From 35, a lot shifts.Almost no one measures it.

A good entry point is around 35, when hormonal changes slowly become measurable and it pays to have a baseline. An early baseline makes later shifts visible instead of guessing at them in hindsight. The check is useful at any age though, especially with a family history of breast cancer or cardiovascular disease, with cycle or sleep problems, or when symptoms have so far been dismissed as stress. A family history is a signal, not a verdict. Much of it can be influenced once you know it early. We always interpret your values in context rather than judging single numbers in isolation.

During perimenopause estradiol and progesterone often fluctuate strongly while FSH and LH rise. Single snapshots then say little, so we look at the full picture and interpret it together with your symptoms. Beyond the sex hormones, the thyroid (TSH), iron status via ferritin, vitamin D and bone density matter, because falling estrogen accelerates bone loss. Cardiovascular risk also shifts in this phase. Whether hormone replacement therapy fits you is something we discuss based on your values, your history and your goals, evidence-based and without dogma. We do not promise miracles, but an honest interpretation.

Yes. For family planning or unclear cycle and hormonal symptoms we look at the full hormonal picture: estradiol, progesterone, FSH, LH, prolactin and thyroid values, plus ferritin, vitamin D and metabolism. These factors are closely linked and are often viewed only individually in routine care. We are not a fertility clinic and do not replace reproductive treatment. What we do provide is a thorough baseline assessment, spotting for example an iron deficiency, a thyroid dysfunction or a vitamin D deficiency that can affect cycle and wellbeing. Where needed we refer you on specifically and accompany you over time.

Yes. Your check is guided by Dr. med. Ann Netzer, a physician who takes women’s health seriously as a subject in its own right, not as a side note. She conducts the history, interprets your values in a woman-specific way and discusses the results with you personally. This matters to us because many symptoms in women have historically been overlooked or downplayed. Reference ranges and studies were long based mostly on research in men. At YEARS you get a physician’s interpretation that puts your body and your life stage at the centre, with concrete next steps rather than a plain list of numbers.

No, and we say this deliberately clearly. The YEARS check complements established screening, it does not replace it. Regular gynaecological exams, the Pap smear and, from the legally intended age, mammography screening remain important. The whole-body MRI works without radiation and can additionally assess breast, pelvis and organs, especially with dense breast tissue. Early detection improves chances, it guarantees nothing, and more diagnostics can also lead to overdiagnosis and unnecessary worry. That is why every finding is interpreted by a physician rather than used to create fear. The goal is a more complete picture of your health, not a replacement for your specialists.

The services are private medical services billed under the German scale of medical fees (GOÄ). For those with private insurance, for civil-servant allowance (Beihilfe) and via company health insurance (bKV) many services are reimbursable, though the exact scope depends on your tariff. We recommend clarifying this with your insurer beforehand, and we issue you a transparent invoice. People with statutory insurance can use the check as self-payers. In the free intro call we explain transparently which programmes contain which examinations and what costs to expect, so you can make an informed decision.