Perimenopause And Menopause Support In Magdeburg

Anticipating Hormonal Shifts

By 2030, 1.2 billion women are projected to reach menopause, a figure expected to 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. Symptoms can vary from sleep disturbances and cognitive fog to anxiety and diminished energy levels. Frequently, these symptoms remain unidentified and unaddressed. This situation affects families and carries a substantial economic burden, resulting from missed work, absenteeism, and women exiting their careers.

The underlying 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, adipose tissue, bones, and immune cells. These receptors play a role in regulating functions ranging from bone density and metabolism to reproduction, cognitive processes, and mood.

Consider them fundamental “building blocks.” The three primary hormones are:

Progesterone, the "calm regulator": A decrease in this hormone can lead to sleep disturbances, anxiety, and excessive bleeding.
Estrogen, the "main character": Its reduction 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, the "drive booster": A drop in this hormone impacts motivation, sex drive, and muscle mass.

Smiling woman in black sweater representing perimenopause and menopause care

Perimenopause and Menopause: Understanding the Key Differences

Perimenopause

Frequently referred to as “the second puberty,” this stage is the several-year period that precedes the final menstrual cycle.

Age of Onset: Generally begins at 34 years of age or later.
Definition: A transitional phase initiated by a reduction in ovarian function.
Duration: Typically persists for a period of 4 to 10 years.
Menstrual Cycle: Turns irregular, with periods that can become lighter, heavier, shorter, longer, or missed altogether.
Hormone Levels: Progesterone is the initial hormone to decline, estrogen levels fluctuate 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 advised.
Key Symptoms: Includes sleep disturbances, tiredness, hot flashes, night sweats, mood shifts, anxiety, cognitive fog, joint pain or stiffness, muscle soreness, vaginal dryness, reduced libido, and symptoms of depression.

Menopause

Menopause represents a distinct moment in time that signifies the conclusion of the reproductive phase of life.

Age of Onset: Commonly happens at approximately age 51 (with a typical range of 45–55).
Definition: A defined event confirmed after a full 12 months have passed without a menstrual period.
Duration: It is a singular event. The stage that follows this event is known as Postmenopause.
Menstrual Cycle: Ceases entirely.
Hormone Levels: Hormonal levels stabilize and stay 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. There is a heightened risk of bone loss (osteoporosis) and an increased risk of dementia and Alzheimer’s disease for individuals not using Hormone Replacement Therapy (HRT).

Perimenopause and Menopause: Hormones and Associated Symptoms

Sleep Problems (50–55%): Encompasses insomnia, waking often during the night (WASO), and unrefreshing sleep. This is caused by fluctuating progesterone (which impacts GABA receptors) and low estrogen leading 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. A reduction in estrogen results in metabolic stress and lower cellular energy, which frequently happens in conjunction with sleep issues.
Joint & Muscle Pain (65%): A decrease in estrogen elevates pro-inflammatory cytokines, which causes systemic 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 levels induce a "hypometabolic" condition in the brain's memory areas (hippocampus), which affects the ability to concentrate.
Hot Flashes & Night Sweats (50–55%): Estrogen manages the hypothalamus, which acts as the body's internal thermostat. Reductions in estrogen cause the brain to incorrectly perceive the body as too hot, which sets off abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): Falling estrogen levels lower the production of serotonin (the "happiness hormone"), and decreasing progesterone lessens the brain's calming effect, resulting in heightened reactivity and mood fluctuations.
Abdominal Weight Gain (50%): The loss of estrogen leads to higher insulin resistance. The body intentionally accumulates visceral fat around the abdomen in an effort to generate estrone (an estrogen type) from these fat cells.
Vaginal Dryness & Pain (40%): Reduced estrogen diminishes blood flow, collagen, and elasticity within the pelvic tissues, which can result in atrophy and painful intercourse (dyspareunia).
Low Libido (40–45%): Caused by a significant drop in testosterone between the ages of 45 and 55, along with the physical discomfort and tiredness from low estrogen levels.
Depressive Symptoms (40–45%): During perimenopause, the likelihood of developing new-onset depression rises by a factor of 2 to 4, owing 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 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 Approach and Next Steps

At The Longevity Practice, our focus is on pinpointing health risks with early and accurate diagnostics before they develop into problems. Rather than responding to illness, we develop straightforward, customized strategies for preserving health over the long term. We aim to provide each patient with a thorough understanding of their own body and actionable steps they can implement immediately. By centering our approach on prevention and clarity, we guide 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 longer, healthier lives. To accomplish this, we adhere to several key principles:

Scientific Accuracy
Individualized Care
Preventive Focus
Clear Guidance
Extended Healthspan
Trust and Openness

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

Next Steps

Discover if our methods are a good fit for you. Book your consultation online and Schedule an appointment

Evidence-based Longevity In Magdeburg

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 Magdeburg

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.