Consultation For Early Perimenopause In Munich Schwabing Starting At 199€

An Advantage Through Preparation

By 2030, 1.2 billion women will reach menopause, a figure that will rise to 1.65 billion by 2050. Prior to this, 60-80% of women between the ages of 34 and 51 encounter perimenopausal symptoms that diminish their quality of life and work performance. These symptoms can include anything from sleep disturbances and brain fog to anxiety and diminished energy levels. Frequently, these conditions are not diagnosed or addressed. The consequences affect families and create a substantial economic burden through missed workdays, absenteeism, and women departing from their careers.

This process is triggered by a reduction in hormones. In addition to reproductive organs like the uterus, ovaries, and breasts, women possess Estrogen (ER) and androgen (AR) receptors in the brain, liver, kidneys, fat tissue, bones, and immune cells. These receptors regulate a wide array of functions, including bone density, metabolism, reproduction, cognitive abilities, and mood.

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

Progesterone, also known as "the calm regulator": A decrease in this hormone can lead to sleep disturbances, anxiety, and excessive menstrual bleeding.
Estrogen, often called "the main character": The depletion of estrogen can affect brain function, causing memory issues and trouble concentrating, or reduce quality of life through joint pain and vasomotor symptoms like night sweats and hot flashes.
Testosterone, or "the drive booster": A reduction in testosterone levels can impact motivation, sex drive, and muscle tissue.

Distinguishing Perimenopause From Menopause Without Hormone Therapy

Perimenopause

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

Age of Onset: Usually begins at 34 years of age or later.
Definition: A transitional phase initiated by a reduction in ovarian activity.
Duration: It commonly persists for a period of 4 to 10 years.
Menstrual Cycle: Periods become unpredictable; they can be lighter, heavier, shorter, longer, or missed altogether.
Hormone Levels: Progesterone levels are the first to drop, estrogen fluctuates erratically, and testosterone declines slowly. A diagnosis is typically made based on symptoms, not blood work.
Fertility: Pregnancy is still possible; continuing with a chosen method of birth control is advised.
Key Symptoms: Includes sleep disturbances, exhaustion, hot flashes, night sweats, emotional shifts, anxiety, mental cloudiness, joint pain or stiffness, muscle soreness, vaginal dryness, reduced sex drive, and symptoms of depression.

Menopause

Menopause refers to a distinct moment in time that signals the conclusion of the childbearing years.

Age of Onset: Generally happens at approximately age 51 (with a common range of 45–55).
Definition: A confirmed milestone identified after a full 12-month period with no menstruation.
Duration: It is a singular event. The stage that comes after this point is known as Postmenopause.
Menstrual Cycle: Menstruation has ceased entirely.
Hormone Levels: Hormone levels stabilize at a new, consistently low baseline.
Fertility: It is no longer possible to become pregnant.
Key Symptoms & Risks: Symptoms like hot flashes and dryness can continue. There is a greater risk of bone density loss (osteoporosis) and an elevated risk of dementia and Alzheimer’s disease in individuals not undergoing Hormone Replacement Therapy (HRT).

Hormonal Shifts And Symptoms In 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 (which impacts GABA receptors) and reduced estrogen that leads to night sweats. A drop in melatonin after 40 also contributes to the problem.
Low Energy and Fatigue (~80%): Estrogen helps manage cortisol and aids mitochondrial activity. A decrease in estrogen results in metabolic stress and a reduction in cellular energy, which frequently happens in conjunction with sleep issues.
Joint & Muscle Pain (65%): The depletion of estrogen raises levels of pro-inflammatory cytokines, which causes widespread inflammation and diminishes joint lubrication, resulting in stiffness or conditions like "frozen shoulder."
Brain 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 hinders concentration.
Hot Flashes & Night Sweats (50–55%): The hypothalamus (the body's internal thermostat) is regulated by estrogen. Reductions in this hormone make the brain mistakenly sense overheating, 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" effects, resulting in heightened reactivity and emotional fluctuations.
Abdominal Weight Gain (50%): A reduction in 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%): The depletion of estrogen diminishes blood flow, collagen, and elasticity within pelvic tissues, which results in atrophy and pain during sexual intercourse (dyspareunia).
Low Libido (40–45%): This is caused by a significant drop in testosterone between the ages of 45 and 55, alongside the physical pain and exhaustion resulting from low estrogen.
Depressive Symptoms (40–45%): The likelihood of developing depression for the first time rises by 2–4 times during 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 elasticity that impacts the vaginal walls.

The Longevity Practice Philosophy And Your Next Steps

The Longevity Practice is dedicated to detecting risks before they evolve into health issues by using early and accurate diagnostics. Rather than responding to illness, our approach is to develop straightforward, individualized strategies for sustaining long-term wellness. We aim to provide each patient with profound insight into their own body and actionable steps they can implement immediately. By centering our practice on prevention and clarity, we guide patients in constructing a longer and healthier life.

Our Core Principles

Our primary objective is to assist individuals in feeling optimal at every stage of life and to support them in achieving longer, healthier lifespans. To accomplish this, we adhere to a number of fundamental principles:

Scientific Accuracy
Individualized Care
A Focus On Prevention
Clear Direction
Extended Healthspan
Honesty And Trust

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

Next Steps

Discover if our methodology is a suitable fit for your needs. Reserve your consultation through our online system and Schedule an appointment

Evidence-based Longevity In Munich Schwabing

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 Schwabing

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

Book appointment

Introduction Session

0€

Schedule a quick video call to learn more about The Longevity Practice services and approach.

Duration: 15 minutes

Book Call

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.