Woman's Health

Perimenopause Assessment

It is not stress. It is not ageing. It is your hormones changing. Understand what is happening in your body and receive a personalised medical protocol based on comprehensive diagnostics.
1'699 CHF
from CHF 141 / month in 12 installments → Check financing options
Your package includes
Comprehensive hormonal panel
Metabolic & cardiovascular assessment
Inflammatory markers
Body composition scan (bone density, visceral fat, muscle mass)
Heart rate variability (HRV) analysis
Full medical interpretation of all results
Personalised perimenopause management protocol
60-minute physician consultation

10 years

perimenopause can begin
before your last period

34+ symptoms

linked to
hormonal transition

Most women

are told it is
stress or burnout

FSH alone

does not reflect
hormonal reality

Sleep disruption

often begins
years before menopause

Hormone shifts

not decline
drives symptoms

Weight gain

can occur
without lifestyle changes

Signs

treated separately,
same cause.

Risk rises

starts before menopause

Early care

changes outcomes
for decades ahead

Why standard perimenopause care often falls short

Most women are told they are fine. Not what is changing.

Blood tests are often “normal”, and symptoms are attributed to stress, ageing, or lifestyle.

34 recognised symptoms. Fewer than half are discussed.

Sleep, mood, cognition, weight, libido, joint pain, the list is long and most women leave without the full picture

The real drivers are missed

Women face a 3× higher risk of cardiovascular disease after menopause

Care that maps the transition, not just the symptoms.

By mapping hormones, metabolism, and physiology, treatment can be tailored to your biology.

What we assess

We analyse the key biological systems driving perimenopause symptoms and long-term risk.

Reproductive hormone panel

A complete picture of ovarian reserve, cycle regulation, and thyroid function

LH / FSH
Regulate cycle signalling. Their relationship changes dynamically during perimenopause.
Progesterone
Declines earlier than oestrogen and is a key driver of sleep disruption and mood changes.
Estradiol
Fluctuates unpredictably. These fluctuations drive many of the symptoms experienced in perimenopause.
Testosterone (total + free)
Supports energy, mood, and libido. Declining levels contribute to fatigue and reduced motivation.
Pregnenolone
A precursor hormone influencing stress response, cognition, and hormonal balance.
TSH
Thyroid function interacts closely with perimenopause symptoms and must be assessed.

Metabolic & cardiovascular panel

The transition begins shifting your long-term risk profile

HbA1c
Tracks blood sugar over time. Declining insulin sensitivity often begins in perimenopause.
LDL / HDL
Lipid balance shifts as oestrogen declines, increasing cardiovascular risk.
hs-CRP
A marker of systemic inflammation, often elevated during hormonal transition.
Homocysteine
Linked to cardiovascular and cognitive risk.
Vitamin D
Critical for bone, immune, and metabolic health.

Body composition scan

Structural changes begin before menopause

Bone mineral density
Bone loss accelerates during this transition. Early measurement is critical.
Visceral fat mass
Increases independently of weight and drives metabolic risk.
Lean muscle mass
Declines without intervention, impacting metabolism and strength.

Heart rate variability (HRV)

Objective insight into your nervous system

Resting HRV
Reflects baseline resilience.
Autonomic balance
Shows stress vs recovery state.
Sleep architecture
Directly linked to hormonal disruption.
Recovery capacity
Indicates how well your system handles stress.

What you receive after your assessment

Once diagnostics are complete, our medical team builds your personalised interpretation and plan.

Book your appointment

Clarity on where you are in the transition

A full hormonal picture, not a single marker, explaining your symptoms.

Your metabolic and cardiovascular baseline

A clear understanding of your current and future risk profile.

Full clinical interpretation

Every biomarker explained in the context of your biology, not just reference ranges.

Your personalised perimenopause protocol

A tailored plan across hormones, nutrition, supplementation, and lifestyle strategy.

Your personalised perimenopause protocol

Your management plan is built directly from your diagnostic results. Each pillar targets the biological drivers identified in your assessment.

Hormone optimisation

Matched to your hormonal profile and symptom pattern

HRT or BHRT where clinically indicated
Progesterone support for sleep, mood, and cycle regulation
Testosterone therapy where levels are low and symptoms are consistent
All hormonal decisions explained, not simply prescribed

Bone & cardiovascular protection

Built around your DEXA results and cardiovascular risk markers

Bone protocol matched to your bone mineral density and rate of loss
Lipid and inflammation management based on ApoB, LDL, and hs-CRP
Vitamin D and calcium optimisation based on your levels
Exercise prescription targeting both bone density and cardiovascular health

Metabolic health

Matched to your body composition and metabolic markers

Nutrition strategy based on insulin sensitivity and HbA1c
Muscle mass preservation protocol to support long-term metabolic health
Blood sugar stabilisation to reduce energy fluctuations and weight gain
CGM add-on available for real-time metabolic insight

Sleep & nervous system

Targeting the hormonal drivers of sleep disruption and stress

Sleep protocol addressing oestrogen and progesterone changes
HRV-guided recovery strategy to rebuild autonomic balance
Stress and cortisol regulation to reduce symptom amplification
Targeted supplementation for mood, cognition, and nervous system support

How It Works.

