A Consultation For Early Perimenopause In Munich Bogenhausen From 199€

The Protection Of Proactive Insight

By 2030, 1.2 billion women are projected to reach menopause, with this number increasing to 1.65 billion by 2050. Before this stage, 60-80% of women from ages 34 to 51 contend with perimenopausal symptoms that negatively impact their life quality and professional productivity. These symptoms include everything from sleep disturbances to cognitive fog, anxiety, and a lack of energy. They often remain undiagnosed and unaddressed. This situation affects families and carries a considerable economic toll from missed workdays, absenteeism, and women leaving their careers.

This is triggered by a decrease in hormones. Women possess Estrogen (ER) and androgen (AR) receptors not only in their reproductive organs (uterus, ovaries, breast) but also in the brain, liver, kidneys, adipose tissue, bone, and immune cells. These receptors govern functions ranging from bone density and metabolic rate to reproduction, cognition, and emotional state.

You can view them as the essential lego “building blocks”. The primary three are:

Progesterone aka "the calm regulator": A reduction in this hormone can lead to sleep interruptions, feelings of anxiety, and heavy menstrual flow.
Estrogen aka "the main character" Its depletion may compromise brain function (resulting in memory issues or trouble concentrating) or diminish life quality because of joint discomfort and vasomotor problems (such as night sweats and hot flashes).
Testosterone aka the "the drive booster." Its decrease has an effect on personal motivation, libido, and muscle tissue.

Comparing Perimenopause And Menopause: Crucial Differences Excluding Hormone Therapy

The Perimenopausal Phase

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

Age of Onset: Typically begins at 34 years or later.
Definition: A transitional stage initiated by declining ovarian function.
Duration: Usually persists for a period of 4 to 10 years.
Menstrual Cycle: It becomes erratic; periods may become lighter, heavier, shorter, longer, or be missed altogether.
Hormone Levels: Progesterone is the first hormone to decline, while estrogen levels fluctuate unpredictably and testosterone shows a gradual decrease. A diagnosis is typically made based on symptoms, not blood work.
Fertility: Conception is still possible; it is advised to maintain your chosen method of birth control.
Key Symptoms: Interrupted sleep, weariness, hot flashes, night sweats, mood fluctuations, anxiety, brain fog, joint pain or stiffness, muscle soreness, vaginal dryness, reduced libido, and symptoms of depression.

The Menopausal Milestone

Menopause refers to a single, distinct moment that signifies the conclusion of a woman's reproductive phase.

Age of Onset: Generally happens around the age of 51 (with a common range of 45–55).
Definition: A precise milestone confirmed after 12 straight months have passed without a menstrual period.
Duration: It is a singular event. The time after this event is known as Postmenopause.
Menstrual Cycle: It is entirely gone.
Hormone Levels: Hormone levels stabilize and stay consistently low.
Fertility: You are no longer able 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 for women who are not using Hormone Replacement Therapy (HRT).

The Hormonal Shifts And Symptoms Of Perimenopause And Menopause

Sleep Issues (50–55%): Encompasses insomnia, waking often during the night (WASO), and sleep that is not refreshing. This is prompted by fluctuating progesterone levels (which impact GABA receptors) and reduced estrogen that leads to night sweats. A decrease in melatonin after 40 also exacerbates the problem.
Reduced Energy and Fatigue (~80%): Estrogen helps manage cortisol and aids mitochondrial activity. A fall in estrogen results in metabolic strain and a decrease in cellular energy, which frequently happens in conjunction with sleep problems.
Discomfort In Joints & Muscle Pain (65%): A decrease in estrogen elevates pro-inflammatory cytokines, which causes body-wide inflammation and lessens joint lubrication, resulting in stiffness or conditions like "frozen shoulder".
Cognitive Fog (60%): Neurons depend on estrogen to metabolize glucose. Declining estrogen levels induce 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 (the body's internal thermostat) is regulated by estrogen. Reductions in this hormone make the brain incorrectly sense the body is too hot, which sets off abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): Falling estrogen levels lower the creation of serotonin ("happiness hormone"), while a decrease in progesterone lessens the brain's calming effect, resulting in heightened reactivity and emotional fluctuations.
Weight Gain In The Abdomen (50%): A lack of estrogen elevates insulin resistance. The body intentionally accumulates visceral fat around the midsection in an effort to generate estrone (a form of estrogen) from these fat cells.
Vaginal Dryness & Discomfort (40%): The reduction of estrogen diminishes blood circulation, collagen levels, and elasticity in the pelvic tissues, which results in atrophy and pain during sexual intercourse (dyspareunia).
Reduced Libido (40–45%): This is caused by a significant drop in testosterone levels between the ages of 45 and 55, along with the physical pain and exhaustion resulting from low estrogen.
Symptoms Of Depression (40–45%): During perimenopause, the likelihood of a new depressive episode rises by a factor of 2–4x, owing to the effect of estrogen on the density of serotonin receptors in the brain.
Dry Skin & Urinary Issues (35–45%): This is a result of the same reduction in collagen, moisture retention, and tissue flexibility that impacts the walls of the vagina.

An Overview Of The Longevity Practice And How To Proceed

At The Longevity Practice, our emphasis is on detecting risks with early, precise diagnostics before they can evolve into health problems. Rather than merely responding to disease, we formulate clear, individualized plans to sustain long-term well-being. Our aim is to provide every patient with a profound understanding of their own body, accompanied by actionable measures they can implement immediately. With prevention and clarity as our foundation, we guide patients in constructing a longer, more healthful life.

Our Foundational Principles

Our main priority is to assist individuals in feeling their absolute best at every stage of life and to empower them to live longer, healthier lives. To accomplish this, we concentrate on several foundational principles:

Scientific Accuracy
Customized Care
Preventive Focus
Transparent Guidance
Prolonged Healthspan
Trustworthiness And Openness

Note: Our methodology is centered on durable, non-invasive options. We concentrate on these fundamental principles to guarantee sustained physiological improvement and effective long-term health management.

How To Proceed

Find out if our methodology suits your needs. Reserve your consultation online and arrange an appointment

Evidence-based Longevity In Munich Bogenhausen

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 Bogenhausen

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:

Hormone Replacement Therapy 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

Book appointment

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

Book appointment

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.