Perimenopause & Menopause Consultation In Grünheide

The Importance of Early Awareness

By 2030, an estimated 1.2 billion women will reach menopause, with this figure rising to 1.65 billion by 2050. Before this, 60-80% of women between 34 and 51 years of age have perimenopause symptoms that diminish their quality of life and productivity. These symptoms span from sleep issues to brain fog, anxiety, and low energy. Often, they are not diagnosed or treated. This has an effect on families and carries a significant economic cost due to missed workdays, absenteeism, and women departing from the workforce.

The cause is hormonal decline. Women possess Estrogen (ER) and androgen (AR) receptors not just in reproductive organs (such as the uterus, ovaries, and breast), but also in the brain, liver, kidney, adipose tissue, bone, and immune cells. These receptors influence a range of functions from bone density and metabolic rate to reproduction, cognition, and mood.

You can view them as essential "building blocks". The "Big Three" include:

Progesterone aka "the calm regulator": Its reduction can lead to sleep disturbances, anxiety, and heavy menstrual bleeding.
Estrogen aka "the main character" Its absence can affect brain function (leading to memory impairment or difficulty concentrating) or overall quality of life through joint pain and vasomotor symptoms (like night sweats and hot flashes).
Testosterone aka the "the drive booster." A decrease in its levels impacts motivation, libido, and muscle mass.

Smiling woman in black sweater representing perimenopause and menopause care

Distinguishing Perimenopause from Menopause

Perimenopause

Often referred to as “the second puberty,” this is the transitional period of several years that precedes the end of menstruation.

Age of Onset: Usually begins at 34 years of age or later.
Definition: A transition initiated by a decrease in ovarian function.
Duration: It typically persists for a period of 4 to 10 years.
Menstrual Cycle: Becomes irregular, and cycles might be lighter, heavier, shorter, longer, or missed entirely.
Hormone Levels: Progesterone is the first hormone to drop, while estrogen levels fluctuate unpredictably and testosterone shows a gradual decline. Diagnosis is generally made from symptoms instead of blood tests.
Fertility: It is still possible to conceive; you are advised to keep using your chosen birth control method.
Key Symptoms: Sleep disturbances, fatigue, hot flashes, night sweats, mood shifts, anxiety, brain fog, joint pain or stiffness, muscle soreness, vaginal dryness, reduced libido, and depressive symptoms.

Menopause

Menopause is a singular event in time that signifies the conclusion of the reproductive phase.

Age of Onset: Generally happens around the age of 51 (with a typical range of 45–55).
Definition: A concrete milestone that is confirmed after 12 months in a row without a menstrual period.
Duration: A single event. The period that follows this event is known as Postmenopause.
Menstrual Cycle: Entirely absent.
Hormone Levels: Hormones stabilize at a consistently low level.
Fertility: Pregnancy is no longer possible.
Key Symptoms & Risks: Symptoms like hot flashes and dryness might continue. The likelihood of bone density loss (osteoporosis) rises, along with the risk of dementia and Alzheimer’s disease for individuals not undergoing Hormone Replacement Therapy (HRT).

Symptoms and Hormonal Shifts in Perimenopause and Menopause

Sleep Problems (50–55%): Encompasses insomnia, frequent nighttime awakenings (WASO), and unrefreshing sleep. This is prompted by progesterone fluctuations (which influence GABA receptors) and low estrogen that triggers night sweats. The decrease in melatonin after age 40 further exacerbates the problem.
Low Energy and Fatigue (~80%): Estrogen is key in regulating cortisol and supporting mitochondrial activity. A drop in estrogen causes metabolic stress and decreased cellular energy, which frequently coincides with sleep disruptions.
Joint & Muscle Pain (65%): The reduction of estrogen elevates pro-inflammatory cytokines, resulting in systemic inflammation and diminished joint lubrication, which can manifest as stiffness or a "frozen shoulder".
Brain Fog (60%): Neurons depend on estrogen to metabolize glucose. Reduced levels lead to a "hypometabolic" condition in the brain's memory centers (hippocampus), which impairs concentration.
Hot Flashes & Night Sweats (50–55%): Estrogen helps to regulate the hypothalamus (the body's thermostat). When levels fall, the brain may incorrectly perceive the body as overheating, activating abrupt cooling reactions.
Anxiety & Irritability (50–60%): Falling estrogen levels lower the production of serotonin (the "happiness hormone"), while a reduction in progesterone lessens the brain's "calming" effect, causing high reactivity and mood swings.
Abdominal Weight Gain (50%): The loss of estrogen elevates insulin resistance. The body then purposefully accumulates visceral fat around the abdomen to try and synthesize estrone (an estrogen type) from these fat cells.
Vaginal Dryness & Pain (40%): A decrease in estrogen leads to reduced blood circulation, collagen, and elasticity in pelvic tissues, which results in atrophy and discomfort during sexual intercourse (dyspareunia).
Low Libido (40–45%): This is prompted by a significant fall in testosterone levels between ages 45 and 55, which is compounded by the physical discomfort and tiredness from low estrogen.
Depressive Symptoms (40–45%): The chance of experiencing new-onset depression rises 2 to 4 times during the perimenopausal period, owing to estrogen's effect on the density of serotonin receptors in the brain.
Dry Skin & Urinary Problems (35–45%): These result from the same reduction in collagen, moisture retention, and tissue elasticity that impacts the vaginal walls.

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: Our Approach and Your Next Steps

At The Longevity Practice, our emphasis is on pinpointing risks with early, precise diagnostics before they evolve into health issues. In place of reacting to illness, we develop clear, individualized strategies to preserve health over the long term. Our objective is to arm every patient with a thorough knowledge of their body and to provide practical actions they can implement now. With a foundation of prevention and clarity, we guide patients toward building a longer, more healthful life.

Our Core Principles

Our main priority is to assist people in feeling their absolute best at any age and to support them in their pursuit of longer, healthier lives. To make this possible, we center our work on several fundamental principles:

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

Note: Our methodology is centered on sustainable and non-invasive options. We prioritize these core principles to facilitate lasting physiological correction and support long-term health management.

Next Steps

Find out if our methodology is a good fit for you. Reserve your consultation online and Schedule an appointment

Evidence-based Longevity In Grünheide

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 Grünheide

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.