Perimenopause and Menopause Care in Fehrbelling

A Proactive Approach to Hormonal Health

By 2030, 1.2 billion women are projected to reach menopause, a figure that will rise to 1.65 billion by 2050. Preceding this stage, 60-80% of women between the ages of 34 and 51 encounter perimenopausal symptoms that impact their well-being and professional performance. Symptoms can include everything from sleep disturbances and brain fog to anxiety and diminished energy levels. Frequently, these symptoms remain unidentified and unaddressed. The consequences affect families and impose a substantial economic burden through missed work, absenteeism, and women exiting their careers.

The underlying cause is a reduction in hormone levels. In addition to reproductive organs like the uterus, ovaries, and breast, women possess Estrogen (ER) and androgen (AR) receptors in the brain, liver, kidneys, fat tissue, bones, and immune cells. These receptors affect a wide array of functions, spanning from bone density and metabolic processes to reproductive health, cognitive abilities, and emotional states.

Consider them to be fundamental “building blocks.” The three primary hormones are:

Progesterone, also known as "the calm regulator": A decrease in this hormone can lead to disturbed sleep, anxiety, and excessive menstrual bleeding.
Estrogen, often called "the main character": Its reduction can affect cognitive function, causing memory issues and concentration problems, or diminish quality of life through joint discomfort and vasomotor symptoms like night sweats and hot flashes.
Testosterone, or "the drive booster": A drop in this hormone impacts motivation, sex drive, and muscle tissue.

Smiling woman in black sweater representing perimenopause and menopause care

Perimenopause Versus Menopause: A Comparison Without Hormone Treatment

Perimenopause

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

Age of Onset: It usually begins at 34 years of age or later.
Definition: This transitional phase is initiated by a reduction in the function of the ovaries.
Duration: It commonly persists for a period of 4 to 10 years.
Menstrual Cycle: Periods become unpredictable; they can be less or more frequent, lighter or heavier in flow, or missed altogether.
Hormone Levels: Progesterone levels are the first to decline, estrogen fluctuates erratically, and testosterone shows a gradual decrease. 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 sleep disturbances, exhaustion, hot flashes, night sweats, emotional shifts, anxiety, mental cloudiness, joint pain or stiffness, muscle soreness, vaginal dryness, reduced libido, and symptoms of depression.

Menopause

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

Age of Onset: It generally happens at approximately age 51 (with a common range of 45–55).
Definition: It is a defined point achieved after experiencing 12 straight months with no menstrual bleeding.
Duration: It is one specific moment. The period after this event is known as Postmenopause.
Menstrual Cycle: Menstruation has ceased entirely.
Hormone Levels: Hormone production levels off and stays at a persistently low level.
Fertility: Conception is no longer possible.
Key Symptoms & Risks: Issues like hot flashes and dryness can continue. There is a heightened risk of bone density loss (osteoporosis) and an increased risk of dementia and Alzheimer’s disease in individuals not undergoing Hormone Replacement Therapy (HRT).

Perimenopause & Menopause: Hormones And Related Symptoms

Sleep Problems (50–55%): These encompass insomnia, waking often during the night (WASO), and unrefreshing sleep. This is caused by fluctuating progesterone (which impacts GABA receptors) and low estrogen levels leading to night sweats. A drop in melatonin after the age of 40 also contributes to the problem.
Low Energy and Fatigue (~80%): Estrogen helps manage cortisol and aids mitochondrial activity. A decrease in estrogen results in metabolic strain and reduced cellular energy, which frequently happens in conjunction with poor sleep.
Joint & Muscle Pain (65%): A reduction in estrogen elevates pro-inflammatory cytokines, causing body-wide inflammation and diminished joint lubrication, which can result in stiffness or "frozen shoulder."
Brain Fog (60%): Neurons need estrogen to utilize glucose for energy. Falling estrogen levels result in 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. Decreasing levels can make the brain incorrectly sense overheating, which sets off abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): Falling estrogen levels diminish the production of serotonin ("happiness hormone"), and declining progesterone lessens the brain's calming effects, resulting in heightened reactivity and emotional fluctuations.
Abdominal Weight Gain (50%): A decrease in estrogen raises insulin resistance. The body intentionally accumulates visceral fat around the abdomen in an effort to generate estrone (an estrogen type) from these fat cells.
Vaginal Dryness & Pain (40%): Reduced estrogen diminishes blood circulation, collagen, and elasticity within the pelvic tissues, which causes atrophy and pain during sexual intercourse (dyspareunia).
Low Libido (40–45%): This is caused by a significant drop in testosterone between the ages of 45 and 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 2-4 times during 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 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 & How To Get Started

At The Longevity Practice, our emphasis is on detecting potential risks before they develop into health issues by using early and accurate diagnostic methods. Rather than responding to illness after it occurs, we design straightforward, individualized strategies for sustaining health over the long term. We aim to provide each patient with a thorough comprehension of their own body, complemented by actionable steps they can implement immediately. By centering our approach on prevention and clarity, we guide patients in constructing a longer, healthier future.

Our Core Principles

Our primary commitment is to assist individuals in feeling optimal at every stage of life and to support their goal of living a longer, healthier existence. To accomplish this, we adhere to a number of fundamental principles:

Scientific Accuracy
Individualized Care
A Preventive Focus
Clear Direction
Extended Healthspan
Honesty and Trust

Note: Our methodology is built around sustainable and non-invasive solutions. We concentrate on these key tenets to facilitate enduring physiological adjustments and effective long-term health maintenance.

Next Steps

Discover if our methodology is a good fit for your needs. Arrange your consultation through our website and Schedule an appointment

Evidence-based Longevity In Fehrbelling

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 Fehrbelling

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.