Consultation For Early Perimenopause In Munich Altstadt From 199€

The Advantage Of Proactive Insight

By 2030, 1.2 billion women will reach menopause, a figure set to rise to 1.65 billion by 2050. Before this stage, 60-80% of women between 34 and 51 years old encounter perimenopausal symptoms that diminish their life quality and work performance. These symptoms span from sleep issues to mental fogginess, anxiousness, and diminished energy. Frequently, these conditions remain undiagnosed and unaddressed. The consequences affect families and create a substantial economic burden through missed work, absenteeism, and women exiting their careers.

This is triggered by a reduction in hormones. Women possess Estrogen (ER) and androgen (AR) receptors not only in reproductive organs (like the uterus, ovaries, and breast) but also in the brain, liver, kidneys, fat tissue, bones, and immune cells. These receptors regulate functions ranging from bone mass and metabolic rate to reproductive health, cognitive ability, and emotional state.

Consider them to be like foundational “building blocks.” The three primary hormones are:

Progesterone, also known as "the calm regulator": A decrease in this hormone can lead to disturbed sleep, feelings of anxiety, and excessive menstrual bleeding.
Estrogen, also called "the main character": Its depletion can affect cognitive functions (such as memory loss and trouble concentrating) or overall well-being because of joint discomfort and vasomotor symptoms (like night sweats and hot flashes).
Testosterone, referred to as "the drive booster": A reduction in this hormone influences one's motivation, sex drive, and muscle tissue.

Distinguishing Perimenopause From Menopause Without Hormone Therapy

Perimenopause

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

Age of Onset: Generally begins at 34 years of age or later.
Definition: A transitional phase initiated by a reduction in the function of the ovaries.
Duration: Usually persists for a period of 4 to 10 years.
Menstrual Cycle: Becomes erratic; periods can be less or more intense, briefer, more extended, or missed altogether.
Hormone Levels: Progesterone levels are the first to drop, whereas estrogen fluctuates erratically and testosterone shows a slow decline. A diagnosis is typically made based on symptoms, not bloodwork.
Fertility: Pregnancy is still possible; continuing with your chosen method of contraception is advised.
Key Symptoms: Includes disturbed sleep, exhaustion, hot flashes, nocturnal sweating, emotional shifts, anxiety, mental fog, joint soreness or rigidity, muscle discomfort, vaginal dryness, reduced sex drive, and signs of depression.

Menopause

Menopause refers to a distinct moment in time that signals the conclusion of one's reproductive capacity.

Age of Onset: Generally happens at approximately 51 years of age (with a common range of 45–55).
Definition: A specific landmark achieved following twelve straight months with no menstruation.
Duration: It is a singular event. The period that comes after this point is known as Postmenopause.
Menstrual Cycle: Has ceased entirely.
Hormone Levels: Hormonal levels stabilize at a consistently low level.
Fertility: It is no longer possible to conceive.
Key Symptoms & Risks: Issues like hot flashes and dryness might continue. There is an elevated risk of bone density reduction (osteoporosis) and a higher likelihood of dementia and Alzheimer’s disease for individuals not using Hormone Replacement Therapy (HRT).

Hormone Shifts And Symptoms In Perimenopause And Menopause

Sleep Problems (50–55%): This covers insomnia, waking often during the night (WASO), and sleep that is not refreshing. It is caused by variations in progesterone (impacting GABA receptors) and reduced estrogen that leads to night sweats. A drop in melatonin after the age of 40 exacerbates the problem.
Low Energy and Fatigue (~80%): Estrogen manages cortisol levels and aids mitochondrial activity. A decrease in estrogen results in metabolic strain and a fall in cellular energy, which frequently happens in conjunction with sleep issues.
Joint & Muscle Pain (65%): A reduction in estrogen boosts pro-inflammatory cytokines, which causes body-wide inflammation and less joint fluid, resulting in stiffness or conditions like "frozen shoulder."
Brain Fog (60%): Neurons need estrogen to metabolize glucose. Falling levels induce a "hypometabolic" condition in the brain's memory areas (the hippocampus), which compromises the ability to concentrate.
Hot Flashes & Night Sweats (50–55%): The hypothalamus (the body's internal thermostat) is controlled by estrogen. Decreases in this hormone make the brain mistakenly sense overheating, which sets off abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): Falling estrogen levels diminish the creation of serotonin ("happiness hormone"), and lower progesterone lessens the brain's calming effect, resulting in heightened reactivity and emotional fluctuations.
Abdominal Weight Gain (50%): The loss of estrogen heightens 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 decrease in estrogen lessens blood circulation, collagen, and flexibility in the pelvic tissues, which causes atrophy and pain during sexual intercourse (dyspareunia).
Low Libido (40–45%): This is prompted by a significant drop in testosterone from ages 45 to 55, along with the physical pain and tiredness resulting from low estrogen levels.
Depressive Symptoms (40–45%): During perimenopause, the likelihood of developing depression for the first time 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 identical reduction in collagen, moisture retention, and tissue flexibility that also impacts the vaginal lining.

The Longevity Practice And The Next Steps

The Longevity Practice is dedicated to detecting potential risks before they develop into health issues by using early and accurate diagnostic methods. Rather than responding to illness, we develop straightforward, customized strategies for sustaining health over the long term. Our aim is to provide each patient with profound insight into their own body and actionable measures they can implement immediately. By prioritizing prevention and clear communication, we assist patients in constructing a longer and healthier existence.

Our Core Principles

Our primary commitment is to help individuals achieve optimal well-being at every stage of life and to support their pursuit of a longer, healthier lifespan. To accomplish this, our work is centered on several foundational principles:

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

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

Next Steps

Discover if our methods are a good fit for your needs. Reserve your consultation through our website and Schedule an appointment

Evidence-based Longevity In Munich Altstadt

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 Munich Altstadt

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

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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.