ceased completely.
Hormone Levels: Hormones stabilize at a new, consistently low level.
Fertility: You are no longer able to become pregnant.
Key Symptoms & Risks: Symptoms like hot flashes and vaginal dryness might continue. The risk for bone density loss (osteoporosis) rises, along with the risk for dementia and Alzheimer’s disease in individuals who are not using Hormone Replacement Therapy (HRT).

Symptoms Linked to Hormonal Shifts in Perimenopause and Menopause

Sleep Problems (50–55%): Encompasses insomnia, frequent nighttime awakenings (WASO), and unrefreshing sleep. This is prompted by progesterone variations (which influence GABA receptors) and low estrogen leading to night sweats. The decline of melatonin after age 40 also exacerbates the problem.
Low Energy and Fatigue (~80%): Estrogen helps manage cortisol and supports the function of mitochondria. A decrease in estrogen causes metabolic stress and a reduction in cellular energy, which frequently co-occurs with sleep issues.
Joint & Muscle Pain (65%): A reduction in estrogen leads to an increase in pro-inflammatory cytokines, causing systemic inflammation and diminished joint lubrication, which can manifest as stiffness or “frozen shoulder.”
Brain Fog (60%): Neurons depend on estrogen to effectively use glucose for energy. Decreasing estrogen levels lead to a “hypometabolic” condition in the brain's memory areas (the hippocampus), which impairs the ability to concentrate.
Hot Flashes & Night Sweats (50–55%): Estrogen is key in regulating the hypothalamus (the body's internal thermostat). When estrogen levels fall, the brain may incorrectly sense that the body is overheating, setting off abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): Falling estrogen levels lower the production of serotonin (the “happiness hormone”), while decreasing progesterone diminishes the brain's natural calming effects, resulting in heightened reactivity and mood fluctuations.
Abdominal Weight Gain (50%): The loss of estrogen promotes insulin resistance. The body intentionally accumulates visceral fat around the abdomen in an effort to generate estrone (a type of estrogen) from these fat cells.
Vaginal Dryness & Pain (40%): Reduced estrogen diminishes blood flow, collagen production, and tissue elasticity in the pelvic region, which results in atrophy and pain during intercourse (dyspareunia).
Low Libido (40–45%): This is caused by a significant drop in testosterone levels between the ages of 45 and 55, in conjunction with the physical discomfort and tiredness resulting from low estrogen.
Depressive Symptoms (40–45%): During perimenopause, the likelihood of a new depressive episode increases by 2 to 4 times because of estrogen's effect on the density of serotonin receptors in the brain.
Dry Skin & Urinary Problems (35–45%): These issues are a result of the same decline 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: Philosophy and Getting Started

At The Longevity Practice, our approach is to identify potential risks with early, precise diagnostics before they evolve into health issues. Rather than simply treating diseases as they arise, we develop clear, individualized strategies to preserve health over the long term. Our objective is to arm every patient with a thorough understanding of their own body and provide actionable steps they can implement immediately. With prevention and clarity as our foundation, we guide patients in building a longer, more vibrant life.

Our Core Principles

Our foremost priority is to help individuals feel their absolute best at every stage of life and to assist them in living longer, healthier lives. To accomplish this, we adhere to several fundamental principles:

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

Note: Our methodology is centered on sustainable and non-invasive solutions. We concentrate on these core principles to facilitate enduring physiological improvements and long-term health management.

Next Steps

Discover if our method is the right fit for you. You can book your consultation online and Schedule an appointment

Evidence-based Longevity In Chemnitz

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 Chemnitz

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.