Woman smiling in natural sunlight representing wellness during perimenopause and menopause

Perimenopause & Menopause Consultation In Halle Saale

Fast appointments (self payers or privately insured patients only)

Online doctor consultations and testing at our office in Berlin Prenzlauer Berg

On-demand coaching from doctors for your current problems, needs and healthspan goals.

A Proactive Guide To Hormonal Change

By 2030, 1.2 billion women are projected to reach menopause, a figure that will rise to 1.65 billion by 2050. Prior to menopause, 60-80% of women between the ages of 34 and 51 encounter perimenopausal symptoms that impact their well-being and professional output. Such symptoms can include everything from sleep disturbances and mental cloudiness to anxiety and reduced energy levels. Frequently, these conditions remain undiagnosed and are not properly addressed. The consequence is a considerable effect on families and a substantial economic burden resulting from missed work, absenteeism, and women exiting their careers.

This transition is triggered by a reduction in hormones. In addition to reproductive organs like the uterus, ovaries, and breast, women possess Estrogen (ER) and androgen (AR) receptors throughout the body, including in the brain, liver, kidneys, fat tissue, bones, and immune cells. These receptors play a role in regulating a wide array of functions, spanning from bone density and metabolic processes to reproductive health, cognitive ability, and emotional state.

Consider these hormones as fundamental “building blocks” for the body. The three primary hormones involved are:

  • Progesterone aka "the calm regulator": A drop in its levels can lead to disturbed sleep, feelings of anxiety, and heavy menstrual flow.
  • Estrogen aka "the main character" A decrease in this hormone may affect cognitive functions like memory and concentration, 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 reduction in testosterone can impact one's motivation, sex drive, and muscle tissue.
Smiling woman in black sweater representing perimenopause and menopause care
Chart showing estrogen, progesterone, testosterone and FSH hormone changes across perimenopause stages to menopause

Perimenopause And Menopause: Understanding The Differences

Perimenopause

Frequently described as a “second puberty,” this transitional period is the multi-year stage that precedes the final menstrual period.

  • Age of Onset: Usually begins at 34 years of age or later.
  • Definition: A transitional stage 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 vary in flow (lighter or heavier), duration (shorter or longer), or may be 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 advisable.
  • Key Symptoms: Common indicators include interrupted sleep, tiredness, hot flashes, night sweats, mood fluctuations, anxiety, mental fog, joint pain or stiffness, muscle soreness, vaginal dryness, reduced sex drive, and depressive feelings.

Menopause

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

  • Age of Onset: It generally happens at about 51 years of age (with a typical range of 45 to 55).
  • Definition: This is a definitive point confirmed after 12 months in a row have passed without a menstrual period.
  • Duration: It is a singular event. The stage that comes after this point is known as Postmenopause.
  • Menstrual Cycle: Menstruation has permanently ceased.
  • Hormone Levels: Hormonal levels stabilize at a new, consistently low baseline.
  • Fertility: It is no longer possible to become pregnant.
  • Key Symptoms & Risks: Issues like hot flashes and vaginal dryness can continue. There is a heightened risk of bone density loss (osteoporosis), as well as an increased risk for dementia and Alzheimer’s disease in individuals not undergoing Hormone Replacement Therapy (HRT).

Hormone Shifts And Related Symptoms In Perimenopause & Menopause

  • Sleep Problems (50–55%): Encompasses insomnia, waking often during the night (WASO), and sleep that is not refreshing. This is prompted by progesterone variations (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 helps manage cortisol and aids mitochondrial activity. When it decreases, it results in metabolic strain and a reduction in cellular energy, which frequently happens in conjunction with sleep issues.
  • Joint & Muscle Pain (65%): A reduction in estrogen boosts 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 induce a "hypometabolic" condition in the brain's memory areas (the hippocampus), which hinders concentration.
  • Hot Flashes & Night Sweats (50–55%): The hypothalamus, which acts as the body's internal thermostat, is regulated by estrogen. A drop in estrogen can make the brain incorrectly sense that the body is too hot, setting off abrupt cooling mechanisms.
  • Anxiety & Irritability (50–60%): Decreasing estrogen lowers the production of serotonin (the "happiness hormone"), and declining progesterone diminishes the brain's calming effect, which can cause heightened reactivity and emotional fluctuations.
  • Abdominal Weight Gain (50%): The loss of estrogen can lead to increased insulin resistance. The body intentionally accumulates visceral fat around the abdomen in an effort to generate estrone (a type of estrogen) from these fat cells.
  • Vaginal Dryness & Pain (40%): A decrease in estrogen diminishes blood circulation, collagen, and flexibility in the pelvic tissues, which can result in tissue thinning (atrophy) and pain during sexual intercourse (dyspareunia).
  • Low Libido (40–45%): This is caused by a significant drop in testosterone levels between the ages of 45 and 55, along with the physical discomfort and tiredness resulting from low estrogen.
  • Depressive Symptoms (40–45%): During perimenopause, the likelihood of developing depression for the first time rises by a factor of 2 to 4 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 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 How To Begin

At The Longevity Practice, our emphasis is on detecting potential risks prior to their development into health issues by using early and accurate diagnostic methods. Rather than responding to illness after it occurs, we develop straightforward, individualized strategies designed to preserve 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 and healthier life.

Our Core Principles

Our primary mission is to assist individuals in feeling optimal at every stage of life and to support them in achieving a longer, healthier existence. To accomplish this, our practice is built upon several foundational principles:

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

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

Next Steps

Discover if our methodology is a good fit for your needs. Book your consultation online and Schedule an appointment

Evidence-based Longevity In Halle Saale

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.

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Cost Of Perimenopause And Menopause Focus Session In Halle Saale

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
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
Introduction Session
0€
Schedule a quick video call to learn more about The Longevity Practice services and approach.
Duration: 15 minutes

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.