Early Menopause Guidance Hamburg | Menopause Transition Specialist from 199€

Foresight is Fortification

Typical Onset: Perimenopause starts in the mid-to-late 40s (can begin in the 30s); Menopause average age is 51 (typically between 45–55).
Definition: Perimenopause is the transitional period leading to menopause as ovarian function declines; Menopause is a specific point in time confirmed after 12 consecutive months without a period.
Duration: Perimenopause averages 4–8 years; Menopause is technically a single day, followed by the "postmenopause" phase.
Menstrual Cycle: Perimenopause is irregular and unpredictable (heavier, lighter, or skipped); in Menopause, cycles are permanently absent.
Hormone Levels: Perimenopause features highly erratic fluctuations (estrogen spikes/drops, progesterone declines); Menopause levels are consistently and permanently low.
Fertility: Pregnancy is decreased but still possible in Perimenopause (contraception recommended); natural conception is no longer possible in Menopause.
Common Symptoms: Perimenopause includes hot flashes, brain fog, and joint aches; Menopause symptoms may continue, with an increased risk of osteoporosis.
Health Focus: Perimenopause focuses on symptom management; Menopause shifts focus to long-term risks like bone and heart health.

Distinguishing Perimenopause and Menopause: A Non-Hormonal Perspective

Sleep Problems (50–55%): Includes insomnia, frequent waking (WASO), and non-restorative sleep. Driven by progesterone fluctuations (which affect GABA receptors) and low estrogen causing night sweats. Melatonin decline after age 40 further compounds the issue.
Low Energy and Fatigue (~80%): Estrogen regulates cortisol and supports mitochondrial function. Its decline leads to metabolic stress and cellular energy drops, often occurring alongside sleep disturbances.
Joint & Muscle Pain (65%): Loss of estrogen increases pro-inflammatory cytokines, leading to systemic inflammation and reduced joint lubrication (stiffness or "frozen shoulder").
Brain Fog (60%): Estrogen is required for neurons to burn glucose. Dropping levels create a "hypometabolic" state in the brain's memory centers (hippocampus), impairing concentration.
Hot Flashes & Night Sweats (50–55%): Estrogen regulates the hypothalamus (the body’s thermostat). Declines cause the brain to misinterpret body heat as overheating, triggering sudden cooling responses.
Anxiety & Irritability (50–60%): Dropping estrogen reduces serotonin ("happiness hormone") production, while declining progesterone reduces the brain's "calming" influence, leading to high reactivity and mood swings.
Abdominal Weight Gain (50%): Estrogen loss increases insulin resistance. The body deliberately stores visceral fat in the belly area to attempt to produce estrone (a form of estrogen) from fat cells.
Vaginal Dryness & Pain (40%): Loss of estrogen reduces blood flow, collagen, and elasticity in pelvic tissues, leading to atrophy and discomfort during intercourse (dyspareunia).
Low Libido (40–45%): Driven by a sharp decline in testosterone between ages 45–55, combined with the physical discomfort and fatigue caused by low estrogen.
Depressive Symptoms (40–45%): The risk of new-onset depression increases 2–4x during perimenopause due to estrogen’s impact on serotonin receptor density in the brain.
Dry Skin & Urinary Problems (35–45%): Caused by the same loss of collagen, moisture-retention, and tissue elasticity that affects the vaginal walls.

The Hormonal Transition of Menopause

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Or learn more about our perimenopause and menopause services in Hamburg at The Longevity Practice

About The Longevity Practice

At The Longevity Practice, we focus on identifying risks before they become health problems through early, precise diagnostics. Instead of reacting to disease, we create clear, personalized plans to maintain long-term health. Our goal is to give every patient a deep understanding of their body along with practical steps they can take today. With prevention and clarity at the core, we help patients build a longer, healthier life.

Evidence-based Longevity in Berlin Steglitz

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 Menopause Focus Session in Berlin Steglitz

The cost for 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:

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.

Early Menopause Guidance in Hamburg starting from 199€