Expert Menopause & Perimenopause Consultation In Dresden

The Importance Of Hormonal Awareness

By 2030, 1.2 billion women are projected to reach menopause, a figure that will rise to 1.65 billion by 2050. Before this stage, between 60% and 80% of women from 34 to 51 years old encounter perimenopausal symptoms that diminish their life quality and work performance. Such symptoms can include everything from sleep issues and brain fog to anxiety and diminished energy levels. These conditions are frequently not identified or addressed. The consequences affect families and create a substantial economic burden through missed work, absenteeism, and women exiting their careers.

This transition is triggered by a reduction 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, fat tissue, bones, and immune cells. These receptors regulate a wide array of functions, including bone density, metabolism, reproduction, cognitive abilities, and emotional state.

Consider them the fundamental “building blocks” of the system. The three primary hormones are:

Progesterone, known as "the calm regulator": A decrease in this hormone can lead to disturbed sleep, feelings of anxiety, and heavy menstrual flow.
Estrogen, often called "the main character" Its reduction can affect cognitive processes (such as memory problems and trouble concentrating) or overall well-being through joint discomfort and vasomotor symptoms like night sweats and hot flashes.
Testosterone, or "the drive booster." A fall in its levels can impact one's motivation, sex drive, and muscle tissue.

Smiling woman in black sweater representing perimenopause and menopause care

Distinguishing Perimenopause From Menopause

Perimenopause

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

Age of Onset: Usually begins at 34 years of age 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 vary in flow (lighter or heavier), duration (shorter or longer), or may 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 remains possible; continuing to use a chosen method of contraception is advised.
Key Symptoms: Includes sleep disturbances, tiredness, hot flashes, night sweats, emotional shifts, anxiety, mental cloudiness, joint pain or stiffness, muscle soreness, vaginal dryness, reduced sex drive, and signs of depression.

Menopause

Menopause refers to a single, distinct moment that signifies the conclusion of a woman's reproductive capacity.

Age of Onset: Generally happens at approximately age 51 (with a common range of 45–55).
Definition: An established point in time confirmed after twelve straight months have passed with no menstrual bleeding.
Duration: It is one specific moment. The period that comes after this point is known as Postmenopause.
Menstrual Cycle: Menstruation has entirely ceased.
Hormone Levels: Hormonal levels stabilize at a new, consistently low baseline.
Fertility: Conception is no longer possible.
Key Symptoms & Risks: Symptoms like hot flashes and vaginal dryness might continue. There is a heightened risk of bone density reduction (osteoporosis) and, for individuals not using Hormone Replacement Therapy (HRT), an increased risk of dementia and Alzheimer’s disease.

Symptoms Of Perimenopause And Their Hormonal Causes

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 that leads to night sweats. A decrease in melatonin after 40 also contributes to the problem.
Low Energy and Fatigue (~80%): Estrogen plays a role in managing cortisol and aiding mitochondrial activity. A drop in estrogen results in metabolic strain and lower cellular energy, which frequently happens in conjunction with sleep issues.
Joint & Muscle Pain (65%): A reduction in estrogen boosts pro-inflammatory cytokines, which causes widespread inflammation and decreases joint fluid, 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" condition within the brain's memory areas (the hippocampus), which compromises the ability to concentrate.
Hot Flashes & Night Sweats (50–55%): The hypothalamus (the body's internal thermostat) is regulated by estrogen. Decreasing levels can make the brain incorrectly sense the body is too hot, which sets off abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): A fall in estrogen diminishes the production of serotonin ("happiness hormone"), and lower progesterone lessens the brain's natural calming effects, resulting in heightened reactivity and fluctuating moods.
Abdominal Weight Gain (50%): The loss of estrogen heightens insulin resistance. In response, the body intentionally accumulates visceral fat around the abdomen to try and generate estrone (an estrogen type) from these fat cells.
Vaginal Dryness & Pain (40%): Reduced estrogen levels decrease blood circulation, collagen, and flexibility in the pelvic tissues, which can cause tissue thinning (atrophy) and pain with intercourse (dyspareunia).
Low Libido (40–45%): This is caused by a significant drop in testosterone for women between 45 and 55, which is exacerbated by the physical discomfort and tiredness resulting from low estrogen.
Depressive Symptoms (40–45%): The likelihood of developing depression for the first time rises by a factor of 2–4 in perimenopause because of how estrogen affects the density of serotonin receptors in the brain.
Dry Skin & Urinary Problems (35–45%): These issues stem from the identical reduction in collagen, moisture retention, and tissue flexibility that also 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 Next Steps

The Longevity Practice is dedicated to detecting health risks prior to them developing into problems by using early and accurate diagnostics. Rather than responding to illness, our method involves crafting straightforward, individualized strategies for sustaining long-term well-being. We aim to provide each patient with profound insight into their own body and actionable measures they can implement immediately. By prioritizing prevention and clear communication, we guide patients in constructing a longer, healthier existence.

Our Core Principles

Our primary commitment is to assist individuals in feeling optimal at every stage of life and to help them lead longer, more healthful lives. To accomplish this mission, we adhere to a number of fundamental principles:

Scientific Accuracy
Individualized Care
Preventive Focus
Clear Direction
Extended Wellness
Reliability & Openness

Note: Our methodology is built around durable, non-invasive options. We concentrate on these key principles to facilitate enduring physiological adjustments and effective long-range health oversight.

Next Steps

Determine if our approach is suitable for you. You can book your consultation online and arrange an appointment

Evidence-based Longevity In Dresden

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 Dresden

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.