Perimenopause & Menopause Consultation In Jessen

A Proactive View on Women's Health

By the year 2030, an estimated 1.2 billion women will have reached menopause, with this number rising to 1.65 billion by 2050. Before this stage, between 60-80% of women from 34 to 51 years old face perimenopausal symptoms that diminish their quality of life and work productivity. These symptoms can include everything from sleep difficulties to brain fog, anxiety, and low energy levels. Frequently, these conditions are not properly diagnosed or addressed. The consequence is a substantial impact on families and a considerable economic cost from lost workdays, absenteeism, and women exiting the workforce.

The root cause is a decline in hormones. Women have receptors for Estrogen (ER) and androgen (AR) in the brain, liver, kidneys, adipose tissue, bones, and immune cells, in addition to reproductive organs like the uterus, ovaries, and breasts. These hormones regulate functions spanning from bone density and metabolic rate to reproduction, cognitive abilities, and mood.

You can view them as fundamental “building blocks.” The “Big Three” consist of:

Progesterone aka "the calm regulator": A drop in this hormone can lead to sleep disturbances, feelings of anxiety, and heavy menstrual bleeding.
Estrogen aka "the main character" Its reduction can affect brain function, causing memory issues or trouble concentrating, and may reduce quality of life through joint pain and vasomotor symptoms like night sweats and hot flashes.
Testosterone aka the "the drive booster." A decrease in this hormone impacts motivation, sex drive, and muscle mass.

Smiling woman in black sweater representing perimenopause and menopause care

Perimenopause and Menopause A Clear Comparison

Perimenopause

Frequently referred to as “the second puberty,” this 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 a decrease in ovarian function.
Duration: Typically continues for a period of 4 to 10 years.
Menstrual Cycle: Becomes erratic; periods might be lighter, heavier, shorter, longer, or missed altogether.
Hormone Levels: Progesterone is the first hormone to fall, whereas estrogen levels fluctuate unpredictably, and testosterone diminishes steadily. A diagnosis is generally made based on symptoms, not blood work.
Fertility: Pregnancy is still possible; continuing to use your chosen method of birth control is advisable.
Key Symptoms: Disrupted sleep, tiredness, 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 represents a single moment in time that signifies the conclusion of a woman's reproductive phase.

Age of Onset: Generally happens around age 51 (with a typical span of 45–55).
Definition: A definitive point confirmed after twelve straight months without a menstrual period.
Duration: It is a single event. The time after this point is known as Postmenopause.
Menstrual Cycle: Has ceased entirely.
Hormone Levels: Hormones stabilize at a consistently low level.
Fertility: It is no longer possible to become pregnant.
Key Symptoms & Risks: Symptoms like hot flashes and dryness can continue. The likelihood of bone density loss (osteoporosis) goes up, along with the risk for dementia and Alzheimer’s disease in individuals not undergoing Hormone Replacement Therapy (HRT).

Perimenopause and Menopause Symptoms Explained

Sleep Problems (50–55%): Encompasses insomnia, waking frequently (WASO), and unrefreshing sleep. This is prompted by progesterone changes (which impact GABA receptors) and low estrogen that triggers night sweats. A reduction in melatonin after age 40 exacerbates the problem.
Low Energy and Fatigue (~80%): Estrogen is responsible for regulating cortisol and aiding mitochondrial function. Its decrease results in metabolic stress and a reduction in cellular energy, which often coincides with sleep issues.
Joint & Muscle Pain (65%): A reduction in estrogen elevates pro-inflammatory cytokines, causing systemic inflammation and diminished joint lubrication, which can manifest as stiffness or “frozen shoulder.”
Brain Fog (60%): Neurons depend on estrogen to metabolize glucose. A drop in estrogen levels induces a “hypometabolic” condition in the brain's memory centers (hippocampus), which impairs the ability to concentrate.
Hot Flashes & Night Sweats (50–55%): Estrogen manages the hypothalamus (the body's internal thermostat). Lower levels can cause the brain to incorrectly perceive the body as overheating, activating abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): A fall in estrogen curtails the production of serotonin (the “happiness hormone”), while lower progesterone lessens the brain’s “calming” signals, resulting in heightened reactivity and mood fluctuations.
Abdominal Weight Gain (50%): The loss of estrogen elevates 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 lack of estrogen diminishes blood flow, collagen, and elasticity in pelvic tissues, which results in atrophy and discomfort during sexual intercourse (dyspareunia).
Low Libido (40–45%): This is caused by a significant drop in testosterone between the ages of 45 and 55, which is compounded by the physical discomfort and tiredness from low estrogen.
Depressive Symptoms (40–45%): The likelihood of developing new-onset depression rises by 2–4 times during perimenopause, owing to estrogen's effect on serotonin receptor density within the brain.
Dry Skin & Urinary Problems (35–45%): These issues are prompted by 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 Approach And Your Next Steps

At The Longevity Practice, our methodology involves identifying potential risks before they evolve into health issues by using early and precise diagnostics. Rather than simply treating diseases, we develop straightforward, individualized strategies to preserve health over the long term. Our objective is to provide each patient with a thorough understanding of their own body, complete with actionable steps they can implement immediately. By placing prevention and clarity at the forefront, we empower patients to create a longer, more healthful life.

Our Core Principles

Our foremost commitment is to help individuals feel their absolute best at every age while empowering them to live longer and healthier lives. To accomplish this, we adhere to a number of fundamental principles:

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

Note: Our methodology is centered on sustainable, non-invasive options. We prioritize these core principles to facilitate enduring physiological improvements and effective long-term health management.

Next Steps

Find out if our philosophy is a good fit for you. Reserve your consultation through our website and Schedule an appointment

Evidence-based Longevity In Jessen

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 Jessen

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.