Expert Perimenopause & Menopause Consultation In Hannover

A Proactive Stance On Hormonal Health

By 2030, 1.2 billion women are projected to reach menopause, a figure rising to 1.65 by 2050. Before this stage, between 60% and 80% of women from ages 34 to 51 encounter perimenopausal symptoms that diminish their quality of life and work productivity. These symptoms can include everything from sleep disturbances to cognitive fog, anxiety, and diminished energy levels. Often, these conditions are not properly diagnosed or addressed. The consequence is a substantial effect on families and a considerable economic burden stemming from missed work, absenteeism, and women exiting their careers.

This is triggered by 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 govern functions that range from bone density and metabolic rate to reproduction, cognition, and mood.

Consider these hormones as essential “building blocks.” The three primary ones are:

Progesterone, known as "the calm regulator": A drop in this hormone can lead to disturbed sleep, feelings of anxiety, and excessive menstrual bleeding.
Estrogen, referred to as "the main character": Its depletion can affect cognitive functions like memory and concentration, or degrade quality of life through joint discomfort and vasomotor symptoms such as night sweats and hot flashes.
Testosterone, nicknamed "the drive booster": A reduction in this hormone influences motivation levels, sex drive, and muscle tissue.

Smiling woman in black sweater representing perimenopause and menopause care

Perimenopause And Menopause: Defining The Differences

Perimenopause

Frequently described as a “second puberty,” perimenopause represents the transitional period of several years that precedes the final menstrual period.

Typical Onset: Usually begins at age 34 or older.
Meaning: A transitional phase prompted by a reduction in ovarian activity.
Length: Commonly continues for 4 to 10 years.
Menstrual Pattern: Turns irregular; periods can become lighter, heavier, shorter, longer, or be missed completely.
Hormonal Changes: Progesterone is the first hormone to drop, estrogen fluctuates erratically, and testosterone shows a gradual decline. Diagnosis is generally based on symptoms instead of blood analysis.
Pregnancy Risk: Conception remains possible; it is advised to keep using your chosen birth control method.
Common Symptoms: Includes disturbed sleep, tiredness, hot flashes, night sweats, mood shifts, anxiety, cognitive fog, joint pain or stiffness, muscle soreness, vaginal dryness, reduced sex drive, and depressive feelings.

Menopause

Menopause signifies a distinct moment that marks the conclusion of a woman's reproductive phase.

Typical Onset: Generally happens around 51 years of age (with a common range of 45–55).
Meaning: A specific point in time confirmed after twelve straight months have passed without menstruation.
Length: A singular event. The stage that comes after this point is called Postmenopause.
Menstrual Pattern: Entirely stopped.
Hormonal Changes: Hormone levels stabilize and stay at a constant low.
Pregnancy Risk: Conception is no longer possible.
Common Symptoms & Health Risks: Issues like hot flashes and dryness can continue. The likelihood of bone density reduction (osteoporosis) rises, along with the risk for dementia and Alzheimer’s disease for individuals not using Hormone Replacement Therapy (HRT).

Symptoms And Hormonal Shifts In Perimenopause And Menopause

Sleep Disturbances (50–55%): This encompasses insomnia, waking often during the night (WASO), and sleep that is not refreshing. It is caused by fluctuating progesterone levels (impacting GABA receptors) and reduced estrogen that leads to night sweats. A decrease in melatonin after age 40 also contributes to the problem.
Reduced Energy and Fatigue (~80%): Estrogen helps manage cortisol and aids mitochondrial activity. A drop in estrogen results in metabolic strain and lower cellular energy, which frequently happens in conjunction with sleep issues.
Joint & Muscle Aches (65%): The depletion of estrogen raises levels of pro-inflammatory cytokines, causing widespread inflammation and decreased joint fluid, which can manifest as stiffness or a “frozen shoulder.”
Cognitive Fog (60%): Neurons depend on estrogen to utilize glucose for energy. Falling estrogen levels result in a “hypometabolic” condition within the brain’s memory areas (the hippocampus), which hinders the ability to concentrate.
Hot Flashes & Night Sweats (50–55%): The hypothalamus, which acts as the body's internal thermostat, is regulated by estrogen. When estrogen levels fall, the brain may incorrectly perceive the body as too hot, initiating abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): Falling estrogen levels diminish the production of serotonin (the “happiness hormone”), and lower progesterone lessens the brain’s natural calming effect, resulting in heightened reactivity and emotional fluctuations.
Weight Gain Around The Abdomen (50%): A decrease in estrogen elevates insulin resistance. The body then intentionally accumulates visceral fat around the midsection in an effort to generate estrone (an estrogen type) from these fat cells.
Vaginal Dryness & Discomfort (40%): The reduction of estrogen lessens blood circulation, collagen, and flexibility in the pelvic tissues, which can cause atrophy and pain during sexual intercourse (dyspareunia).
Decreased Libido (40–45%): This is prompted by a significant drop in testosterone for those between 45 and 55, which is compounded by the physical pain and tiredness resulting from low estrogen.
Symptoms of Depression (40–45%): During perimenopause, the likelihood of developing depression for the first time rises by 2 to 4 times because of how estrogen affects the density of serotonin receptors in the brain.
Dry Skin & Urinary Issues (35–45%): These problems 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 Proceed

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 is to develop 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 measures they can implement immediately. By centering our practice on prevention and clear guidance, we assist our patients in constructing a longer, more healthful life.

Our Core Principles

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

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

Note: Our methodology is built around sustainable and non-invasive options. We concentrate on these fundamental principles to facilitate enduring physiological adjustments and effective long-term health stewardship.

Next Steps

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

Evidence-based Longevity In Hannover

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 Hannover

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.