Menopause consultation in Dormagen

Hot flashes, sleep problems, mood swings, or the feeling of not quite recognizing yourself — menopause is not an illness, but it is a phase where individual counsel and an honest framing of the treatment options make the difference.

Elisa Mahlberg, gynaecologist in Dormagen – menopause consultation

Many women notice the first changes to their cycle or the first typical symptoms in their early to mid-40s. Our menopause consultation takes your situation seriously and builds a plan with you that fits your everyday life, your values and your health.

A gynecologist in Dormagen who takes you seriously

Hot flashes, sleep problems, joint pain, trouble concentrating, changes in libido or a new, unfamiliar sadness are the expression of a hormonal shift that is medically explainable and, in many cases, well treatable.

Our menopause consultation begins with listening. We map out with you what exactly you feel, how much it restricts your daily life and which issues are most urgent. From that we build an individual plan that fits your situation.

What a menopause consultation with Elisa Mahlberg looks like

A thorough appointment typically has three parts:

  • History and symptom picture. We talk about your cycle (if still present), the typical complaints, family history, medications, previous conditions (for example thrombosis, breast cancer), your expectations and worries.
  • Gynecological examination and ultrasound. We look at uterus and ovaries, assess the endometrium and check whether another cause might be behind specific symptoms (e.g. fibroids, cysts, endometrial changes).
  • Counsel and a shared plan. The treatment of menopause is guided primarily by your symptoms, not by individual blood values. Where medically useful, a targeted blood draw can be added. We discuss which options suit you – from lifestyle factors to non-hormonal approaches to hormone replacement therapy (HRT) – and decide together.

HRT (hormone therapy for menopause): facts, benefits, risks

Modern hormone replacement therapy (HRT) has been re-evaluated in more nuanced detail over recent years. Whether HRT makes sense is an individual decision. It depends, among other things, on your symptoms, your personal medical history, possible risks and your own preferences.

Together we talk through:

  • Which preparations come into question (for example transdermal estradiol as gel or patch, micronized progesterone) and why the route of administration matters.
  • Benefits beyond symptom control: how HRT can affect bone health, sleep, skin and cardiovascular status.
  • Individual risks: thrombosis risk, family history of breast cancer, known conditions – every decision is mirrored against your personal history.
  • Alternatives to HRT: non-hormonal medication, lifestyle interventions (sleep hygiene, strength training, nutrition) and complementary approaches. What fits in the individual case, we discuss individually.
Treating menopause is above all about treating the symptoms — not about treating individual blood values.
— Elisa Mahlberg
Elisa Mahlberg, gynaecologist in Dormagen – menopause consultation

When should you come in for a menopause consultation?

An appointment makes sense as soon as you notice changes you would like to understand – even while you are still menstruating regularly. Many women notice the first changes to their cycle or the first typical symptoms in their early to mid-40s — the so-called perimenopause. That is already a meaningful time for information and orientation.

Clear reasons to book an appointment include:

  • increasing hot flashes, night sweats or sleep problems,
  • strong mood swings or a new low mood,
  • changes in libido, vaginal dryness, pain during sex,
  • irregular or heavy bleeding (this always deserves a look),
  • questions about hormone therapy, before or while you are making a decision.

And even after menopause – from one year after your last menstrual period – regular care pays off: for bone health, cardiovascular status, preventive checks and the quality of life you want.

FAQ

Frequently asked questions about menopause consultations

Menopause covers the hormonal transition around the end of the fertile years. Perimenopause is the period before the final menstrual period — during this phase the cycle and hormones can fluctuate noticeably. We only know in retrospect, once more than a year has passed without a period, that the last bleed was indeed the menopause. The years that follow are called postmenopause.

Whether HRT makes sense is an individual decision. It depends, among other things, on your symptoms, your personal medical history, possible risks and your own preferences. So we talk through together which treatment fits in the individual case.

Public perception of hormone therapy has long been shaped by older studies — the current view is more differentiated. With a suitable indication, modern dosing and an individual risk assessment, HRT is an effective option for many women. Possible risks we take seriously, discuss transparently, and factor in your medical history. Certain pre-existing conditions rule HRT out — that, too, is part of an honest consultation.

Yes, and we discuss them honestly. For mild to moderate symptoms, herbal preparations, targeted supplementation, lifestyle changes (strength training, sleep hygiene, stress reduction) or non-hormonal medication can be effective. What makes sense depends on your symptoms, your health and your preferences — we recommend individually rather than across the board.

The medical consultation and necessary examinations are covered by German statutory health insurance with your insurance card. Extended diagnostics without a medical indication are generally not a statutory health insurance benefit and can be performed as a self-pay service. Which workup makes sense, we discuss transparently in advance.

A short symptom diary over two to four weeks helps a lot: when do hot flashes occur? How are you sleeping? How is your mood, your cycle, your concentration? Also note current medications, relevant diagnoses in your family history (especially breast cancer, thrombosis, osteoporosis) and any questions you definitely want to discuss.

Ready to schedule an appointment?

Book online around the clock or give us a call – we are here for you.

Contact

How to find us.

Practice address

Address Florastraße 8
41539 Dormagen

Opening hours

Opening hours from 1 July 2026
Monday 08:30 – 14:00
Tuesday 08:30 – 13:00 | 14:30 – 17:30
Wednesday 08:30 – 13:00
Thursday 08:30 – 13:00 | 14:30 – 17:30
Friday 08:30 – 14:00
Video consultation: Mon 8:00–10:00 pm

We are currently settling into the practice. For now you can reach me in person only on Fridays from 8:30 – 12:00.

For emergencies outside office hours: Notfallpraxis Dormagen (out-of-hours practice), Dr.-Geldmacher-Straße 20, 41540 Dormagen, phone +49 2133 / 26 95 95. On-call medical service: 116117.

How to find us

Easily reachable by car and public transport. Large free public car park at Schützenplatz, a few minutes on foot.

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