Cycle topics
Irregular or absent bleeding, heavy or painful periods, marked PMS — we measure, assess and treat.
Hormonsprechstunde · Konstanz
Hormone besser verstehen — and work out what’s really going on.
Cycle, menopause, mood, sleep, libido — hormones affect almost every area. In our specialist consultation Dr Hansberg-Otte takes the time to calmly make sense of your situation.
9 Mio.
women in Germany are currently going through menopause — around 85 percent have symptoms.
Quelle: DMG / Antidiskriminierungsstelle 2026
75 %
Wechseljahres-Beschwerden
That’s how many women experience symptoms during menopause. About a third feel strongly affected — often over several years.
Quelle: Deutsche Menopause Gesellschaft49,7
Jahre · Menopause-Median
On average you have your last period at just under 50. But perimenopause often starts as early as the mid-40s — and is frequently overlooked.
Quelle: IKK / BZgA9,4 Mrd €
Volkswirtschaftlicher Effekt
That’s how high the anti-discrimination agency estimates the annual cost to be, because women reduce their hours or leave work earlier due to menopausal symptoms.
Quelle: Antidiskriminierungsstelle 2026How your hormones move
Ein Leben in drei Kurven.
Oestrogen, progesterone and FSH together tell the story of your cycle — and the story of your menopause. Once you know these movements, many symptoms suddenly make sense.
Progesteron geht zuerst. Östrogen folgt. FSH steigt.
From the mid-40s, progesterone quietly begins to fall — often years before the cycle becomes irregular. This is the Perimenopause: phase one of menopause. Only later does oestrogen drop noticeably, and the pituitary hormone FSH rises as it tries in vain to stimulate the ovaries.
It’s precisely this early phase that’s often missed — mood and sleep problems are blamed on stress, even though there’s a hormonal explanation. In the hormone consultation we work out which phase you’re currently in.
Östrogen
falls with menopause
Progesteron
declines earlier
FSH
steigt kompensatorisch
Hormonverlauf · Lebensphasen
Schematic — typical movement of the three key hormones
Schematische Darstellung — exakte Werte variieren individuell stark. Quelle: AWMF S3-Leitlinie 015-062, Deutsche Menopause Gesellschaft.
What we often see
Choose your topic. Wir sortieren.
Tap the symptom pattern that fits you best — and you’ll see what might lie behind it and how we proceed in the consultation. This doesn’t replace a diagnosis, but gives you a first impression.
Hormonkompass
Ein erster Eindruck.
Eight guiding questions based on the proposal of the German Menopause Society — they help you gauge whether your symptoms might fit menopause. This doesn’t replace our conversation, but it’s a good start.
18 %
receive hormone replacement therapy
85 % haben Beschwerden — aber nur 18 % receive hormone therapy.
After the WHI study in 2002, hormone therapy declined sharply for many years. Today we know the risk assessment of the time was calibrated for a much older population — for women around menopause the benefit-risk balance often looks different.
Modern hormone therapy isn’t right for every woman, but for many it’s a real option. We discuss with you what suits your situation — and take away the fear that often surrounds the subject.
Quelle: hkk-Studie 2024 · Pharmazeutische Zeitung 2025Unsere Haltung
Hormones aren’t a diagnosis — they’re a puzzle. We put it together with you.
Dr. Marion Hansberg-Otte
The hormone consultation is rarely about a single hormone. It’s usually about connections: how do oestrogen, progesterone, thyroid hormones and stress interact? What does the cycle show, what do the symptoms show, what does the lab show?
We work in stages — lifestyle, non-hormonal options, then hormonal therapies where appropriate. Preferably bioidentical, individually dosed, weighing benefits and risks transparently. No fixed scheme. No drama. Instead: clear recommendations you understand.
What we offer
Vier Schwerpunkte, ein Plan.
The hormone consultation is a consultation of its own, with its own time slot — not squeezed in at the edge of regular appointments.
Perimenopause
The early phase, often overlooked: sleep, mood and energy change. Here we work out what’s hormonal and what isn’t.
Menopause & HRT
Hot flushes, sleep, mucous membranes, bones — we advise on modern, individualised hormone therapy with bioidentical preparations.
Diffuse Beschwerden
Exhaustion, libido, “not quite myself” — we take it seriously, assess systematically and refer on where needed.
Verwandte Themen
Hormones connect with vielem zusammen.
The hormone consultation is rarely an isolated topic. These areas connect directly — from contraception to screening.
IUD & contraception
Hormonell oder ohne?
Which contraception suits your hormone profile — and where the hormonal IUD can bring relief.
Mehr →Cancer screening
Yearly, thorough, unhurried
Pap, HPV, palpation, ultrasound — screening often goes hand in hand with hormone advice.
Mehr →Fertility & conception
When the cycle needs to cooperate
Hormonal diagnostics for fertility — structured support without pressure.
Mehr →Pregnancy
The biggest hormonal shifts
Pregnancy and breastfeeding change everything — we support you there too.
Mehr →Tiefer einsteigen
Im Detail: How does an appointment with us work?
In the knowledge section you’ll find the companion article with all the questions patients often ask us before and after the first appointment — from preparation to the treatment decision.
Zum ArtikelMit welchen Beschwerden bin ich richtig?
Menopause, PMS, cycle disorders, sleep problems, mood swings, skin changes, loss of energy. Also for suspected thyroid or adrenal issues, suspected endometriosis and PCOS.
Brauche ich vorab Blutwerte?
Not necessarily. In the first appointment we discuss which lab tests make sense. If you already have blood results, do bring them — it avoids duplicate tests.
How does the appointment work?
A structured history with a questionnaire beforehand, a physical examination if needed, targeted lab tests, a discussion of findings at the follow-up, and an individual treatment plan. A consultation of its own, with its own time slot.
Welche Therapien gibt es?
Hormone replacement therapies (oral, transdermal, vaginal), bioidentical hormones, targeted micronutrients, lifestyle advice on sleep, nutrition and exercise. Therapy follows your values and your symptoms — not a fixed scheme.
Where are the limits?
Some symptoms need further diagnostics (endocrinology, thyroid specialist). For severe depression: support from psychiatric colleagues. We say honestly when we reach our limits.
Just for you — a consultation of its own.
That’s how long an appointment in the hormone consultation lasts — no stopwatch, with real listening and a concrete plan at the end.
Sources, guidelines & further information
AWMF S3-Leitlinie 015-062 · Peri- and postmenopause — diagnostics and intervention. DGGG and sister societies.
awmf.org/015-062
awmf.org/015-062
Deutsche Menopause Gesellschaft · Patient information, checklists and statements on hormone therapy.
menopause-gesellschaft.de
menopause-gesellschaft.de
hkk-Studie 2024 · How do women experience menopause? Representative survey with Prof. Stute.
hkk.de
hkk.de
DAK-Studie 2025 · “One in three women feels affected at work by menopause”, IMK survey of 2,500 women.
dak.de
dak.de
This page does not replace medical advice. The schematic hormone curve is for illustration — individual courses can differ considerably. We discuss which diagnostics and therapy are right for you in the consultation.