Perimenopause & Menopause Care In Gera

A Proactive Defense for Health

By 2030, 1.2 billion women are projected to reach menopause, a figure set to rise to 1.65 billion by 2050. Preceding this stage, 60-80% of women between the ages of 34 and 51 experience perimenopausal symptoms that diminish their quality of life and work performance. These can include anything from sleep issues and brain fog to anxiety and low energy. Frequently, these conditions remain undiagnosed and unaddressed. This affects families and creates a substantial economic burden from lost productivity, absenteeism, and women leaving their careers.

The underlying cause is a decline in hormones. In addition to reproductive organs (such as the uterus, ovaries, and breast), women have Estrogen (ER) and androgen (AR) receptors located in the brain, liver, kidneys, adipose tissue, bone, and immune cells. These receptors govern a wide array of functions, from bone density and metabolic rate to reproduction, cognition, and mood.

You can view them as essential “building blocks.” The three most significant are:

Progesterone aka "the calm regulator": A reduction in this hormone can lead to sleep disturbances, anxiety, and unusually heavy menstrual flow.
Estrogen aka "the main character" The depletion of estrogen can affect cognitive functions (like memory impairment and difficulty concentrating) or diminish quality of life through joint discomfort and vasomotor symptoms (such as night sweats and hot flashes).
Testosterone aka the "the drive booster." A decrease in this hormone impacts motivation, sex drive, and muscle tissue.

Smiling woman in black sweater representing perimenopause and menopause care

The Difference Between Perimenopause and Menopause Without Hormone Therapy

Perimenopause

Frequently referred to as “the second puberty,” this term describes the multi-year period that precedes the final menstrual cycle.

Age of Onset: Generally begins at 34 years of age or later.
Definition: A transitional phase initiated by the diminishing function of the ovaries.
Duration: Usually continues for a period of 4 to 10 years.
Menstrual Cycle: Periods become unpredictable; they can be lighter, heavier, shorter, longer, or missed altogether.
Hormone Levels: Progesterone levels are the first to drop, while estrogen fluctuates erratically and testosterone gradually declines. 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: Includes disturbed sleep, exhaustion, 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 refers to a distinct moment that signifies the conclusion of a woman's reproductive phase.

Age of Onset: Generally happens at approximately age 51 (with a typical range of 45–55).
Definition: An established benchmark defined as 12 straight months without a menstrual period.
Duration: A singular moment. The period after this benchmark is known as Postmenopause.
Menstrual Cycle: Has ceased entirely.
Hormone Levels: Hormonal levels stabilize at a new, consistently low baseline.
Fertility: Pregnancy is no longer possible.
Key Symptoms & Risks: Symptoms like hot flashes and vaginal dryness can continue. There is a heightened risk of bone density loss (osteoporosis), as well as an increased risk of dementia and Alzheimer’s disease for individuals not using Hormone Replacement Therapy (HRT).

Perimenopause & Menopause: Hormone Shifts and Key Symptoms

Sleep Problems (50–55%): This covers insomnia, waking often during the night (WASO), and sleep that is not refreshing. It is caused by fluctuating progesterone levels (which impact GABA receptors) and low estrogen that leads to night sweats. A decrease in melatonin after 40 also contributes to the problem.
Low Energy and Fatigue (~80%): Estrogen helps manage cortisol and assists with mitochondrial activity. 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%): The depletion of estrogen raises levels of pro-inflammatory cytokines, which causes body-wide 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 lead to a "hypometabolic" condition in the brain's memory areas (the hippocampus), which hinders the ability to concentrate.
Hot Flashes & Night Sweats (50–55%): The hypothalamus (the body's internal thermostat) is regulated by estrogen. A decrease in this hormone can cause the brain to incorrectly perceive the body as too hot, initiating 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 mood fluctuations.
Abdominal Weight Gain (50%): The loss of estrogen elevates insulin resistance. The body then intentionally accumulates visceral fat around the abdomen in an effort to generate estrone (an estrogen type) from these fat cells.
Vaginal Dryness & Pain (40%): A depletion of estrogen decreases blood circulation, collagen, and elasticity within the pelvic tissues, which can result in atrophy and painful intercourse (dyspareunia).
Low Libido (40–45%): This is caused by a significant drop in testosterone for those aged 45–55, in combination with the physical discomfort and tiredness resulting from low estrogen levels.
Depressive Symptoms (40–45%): The likelihood of developing depression for the first time rises 2–4x 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

The Longevity Practice: Philosophy and Getting Started

The Longevity Practice is dedicated to detecting health risks with early and accurate diagnostics before they develop into problems. Rather than responding to illness, our approach involves developing straightforward, individualized strategies for preserving health over the long term. We aim to provide each patient with profound insight into their own body and actionable steps for immediate implementation. By centering on prevention and clarity, we guide patients in constructing a longer, more healthful life.

Our Guiding Principles

Our primary objective is to assist individuals in feeling optimal at every stage of life and to support their pursuit of a longer, healthier existence. To accomplish this, our work is centered on several key principles:

Evidence-Based Accuracy
Tailored Strategies
A Focus on Prevention
Straightforward Guidance
Maximizing Healthspan
Commitment to Transparency

Note: Our methodology is centered around sustainable and non-invasive solutions. We adhere to these guiding principles to facilitate enduring physiological adjustments and effective long-term health stewardship.

Getting Started

Discover if our methodology aligns with your needs. Reserve your consultation online and book a consultation

Evidence-based Longevity In Gera

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 Gera

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.