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Hormone consultation

Anti-aging. Pro beauty. Pro well-being.

We pursue a holistic therapy approach and get to the bottom of problems with interdisciplinary medical competence. This means that we look at every patient – whether in the case of skin growths or relating to the aging process – from different perspectives. This naturally also includes taking into account hormonal influences, which are subject to major fluctuations depending on the stage of life.

We want a positive body image to be possible at any age. In addition to the relatively well-known complaints in the context of menopause, we can help alleviate symptoms of andropause (menopause in men), depression, sleeping disorders, stress, loss of vitality and memory disorders and pursue a balanced anti-aging policy.

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Your questions.
Our answers.

What are the first steps?

A healthy lifestyle, a balanced diet and one’s individual hormonal situation play an important role in anti-aging medicine. We can balance hormones naturally in the event of an identified deficiency or imbalance. Our gynaecological specialist and hormone therapist, Dr. med. Marie Theres Brandenburg, analyses the current hormone status for this purpose and advises patients on their individual situations.

How is the hormone status determined?

The symptoms, which you describe to us in a detailed anamnesis consultation, provide important information about possible imbalances. We analyse and confirm the findings in greater depth with a blood test to determine your hormone status. In anti-aging hormone medication, the levels of FSH, LH, prolactin, TSH, estradiol, progesterone, testosterone, DHEAS, serotonin and melatonin play an important role and can be balanced in the event of deficits.

Which treatment approaches are available for women?

The effects are quite different. In acne caused by testosterone-stimulated sebaceous gland hyperactivity, antiandrogens can regulate hormone imbalances and inflammatory activity decreases. If we compensate for oestrogen deficiencies in menopause, the lipid and hyaluronic acid content of the skin increases, skin moisture improves and fine wrinkles become smoother. The skin’s metabolism is stimulated again resulting in the formation of new collagen fibres. In addition, existing collagen fibres have their life extended. This has a positive effect on elasticity and radiance and your skin appears refreshed.

Which treatment approaches are available for women?

During menopause, the levels of progesterone and oestrogen in women fall. Typical symptoms are hot flushes, sweating, fatigue, listlessness, depression, vaginal dryness and weight gain. Hormone replacement therapy, which is always preceded by an analysis of the individual hormone status, can regulate the symptoms and improve quality of life to a significant extent. In addition, the natural oestrogens have a protective function against osteoporosis, diabetes, cardiovascular diseases, breast and colon cancer, urogenital disorders, decreasing mental performance and poor concentration.

Does hormone treatment differ for men?

Androgen deficiency plays a more decisive role in men. Less testosterone and DHEA in particular are produced, resulting in listlessness, libido and erectile dysfunction, hair loss, osteoporosis and an increase in body fat (with a simultaneous reduction of muscle mass). But low oestrogen levels can also be a problem for men (increased sweating, osteoporosis, arteriosclerosis, erectile dysfunction).

Does taking hormones increase the risk of breast cancer?

Hormones are not a risk when the correct dosage is prescribed. The risk of breast cancer is not increased if natural, bioidentical oestrogen preparations are administered through the skin (transdermal application) or if natural progesterone preparations are taken.

Is there an age recommendation for beginning with hormone treatment?

Women should start hormone replacement therapy within the first five years of menopause and before the age of 60. In this way, we can significantly alleviate the symptoms of menopause and effectively prevent the subsequent effects of hormone deficiency.

Does anti-aging hormone therapy only affect the skin?

No. Balancing lower hormone levels with hormone replacement products has many positive effects. In addition to better skin quality, osteoporosis is also prevented. Above all, however, the risk of developing arteriosclerosis, high blood pressure, adult-onset diabetes, dementia or a higher risk for strokes is reduced.

Hormonally-induced hair loss

Almost every second man in Europe suffers from genetic hair loss (androgenetic alopecia). The cause lies in a genetically determined, higher sensitivity to dihydrotestosterone, a testosterone degradation product that causes the hair follicles to atrophy.

Your questions.
Our answers.

How can one determine whether hair loss is genetic?

We examine hair roots under the microscope or perform a growth analysis with TrichoScan. The hormone status should also be determined.

How can genetic hair loss be prevented?

Hair loss cannot be completely prevented. But we can significantly delay or weaken the process. Standard therapies include minoxidil-containing solutions for application and taking high-dose zinc in tablet form. If necessary, we prescribe finasteride, a drug that inhibits the degradation of testosterone to dihydrotestosterone.

Acne due to hormone disorders

It is also useful to examine the hormonal balance of acne-like skin diseases. For example, in women, acne can be associated with PCOS. PCOS stands for polycystic ovary syndrome and refers to ovaries that contain an extremely large number of follicles. PCOS causes an increase in the number of male hormones that are converted into female hormones, but not in the normal cycle of ovulation and menstrual bleeding.

Another hormone disorder is late-onset AGS (adrenogenital syndrome), which is usually due to a deficiency in the enzyme 21-hydroxylase. T he symptoms may be similar to PCOS and include acne-like skin changes and oily skin (seborrhea). A significantly high proportion of male hormones combined with increased insulin levels triggers a vicious circle – the male hormone levels increase continuously and cause excessive sebaceous gland activity. In addition, an enlargement of the adrenal cortex as well as increased levels of ACTH (adrenocorticotropic hormone) and 17-hydroxy-progesterone can be detected.

Your questions.
Our answers.

What are the symptoms of PCOS?

In addition to acne-like skin changes, hair loss, increased body hair and cycle disorders, obesity and a greater risk of diabetes mellitus occur.

How is PCOS treated and what can you do yourself?

After a detailed anamnesis, we can use a contraceptive pill with antiandrogenic effect for therapy. Glucocorticoid preparations are also an alternative if you wish to fall pregnant. Overweight patients should definitely reduce their weight. Overall, we recommend a low-carbohydrate diet for patients with PCOS.

Get in contact

Do you already have a specific request? Or would you like to get advice from us without obligation? Simply use the contact form below and write to us what is on your mind. We will then contact you as quickly as possible. Or make an appointment directly: Book an appointment online.