Consultation For Early Perimenopause In Hamburg From 199€

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.

The Protective Power Of Proactive Knowledge

By 2030, 1.2 billion women will reach menopause, a figure set to rise to 1.65 billion by 2050. Before this stage, between 60% and 80% of women from age 34 to 51 encounter perimenopausal symptoms that diminish their quality of life and work performance. Symptoms can include everything from sleep issues to brain fog, anxiety, and diminished energy. Often, these symptoms are not diagnosed or addressed. The consequences affect families and create substantial economic costs from missed work, absenteeism, and women exiting their careers.

The root cause is a decline in hormones. 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 regulate a wide range of functions, including bone density, metabolism, reproduction, cognitive abilities, and mood.

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

  • Progesterone, known as "the calm regulator": A decrease in this hormone can lead to disrupted sleep, feelings of anxiety, and heavy menstrual bleeding.
  • Estrogen, often called "the main character": The reduction of estrogen can affect brain function, causing memory issues and concentration difficulties, or diminish quality of life through joint pain and vasomotor symptoms like night sweats and hot flashes.
  • Testosterone, or "the drive booster": A fall in testosterone levels impacts a woman's motivation, sex drive, and muscle mass.

Comparing Perimenopause And Menopause: Essential Differences Without Hormone Therapy

Perimenopause

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

  • Age of Onset: Usually begins at age 34 or later.
  • Definition: A transitional phase initiated by the diminishing function of the ovaries.
  • Duration: It commonly persists 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, followed by unpredictable fluctuations in estrogen and a gradual decline in testosterone. 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: Common indicators include sleep disturbances, fatigue, hot flashes, night sweats, mood fluctuations, anxiety, brain fog, stiff or painful joints, 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: It generally happens at approximately age 51 (with a typical range of 45–55).
  • Definition: A definitive point confirmed after experiencing 12 straight months with no menstrual period.
  • Duration: It is a singular event. The period that follows this point is known as Postmenopause.
  • Menstrual Cycle: Menstruation has ceased entirely.
  • Hormone Levels: Hormonal levels stabilize at a new, consistently low baseline.
  • Fertility: Natural conception is no longer possible.
  • Key Symptoms & Risks: Issues like hot flashes and vaginal dryness can continue. There is a heightened risk of bone density loss (osteoporosis), along with an increased risk of dementia and Alzheimer’s disease in individuals not undergoing Hormone Replacement Therapy (HRT).

The Connection Between Hormonal Shifts And Perimenopausal & Menopausal Symptoms

  • Sleep Problems (50–55%): Encompasses insomnia, waking often during the night (WASO), and unrefreshing sleep. This is caused by fluctuating progesterone (impacting GABA receptors) and low estrogen leading to night sweats. A decrease in melatonin after age 40 exacerbates the problem.
  • Low Energy and Fatigue (~80%): Estrogen plays a role in cortisol regulation and mitochondrial support. A drop in estrogen causes metabolic stress and a reduction in cellular energy, which frequently accompanies sleep issues.
  • Joint & Muscle Pain (65%): Reduced estrogen levels elevate pro-inflammatory cytokines, resulting in body-wide inflammation and less joint lubrication, which can cause stiffness or conditions like "frozen shoulder".
  • Brain Fog (60%): Neurons need estrogen to effectively use glucose for energy. Falling estrogen levels result in a "hypometabolic" condition within 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 that the body is too hot, initiating abrupt cooling mechanisms.
  • Anxiety & Irritability (50–60%): A fall in estrogen diminishes the production of serotonin (the "happiness hormone"), and lower progesterone lessens the brain's calming signals, resulting in heightened reactivity and fluctuating moods.
  • Abdominal Weight Gain (50%): The loss of estrogen can lead to increased insulin resistance. The body then 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%): Diminished estrogen levels decrease blood circulation, collagen, and elasticity within the pelvic tissues, which can cause atrophy and painful intercourse (dyspareunia).
  • Low Libido (40–45%): This is primarily caused by a significant drop in testosterone levels between the ages of 45 and 55, compounded by 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 2 to 4 times, which is linked to 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 also impacts the vaginal lining.

Our Philosophy At The Longevity Practice And How To Proceed

Here at The Longevity Practice, our emphasis is on detecting potential risks with early and accurate diagnostics before they develop into health issues. Rather than responding to illness, our approach is to develop transparent, individualized strategies for sustaining long-term well-being. We aim to provide each patient with profound insight into their own body and actionable measures they can implement immediately. By focusing on prevention and clarity, we guide our patients toward constructing a longer, more healthful life.

Our Core Principles

Our primary commitment is to assist individuals in feeling their absolute best, regardless of age, and to support their goal of living longer and healthier. To accomplish this, our practice is centered on a number of foundational principles:

  • Scientific Precision
  • Personalization
  • Prevention First
  • Clarity & Guidance
  • Long-Term Healthspan
  • Trust & Transparency

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

Next Steps

Discover if our methodology aligns with your needs. Reserve your consultation through our online system and Schedule an appointment

Evidence-based Longevity In Hamburg

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.

Banner Image

Cost Of Perimenopause And Menopause Focus Session In Hamburg

The cost for a Perimenopause and Menopause Focus Session is based on the German healthcare pricing system (GOÄ – Gebührenordnung für Ärzte). A single consultation visit is priced at 199€. However, 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.