Consultation For Early Perimenopause In Munich Harlaching Available From 199€

The Advantage Of Looking Ahead

By 2030, 1.2 billion women will reach menopause, a figure set to rise to 1.65 billion by 2050. Preceding this stage, 60-80% of women between 34 and 51 encounter perimenopausal symptoms that diminish their life quality and work performance. These symptoms span from sleep disturbances and brain fog to anxiety and diminished energy. Often, these conditions are not identified or addressed. The consequences affect families and create substantial economic burdens through missed workdays, absenteeism, and women exiting their careers.

This transition 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 a wide range of functions, including bone density, metabolism, reproduction, cognitive abilities, and mood.

Consider these hormones as essential “building blocks.” The three primary ones are:

Progesterone, known as "the calm regulator": A decrease in this hormone can lead to disturbed sleep, feelings of anxiety, and excessive menstrual bleeding.
Estrogen, often called "the main character": Its reduction can affect brain functions, causing memory issues and concentration problems, or negatively impact quality of life through joint discomfort and vasomotor symptoms like night sweats and hot flashes.
Testosterone, or "the drive booster": A drop in this hormone can influence motivation, sex drive, and muscle volume.

Perimenopause And Menopause: Defining The Differences Without Hormone Therapy

Perimenopause

Frequently referred to as “the second puberty,” this transitional period spans several years before menstruation ceases.

Beginning Age: Generally commences from age 34 onward.
Description: A transitional phase initiated by the diminishing function of the ovaries.
Length: Usually extends for a period of 4 to 10 years.
Menstrual Pattern: Becomes erratic; periods can vary in flow (lighter or heavier), duration (shorter or longer), or may be missed altogether.
Hormonal Fluctuations: Progesterone levels are the first to drop, estrogen fluctuates erratically, and testosterone shows a slow decline. A diagnosis is typically made based on symptoms, not blood work.
Pregnancy Potential: Conception is still possible; continuing with a chosen method of contraception is advised.
Primary Symptoms: Includes sleep disturbances, tiredness, hot flashes, night sweats, mood shifts, anxiety, mental fog, joint pain or stiffness, muscle soreness, vaginal dryness, reduced libido, and symptoms of depression.

Menopause

Menopause represents a distinct moment that signifies the conclusion of a woman's reproductive phase.

Beginning Age: Tends to happen at approximately 51 years of age (commonly between 45 and 55).
Description: A specific landmark confirmed following 12 straight months of menstrual absence.
Length: It is a singular event. The period that comes after this point is known as Postmenopause.
Menstrual Pattern: Periods have ceased entirely.
Hormonal State: Hormone levels stabilize at a new, consistently low baseline.
Pregnancy Potential: Conception is no longer possible.
Primary Symptoms & Health Risks: Symptoms like hot flashes and dryness might continue. There is a heightened risk for bone density loss (osteoporosis), along with an increased risk of dementia and Alzheimer’s disease in individuals not undergoing Hormone Replacement Therapy (HRT).

Hormone Shifts And Related Symptoms In Perimenopause And Menopause

Sleep Issues (50–55%): Encompasses insomnia, waking often during the night (WASO), and unrefreshing sleep. This is caused by fluctuating progesterone (impacting GABA receptors) and low estrogen levels leading to night sweats. A drop in melatonin after 40 also contributes to the problem.
Diminished Energy and Fatigue (~80%): Estrogen helps manage cortisol and aids mitochondrial activity. A reduction in estrogen results in metabolic strain and lower cellular energy, frequently co-occurring with sleep problems.
Joint & Muscle Discomfort (65%): A decrease in estrogen elevates pro-inflammatory cytokines, which causes body-wide inflammation and less joint lubrication, resulting in stiffness or conditions like "frozen shoulder."
Cognitive Fog (60%): Neurons need estrogen to utilize glucose for energy. Falling estrogen 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%): Estrogen manages the hypothalamus (the body's internal thermostat). When levels fall, the brain incorrectly perceives the body as too hot, initiating 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 "soothing" effect, resulting in heightened reactivity and mood fluctuations.
Weight Gain Around The Abdomen (50%): The loss of estrogen heightens insulin resistance. The body intentionally accumulates visceral fat around the midsection to try and generate estrone (an estrogen type) from these fat cells.
Vaginal Dryness & Discomfort (40%): Reduced estrogen diminishes blood circulation, collagen, and elasticity in the pelvic tissues, causing atrophy and pain with sexual intercourse (dyspareunia).
Reduced Libido (40–45%): Caused by a significant drop in testosterone from age 45 to 55, coupled with the physical pain and exhaustion resulting from low estrogen.
Symptoms Of Depression (40–45%): The likelihood of developing depression for the first time rises by 2-4 times in perimenopause because of estrogen's effect on the density of serotonin receptors in the brain.
Dry Skin & Urinary Issues (35–45%): A result of the same reduction in collagen, moisture retention, and tissue flexibility that impacts the vaginal tissues.

The Longevity Practice: Our Philosophy And Your Next Steps

Here at The Longevity Practice, our emphasis is on detecting risks with early and accurate diagnostics before they develop into health issues. Rather than responding to illness, we develop straightforward, customized strategies for preserving health over the long term. We aim to provide each patient with profound insight into their own body and actionable steps for immediate implementation. By centering our approach on prevention and clarity, we guide patients in constructing a longer, more healthful life.

Our Core Principles

Our main objective is to assist individuals in feeling optimal at every stage of life and to support their goal of living a longer, healthier existence. To accomplish this, our work is centered on several fundamental principles:

Evidence-Based Accuracy
Individualized Care
A Proactive Stance
Clear Direction
Extended Healthy Years
Openness And Reliability

Please note: Our method is built around sustainable and non-invasive options. We concentrate on these key principles to facilitate enduring physiological adjustments and effective long-term health stewardship.

Next Steps

Discover if our methodology suits your needs. Reserve your consultation through our online system and Arrange Your Appointment.

Evidence-based Longevity In Munich Harlaching

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 Harlaching

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

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

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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.