A Consultation For Early Perimenopause In Munich Nymphenburg From 199€

The Protection Of Proactive Knowledge

By 2030, 1.2 billion women are projected to reach menopause, a figure set to rise to 1.65 billion by 2050. Prior to this stage, 60-80% of women aged 34 to 51 encounter perimenopausal symptoms that diminish their life quality and work performance. These symptoms span from issues with sleep to cognitive difficulties like brain fog, alongside anxiety and diminished energy levels. Frequently, these conditions are not identified or addressed. This has consequences for families and creates a substantial economic burden from missed workdays, higher absenteeism, and women exiting the workforce.

This is prompted by a decline in hormones. Women possess Estrogen (ER) and androgen (AR) receptors not only in reproductive organs (uterus, ovaries, breast) but also in the brain, liver, kidney, adipose tissue, bone, and immune cells. These receptors regulate a wide range of bodily functions, including bone density, metabolic rate, reproductive health, cognitive processes, and emotional states.

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

Progesterone aka "the calm regulator": A reduction in this hormone can lead to disturbed sleep, feelings of anxiety, and excessive menstrual bleeding.
Estrogen aka "the main character" Its depletion can affect brain functions (impaired memory, concentration difficulties) or diminish quality of life through joint discomfort and vasomotor symptoms (night sweats, hot flashes).
Testosterone aka the "the drive booster." A decrease in this hormone impacts motivation, libido, and muscle tissue.

Perimenopause Versus Menopause The Primary Distinctions

Perimenopause

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

Age of Onset: Usually begins at 34 years of age or later.
Definition: A transitional phase initiated by the diminishing function of the ovaries.
Duration: It commonly extends for a period of 4 to 10 years.
Menstrual Cycle: Periods become unpredictable; they can vary in flow (lighter or heavier), duration (shorter or longer), or may be missed altogether.
Hormone Levels: Progesterone levels are the first to decline, followed by erratic fluctuations in estrogen and a gradual reduction in testosterone. A diagnosis is typically made based on symptoms, not bloodwork.
Fertility: Pregnancy is still possible, and it is advisable to maintain the use of a chosen birth control method.
Key Symptoms: Includes disturbed sleep, exhaustion, hot flashes, nocturnal sweating, mood fluctuations, anxiety, cognitive fog, joint pain or rigidity, muscle soreness, vaginal dryness, reduced sex drive, and symptoms of depression.

Menopause

Menopause itself is a single, defined moment that signifies the conclusion of a woman's reproductive phase.

Age of Onset: It generally happens at approximately age 51 (with a common range of 45–55).
Definition: A distinct point in time confirmed after twelve straight months have passed with no menstrual bleeding.
Duration: It is a singular event. The period that comes after this point is known as Postmenopause.
Menstrual Cycle: It has ceased entirely.
Hormone Levels: Hormone production stabilizes at a consistently low level.
Fertility: It is no longer possible to become pregnant.
Key Symptoms & Risks: Certain symptoms, including hot flashes and dryness, can continue. For individuals not using Hormone Replacement Therapy (HRT), there is a heightened risk of bone density loss (osteoporosis), along with an increased risk for dementia and Alzheimer's disease.

Symptoms And The Hormonal Shifts Of Perimenopause And Menopause

Sleep Problems (50–55%): Encompasses insomnia, waking often during the night (WASO), and sleep that is not refreshing. This is caused by fluctuating progesterone levels (impacting GABA receptors) and reduced estrogen that leads to night sweats. A decrease in melatonin after 40 also exacerbates the problem.
Low Energy and Fatigue (~80%): Estrogen plays a role in managing cortisol and aiding mitochondrial activity. A reduction in estrogen results in metabolic strain and a decrease in cellular energy, which frequently happens in conjunction with sleep issues.
Joint & Muscle Pain (65%): A decrease in estrogen elevates pro-inflammatory cytokines, which causes body-wide inflammation and diminished joint fluid, resulting in stiffness or conditions like "frozen shoulder".
Brain Fog (60%): Neurons need estrogen to effectively use glucose for energy. Falling levels induce a “hypometabolic” condition in the brain's memory areas (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 can make the brain incorrectly perceive the body as being too hot, which sets off abrupt cooling mechanisms.
Anxiety & Irritability (50–60%): Falling estrogen levels lower the production of serotonin ("happiness hormone"), and decreasing progesterone diminishes the brain’s calming effects, resulting in heightened reactivity and emotional fluctuations.
Abdominal Weight Gain (50%): The loss of estrogen leads to greater 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%): A reduction in estrogen diminishes blood circulation, collagen levels, and elasticity within the pelvic tissues, which results in atrophy and painful intercourse (dyspareunia).
Low Libido (40–45%): This is caused by a significant drop in testosterone for those aged 45–55, which is coupled with the physical soreness and tiredness resulting from low estrogen levels.
Depressive Symptoms (40–45%): The likelihood of developing depression for the first time rises by a factor of 2–4 in perimenopause because of how estrogen affects the density of serotonin receptors in the brain.
Dry Skin & Urinary Problems (35–45%): These issues stem from the same decrease in collagen, moisture retention, and tissue flexibility that also impacts the vaginal tissues.

An Introduction To The Longevity Practice And Your Next Steps

The Longevity Practice is dedicated to detecting health risks with early and accurate diagnostics before they develop into serious conditions. Rather than responding to illness, our approach is to develop straightforward, individualized strategies for preserving health over the long term. We aim to provide each patient with profound insight into their own physiology, complemented by actionable measures for immediate implementation. By centering our practice on prevention and clear guidance, we assist our patients in constructing a life that is both longer and healthier.

Our Core Principles

Our primary objective is to assist individuals in feeling optimal at every stage of life and to support their pursuit of an extended, healthier lifespan. To accomplish this, our work is centered on a number of fundamental principles:

Precision In Science
Individualized Care
A Focus On Prevention
Guidance And Clarity
Extended Healthspan
Transparency And Trust

Note: Our methodology is built around sustainable and non-invasive methods. We concentrate on these foundational principles to promote enduring physiological improvements and effective long-range health stewardship.

Next Steps

Determine if our approach is suitable for you. You can book your consultation online and schedule a visit.

Evidence-based Longevity In Munich Nymphenburg

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 Nymphenburg

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.