Perimenopause & Menopause Consultation In Leipzig

Anticipating The Hormonal Transition

By 2030, an estimated 1.2 billion women will be menopausal, with this number increasing to 1.65 billion by 2050. Preceding this, 60-80% of women between the ages of 34 and 51 contend with perimenopausal symptoms that compromise their quality of life and professional productivity. These symptoms can include sleep disturbances, cognitive fog, anxiety, and low energy levels. In many instances, these conditions remain undiagnosed and unaddressed. This situation affects families and carries a substantial economic toll resulting from lost productivity, absenteeism, and women departing from the workforce.

The underlying cause is a decline in hormones. Women possess Estrogen (ER) and androgen (AR) receptors not only in reproductive organs (the uterus, ovaries, and breast) but also in the brain, liver, kidneys, adipose tissue, bone, and immune cells. These receptors govern a wide range of functions, from bone density and metabolism to reproduction, cognitive processes, and mood regulation.

You can view them as fundamental “building blocks.” The three most significant are:

Progesterone aka "the calm regulator": A drop in its levels can lead to sleep disruption, anxiety, and heavy menstrual bleeding.
Estrogen aka "the main character" Its absence can affect brain function (resulting in memory issues 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 reduction in this hormone influences motivation, libido, and muscle mass.

Smiling woman in black sweater representing perimenopause and menopause care

The Key Differences Between Perimenopause and Menopause

Perimenopause

Often described as “the second puberty,” this is the transitional period of several years that precedes the cessation of menstruation.

Age of Onset: Usually begins at age 34 or later.
Definition: A transition set in motion by the diminishing function of the ovaries.
Duration: Typically persists for a period of 4 to 10 years.
Menstrual Cycle: Becomes erratic; periods might be lighter, heavier, shorter, longer, or missed entirely.
Hormone Levels: Progesterone is the first hormone to fall, whereas estrogen fluctuates unpredictably, and testosterone shows a gradual decline. Diagnosis is typically made from symptoms rather than blood analysis.
Fertility: It is still possible to become pregnant; continuing with your preferred form of contraception is advised.
Key Symptoms: Disrupted sleep, fatigue, hot flashes, night sweats, mood fluctuations, anxiety, brain fog, joint pain or stiffness, muscular aches, vaginal dryness, diminished libido, and depressive symptoms.

Menopause

Menopause is a single, defined point in time that signifies the conclusion of the reproductive phase.

Age of Onset: Commonly happens around age 51 (the typical range is 45–55).
Definition: A definitive milestone that is confirmed after 12 months in a row without a menstrual period.
Duration: A single event. The stage that comes after this milestone is called Postmenopause.
Menstrual Cycle: Has stopped completely.
Hormone Levels: Hormones stabilize at a new, consistently low level.
Fertility: Pregnancy is no longer possible.
Key Symptoms & Risks: Symptoms like hot flashes and dryness can continue. The risk for bone density loss (osteoporosis) goes up, as does the likelihood of dementia and Alzheimer’s disease for women not using Hormone Replacement Therapy (HRT).

Perimenopause & Menopause: Hormones and Associated Symptoms

Sleep Problems (50–55%): Encompasses insomnia, frequent nighttime awakenings (WASO), and unrefreshing sleep. This is prompted by progesterone variations (which impact GABA receptors) and low estrogen leading to night sweats. The decrease in melatonin after age 40 further exacerbates the problem.
Low Energy and Fatigue (~80%): Estrogen helps manage cortisol and aids mitochondrial function. A reduction in estrogen causes metabolic stress and decreased cellular energy, frequently co-occurring with sleep issues.
Joint & Muscle Pain (65%): The reduction of estrogen elevates pro-inflammatory cytokines, which results in systemic inflammation and diminished joint lubrication, manifesting as stiffness or conditions like "frozen shoulder."
Brain Fog (60%): Neurons depend on estrogen to metabolize glucose. A drop in estrogen levels leads to a "hypometabolic" condition in the brain's memory regions (hippocampus), which impairs the ability to concentrate.
Hot Flashes & Night Sweats (50–55%): Estrogen is key to regulating the hypothalamus (the body's thermostat). When levels drop, the brain may misread the body's temperature as too high, initiating rapid cooling mechanisms.
Anxiety & Irritability (50–60%): A decrease in estrogen lowers the production of serotonin (the "happiness hormone"), while falling progesterone lessens the brain's "calming" signals, causing high reactivity and mood fluctuations.
Abdominal Weight Gain (50%): A loss of estrogen promotes insulin resistance. The body then intentionally accumulates visceral fat around the midsection to try and synthesize estrone (a type of estrogen) from fat tissue.
Vaginal Dryness & Pain (40%): Reduced estrogen diminishes blood flow, collagen, and elasticity in the pelvic tissues, which results in atrophy and discomfort during sexual intercourse (dyspareunia).
Low Libido (40–45%): This is prompted by a steep reduction in testosterone between ages 45 and 55, compounded by the physical discomfort and tiredness that low estrogen can cause.
Depressive Symptoms (40–45%): The likelihood of a new depressive episode rises by a factor of 2–4 during perimenopause, stemming from estrogen's effect on the density of serotonin receptors in the brain.
Dry Skin & Urinary Problems (35–45%): These are triggered by the same decrease 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

Our Philosophy At The Longevity Practice & Next Steps

At The Longevity Practice, our focus is on using early, precise diagnostics to identify health risks before they can escalate into problems. We don't just react to disease; instead, we formulate clear, individualized strategies to uphold long-term wellness. Our objective is to provide every patient with a thorough understanding of their own body, along with concrete actions they can take right away. With a foundation of prevention and clarity, we empower our patients to lead longer, healthier lives.

Our Core Principles

Our main goal is to help individuals feel their absolute best at any age while supporting them on their path to a longer, healthier life. To make this happen, we adhere to several key principles:

Scientific Accuracy
Individualized Care
A Proactive Stance
Clear Direction
Sustained Wellbeing
Honesty and Reliability

Note: Our methodology is centered on sustainable, non-invasive approaches. We adhere to these core principles to facilitate lasting physiological improvement and long-term health management.

Next Steps

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

Evidence-based Longevity In Leipzig

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 Leipzig

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.