Expert Consultation for Perimenopause and Menopause in Cottbus

A Proactive Defense For Your Health

By 2030, 1.2 billion women will reach menopause, with this number rising to 1.65 billion by 2050. Prior to this, 60-80% of women between the ages of 34 and 51 encounter perimenopause symptoms that negatively impact their life quality and work productivity. Symptoms can include everything from sleep disturbances and brain fog to anxiety and diminished energy levels. Frequently, these symptoms remain undiagnosed and are not treated. This situation affects families and incurs a substantial economic cost through lost workdays, absenteeism, and women exiting the workforce.

The cause is a decline in hormone levels. In addition to reproductive organs (uterus, ovaries, breast), women possess Estrogen (ER) and androgen (AR) receptors in the brain, liver, kidney, adipose tissue, bone, and immune cells. These receptors influence a range of functions from bone density and metabolism to reproduction, cognition, and mood.

Consider them as essential "building blocks". The three primary hormones are:

Progesterone, known as "the calm regulator": A decrease in this hormone can lead to sleep disturbances, anxiety, and heavy menstrual bleeding.
Estrogen, often called "the main character": The reduction of estrogen can affect brain function, causing memory issues and concentration difficulties, or diminish quality of life through joint pain and vasomotor symptoms (night sweats, hot flashes).
Testosterone, referred to as "the drive booster": A drop in testosterone levels can impact motivation, libido, and muscle mass.

Smiling woman in black sweater representing perimenopause and menopause care

Key Differences Between Perimenopause and Menopause

Perimenopause

Frequently referred to as “the second puberty,” this stage is the multi-year transition that precedes the final menstrual period.

Age of Onset: Generally begins at 34 years of age or later.
Definition: This transitional period is initiated by a reduction in ovarian function.
Duration: It typically persists for a period of 4 to 10 years.
Menstrual Cycle: Periods become unpredictable; they might be lighter, heavier, shorter, longer, or missed altogether.
Hormone Levels: Progesterone levels are the first to drop, followed by unpredictable fluctuations in estrogen and a gradual decline in testosterone. A diagnosis is typically made based on symptoms, not blood work.
Fertility: Pregnancy is still possible; continuing with your chosen method of birth control is advised.
Key Symptoms: Common indicators include disrupted sleep, tiredness, hot flashes, night sweats, mood changes, anxiety, brain fog, joint pain or stiffness, muscle aches, 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: It commonly happens around the age of 51, with a typical range of 45–55.
Definition: It is a defined point achieved after experiencing 12 straight months with no menstrual period.
Duration: This is a singular event. The stage that follows this point is known as Postmenopause.
Menstrual Cycle: Menstruation ceases entirely.
Hormone Levels: Hormone production levels off and stays at a consistently low level.
Fertility: It is no longer possible to become pregnant.
Key Symptoms & Risks: Symptoms like hot flashes and dryness can continue. There is a heightened risk of bone loss (osteoporosis), along with an increased risk of dementia and Alzheimer’s disease for individuals not undergoing Hormone Replacement Therapy (HRT).

How Hormonal Shifts Manifest During Perimenopause & Menopause

Sleep Problems (50–55%): This covers insomnia, waking often during the night (WASO), and sleep that isn't refreshing. It is caused by fluctuating progesterone levels (impacting GABA receptors) and low estrogen that leads to night sweats. A decrease in melatonin after age 40 also contributes to the problem.
Low Energy and Fatigue (~80%): Estrogen helps manage cortisol and assists mitochondrial function. A reduction in estrogen results in metabolic stress and a decrease in cellular energy, which frequently happens in conjunction 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 utilize glucose for energy. Falling estrogen levels result in a "hypometabolic" state in the hippocampus, the brain's memory center, which harms 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 wrongly perceive the body as too hot, initiating abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): Falling estrogen levels lower the production of serotonin ("happiness hormone"), and decreasing 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, a type of estrogen, from these fat cells.
Vaginal Dryness & Pain (40%): A reduction in estrogen diminishes blood flow, collagen, and elasticity within the pelvic tissues, which can cause atrophy and painful intercourse (dyspareunia).
Low Libido (40–45%): This is caused by a significant drop in testosterone 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 depression for the first time 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 decrease 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

Our Philosophy At The Longevity Practice & Getting Started

The Longevity Practice is dedicated to identifying potential health risks through early and precise diagnostics before they develop into actual problems. Rather than reacting to illness, we develop straightforward, customized plans aimed at preserving long-term wellness. We aim to provide each patient with a thorough understanding of their own body, complemented by actionable steps they can implement immediately. By centering our approach on prevention and clarity, we assist patients in constructing a longer and healthier life.

Our Core Principles

Our primary goal is to help individuals feel their best, regardless of age, and to support them in achieving longer, healthier lives. To accomplish this, our work is guided by several foundational principles:

Scientific Accuracy
Individualized Care
A Proactive Approach
Clear Guidance
Extended Healthspan
Trustworthiness & Transparency

Note: Our methodology is centered around sustainable and non-invasive solutions. By adhering to these core principles, we aim to facilitate lasting physiological improvement and support long-term health management.

Next Steps

Discover if our methodology is a good fit for you. You can book your consultation online and Schedule an appointment

Evidence-based Longevity In Cottbus

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 Cottbus

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.