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
Patient
Which values will be measured for me?
Our doctor
Only those that match your symptoms. The full panel costs over €500 — and still captures only one moment
Patient
Do I have to come in the morning for the blood draw?
Our doctor
No — afternoons and weekends work at Labor Brunner in Konstanz with our referral slip
Five focus areas
One consultation. Five focus areas.
Hormonal complaints have many faces — and deserve more than an off-the-shelf consultation. Book the focus area that fits your concern.
Menopause & hormone therapyHot flushes, sleep, mood. Individual MHT consultation — oral or transdermal.→
PCOSIrregular cycle, skin, hair, fertility. Structured work-up.→
EndometriosisSevere period pain is not normal. We take it seriously.→
Fibroids & bleeding disordersHeavy, long, irregular bleeding. Diagnostics and every option.→
Bone healthOsteoporosis prevention from menopause onwards. Proactive instead of reactive.→
More topics
In preparation — register now.
Three further focus areas are in planning. Register without obligation — we will inform you at launch.
Pelvic floor & bladder weakness Coming soonIncontinence, prolapse, training, biofeedback and the Emsella chair. Common — and treatable.Register interest →
Libido & sexual health Coming soonLow desire, pain, dryness. A medical topic — with time and zero awkwardness.Register interest →
Thyroid & cycle Coming soonFatigue, cycle disorders, fertility. The gynaecological view of an underrated organ.Register interest →
Metabolism & weight In planningInsulin resistance, cycle, menopause — considered together.Register interest →
Breast health In planningDense tissue, palpation, ultrasound — with honest interpretation.Register interest →
Vaginal flora & recurrent infections In planningWhen burning, thrush or cystitis keep coming back.Register interest →
Skin, hair & hormones In planningAcne, hair loss, increased hair growth — cause first.Register interest →
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
A life in three curves.
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
A first impression.
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 % have symptoms — but only 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
Four focus areas, one 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.
Specialist lab
We measure precisely.
On request, we extend the hormone consultation with an in-depth specialist lab panel — well beyond standard diagnostics. So we don't just see individual hormones, but the whole picture.
Hormones
The complete cycle and sex-hormone profile: FSH, LH, estradiol (E2), estrone (E1), progesterone, prolactin, total testosterone, androstenedione, DHEA-S, 17-OH-progesterone, SHBG, AMH, pregnenolone.
Thyroid
Often the hidden cause behind energy, mood and cycle: TSH, fT3, fT4, TPO-Ab, Tg-Ab, TRAb, reverse T3.
Trace elements
Minerals that support the hormone system — from whole blood and serum: calcium, potassium, magnesium, copper, zinc, selenium, sodium, boron, iodine; if needed chromium, molybdenum, manganese.
Vitamins
Supply status that affects energy and bones: A, C, E, biotin, folate, B5, B6, B12 — plus total vitamin D incl. D-ratio (calcidiol / calcitriol).
Lipid & longevity markers
Cardiovascular health and healthy ageing: full lipid profile, high-sensitivity CRP, Lp-PLA2, omega-3 index, homocysteine, undercarboxylated osteocalcin (vitamin-K2 status).
Iron status
Putting fatigue, hair loss and exhaustion in context — with the full iron picture: ferritin, transferrin, soluble transferrin receptor (sTfR).
Microbiology
Targeted work-up where needed: PCR swab (chlamydia / STD), vaginal wet smear and urine culture.
The specialist lab is a self-pay service — we agree the scope and profile with you individually, medically coordinated with Dr. Marion Hansberg-Otte. You receive a transparent price list per parameter in advance; the sample material (blood, whole blood, urine, swab if needed) depends on your profile.
Verwandte Themen
Hormones connect with almost everything.
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.
Lab parameters · transparent
Every value, one price.
The full list of what we can measure — with an approximate price and a plain-language explanation to expand. We only recommend what genuinely makes sense for you; we decide together in the consultation.
No value found. Try a different spelling?
All prices are approximate and rounded up · subject to change. Self-pay service (IGeL), not covered by statutory insurance. Billed according to the German medical fee schedule (GOÄ); only the individual written cost estimate before the examination is binding. “Depends on findings” = scope and cost are only known after the initial result.
Example calculation · non-binding
What would my panel cost?
Put together what interests you — the total updates live. This is an orientation, not a recommendation: which handful of values actually makes sense in your case is something we discuss individually in the consultation.
Quick select:
0 values selected
Nothing selected yet — use a quick select above or pick individually.
Lab cost approx.
0 €
plus blood draw & results consultation
Over €500 — and still only a snapshot. The full panel measures each value exactly once, at the moment of the blood draw — with no trend over time. Hormones fluctuate across the cycle, across the day and across the years. A very large panel therefore mainly produces a lot of numbers, rarely more clarity. Almost always more useful: a few, deliberately chosen values — repeated over time where needed.
Blood draw with us
Mornings, directly in the practice — after your consultation or at a separate appointment.
Afternoons & weekends
With our referral slip at Labor Brunner in Konstanz — no further appointment with us needed.
Living further away?
The blood draw can be done at a local laboratory. We help arrange it and issue the paperwork.
This calculation is a non-binding orientation. All prices are approximate and rounded up; subject to change. Self-pay service (IGeL), not covered by statutory insurance; billed under the GOÄ. Blood draw and medical results consultation are not included. Only the individual written cost estimate before the examination is binding. Values without a fixed price are not included here.