Perimenopause & Menopause Consultation In Düsseldorf

The Advantage of Anticipation

The number of women reaching menopause is projected to be 1.2 billion by 2030 and 1.65 billion by 2050. Well before this stage, 60-80% of women between 34 and 51 years old face perimenopause symptoms that negatively impact their quality of life and professional productivity. These can include anything from sleep disturbances to brain fog, anxiety, and low energy. Often, these conditions remain undiagnosed and unmanaged. The ripple effect touches families and creates a considerable economic cost from lost workdays, absenteeism, and women leaving the workforce.

This is a result of declining hormones. In addition to reproductive organs like the uterus, ovaries, and breast, women possess Estrogen (ER) and androgen (AR) receptors throughout the body—in the brain, liver, kidneys, fat tissue, bones, and immune cells. These receptors regulate functions ranging from bone density and metabolic rate to reproductive health, cognitive ability, and emotional state.

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

Progesterone aka "the calm regulator": Its reduction can lead to sleep disruption, anxiety, and heavy menstrual flow.
Estrogen aka "the main character" Its absence can affect cognitive functions (memory problems, trouble concentrating) or overall well-being due to joint pain and vasomotor symptoms (night sweats, hot flashes).
Testosterone aka the "the drive booster." Its decrease impacts motivation, sex drive, and lean muscle mass.

Smiling woman in black sweater representing perimenopause and menopause care

Differentiating Perimenopause from Menopause

Perimenopause

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

Age of Onset: Typically begins at age 34 or later.
Definition: A transitional phase initiated by diminishing ovarian function.
Duration: Usually persists for a period of 4 to 10 years.
Menstrual Cycle: The menstrual cycle grows erratic; 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 shows a gradual decline. A diagnosis is typically made based on symptoms, not bloodwork.
Fertility: Pregnancy is still possible; continuing with your chosen method of birth control is advised.
Key Symptoms: Primary symptoms include disturbed sleep, fatigue, hot flashes, night sweats, emotional shifts, anxiety, cognitive fog, joint pain or stiffness, muscle soreness, vaginal dryness, reduced libido, and symptoms of depression.

Menopause

Menopause refers to a distinct moment in time that signals the conclusion of the reproductive phase of life.

Age of Onset: Generally happens around the age of 51 (with a common range of 45–55).
Definition: An established landmark achieved following 12 straight months without menstruation.
Duration: A singular event. The stage that comes after this point is known as Postmenopause.
Menstrual Cycle: Entirely ceases.
Hormone Levels: Hormonal levels stabilize at a consistently low point.
Fertility: Conceiving a child is no longer possible.
Key Symptoms & Risks: Issues like hot flashes and dryness can continue. There is a heightened risk for bone density loss (osteoporosis), along with an increased risk of dementia and Alzheimer’s disease for individuals not undergoing Hormone Replacement Therapy (HRT).

Perimenopause and Menopause: Hormones and Related Symptoms

Sleep Problems (50–55%): Encompasses insomnia, waking often during the night (WASO), and sleep that is not refreshing. This is caused by progesterone shifts (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 manages cortisol and aids mitochondrial activity. A drop in estrogen results in metabolic strain and lower cellular energy, frequently happening in conjunction with sleep issues.
Joint & Muscle Pain (65%): A decrease in estrogen elevates pro-inflammatory cytokines, causing body-wide inflammation and diminished joint lubrication, which can result in stiffness or a "frozen shoulder."
Brain Fog (60%): Neurons need estrogen to utilize glucose for energy. Falling 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. A reduction in this hormone makes the brain incorrectly sense overheating, which sets off abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): Falling estrogen levels lower the production of serotonin (the "happiness hormone"), and decreasing progesterone lessens the brain's calming effect, resulting in heightened reactivity and mood fluctuations.
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 diminishes blood circulation, collagen, and elasticity within pelvic tissues, which causes atrophy and pain during sexual intercourse (dyspareunia).
Low Libido (40–45%): This is caused by a significant drop in testosterone from ages 45 to 55, along with the physical pain and exhaustion resulting from low estrogen levels.
Depressive Symptoms (40–45%): The likelihood of developing depression for the first time rises by 2 to 4 times during perimenopause because of estrogen's effect on 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

Our Approach at The Longevity Practice and How to Proceed

At The Longevity Practice, we are dedicated to detecting risks prior to them developing into health issues by using early and accurate diagnostics. Rather than responding to illness, our method involves crafting straightforward, individualized strategies for sustaining long-term wellness. We aim to provide each patient with a thorough comprehension of their own body and actionable measures they can implement immediately. By centering our approach on prevention and clarity, we guide patients in constructing a longer, healthier life.

Our Foundational Principles

Our main objective is to assist individuals in feeling their best regardless of age and to support them in their pursuit of a longer, healthier existence. To accomplish this, our work is centered on several foundational principles:

Precision Rooted in Science
Tailored Health Strategies
Prioritizing Prevention
Guidance and Clarity
Focus on Longevity
Transparent and Trustworthy

Note: Our methodology is built around sustainable and non-invasive options. We adhere to these foundational principles to promote enduring physiological improvements and effective long-term health maintenance.

How to Proceed

Find out if our approach is a good fit for you. Arrange your consultation online and book a time to speak with us

Evidence-based Longevity In Düsseldorf

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 Düsseldorf

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.