From your first appointment to your personalised protocol - here is what to expect.
01

Book & complete your anamnesis

Secure your appointment online. Before you visit, you complete a detailed medical history so we can make every minute of your clinic time count.
02

Full diagnostic assessment

A comprehensive 2-hour visit: comprehensive blood panel, DEXA scan, HRV, and consultation with our Women's Health physician. We review your full history in the context of your biology.
03

Receive your personalised report

Our medical team analyses every result together. Within 2-3 weeks you receive your endemetriosis report - a clinical interpretation built for you, not a reference-range printout.
04

Your protocol & aftercare

A 60-minute physician consultation to walk through your results and build your management plan. Followed by ongoing 1:1 coaching as you implement it.

Not ageing.
Actual answers.

Most women are given reassurance. After your assessment at AYUN, you leave with precise clarity on what your body needs.

What is driving your symptoms
What interventions will make a difference
Where you are in the transition
How to protect your long-term health

Ready to understand what is happening?

Book your Perimenopause assessment and receive a personalised diagnostic report and protocol.

Got questions?

Whether you're curious about our Longevity Check-ups, our treatments, or how we personalise your care – this is where clarity begins. Explore the most frequently asked questions and feel supported, informed and confident at every step of your AYUN journey.

Who is the Women's Health Check-up right for?

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For any woman who wants to understand her body more deeply — not just manage symptoms, but optimize how she feels, performs, and ages.

Whether you're:

  • Navigating hormone shifts (like perimenopause, post-pill, or cycle changes)
  • Looking for answers to symptoms like fatigue, mood swings, or low energy
  • Curious about how your hormones, metabolism, and lifestyle interact

The Women's Health Check-up gives you the insights, data, and medical guidance to make confident, informed decisions — now and for your long-term health.

Female Health

What is AYUN’s Women's Health Check-up?

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AYUN’s Women's Health Check-up is a science-based, holistic check-up designed to help you understand how your hormones, metabolism, lifestyle, and cycle interact — and how they shape your energy, mood, sleep, fertility, and long-term health.

You’ll receive comprehensive testing and expert interpretation of your:

  • Hormones (e.g. estrogen, progesterone, LH, FSH, cortisol)
  • Metabolic health (e.g. glucose, insulin, cholesterol, inflammation markers)
  • Body composition (via Body Composition Analysis)
  • Lifestyle & rhythm (e.g. stress, sleep & HRV, continuous glucose monitoring, nutrition, and cycle mapping)

It also includes medical consultations, a personalized care plan, and optional treatment add-ons if needed (e.g. HRT, HBOT, IHHT).

Female Health

What do I need to bring for my Women's Health Check-up?

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You should arrive fasted (empty stomach, water allowed).

Female Health

How long does it take to get the results of my check-up?

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The time between your check-up and receiving your results depends on external laboratories and the evaluation time required by our team of doctors, nutritionists, and sports scientists. The typical turnaround for all Longevity Check-ups is 4–5 weeks.

Longevity Check-ups
Female Health

How long does a Women's Health Check-up take?

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The Check-up clinic visit lasts about 2 hours. It begins with a 30–45 minute anamnesis interview with one of our doctors, followed by a blood draw. If your cycle is aligned with the check-up date, the blood sample will be taken during your visit; otherwise, you will need to come in between the 3rd and 5th day of your cycle. The check-up also includes a DNA test and a body composition analysis. Afterwards, we set up the wearables such as the HRV monitor and the CGM. At the end of your visit, you will receive a kit to take the vaginal microbiome test at home.

Female Health

How is this different from traditional care?

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Traditional care often waits until symptoms appear. At AYUN, we take a proactive and data-driven approach — identifying patterns even when your labs are “normal.” We connect the dots between hormones, stress, metabolism, and lifestyle to personalize your care.

Female Health

How are the findings evaluated?

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Our team of doctors, nutritionists and sports scientists analyze the findings holistically, prioritize and make appropriate recommendations.

We compare the results with comparative values from your age and gender group. Our goal is for our customers to perform significantly better than the average, because the average person develops chronic diseases over the course of their life that significantly affect their quality of life.

Longevity Check-ups
Female Health

Everyone knows what is healthy: exercise, nutrition and sleep. What else do you offer?

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That's right, healthy eating, regular exercise and enough sleep are the cornerstones of longevity. General recommendations are certainly suitable for the masses, but when it comes to looking at the individual, many individualized recommendations can be made depending on the individual disposition constellation. Our goal is to achieve the greatest possible health effect for the individual with the least possible effort. To do that, much more precise recommendations are useful and possible.

Others
Other

Do you also offer payment by installments?

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Yes. For Check-ups, you can choose between paying directly at the clinic on the day of your appointment, receiving an invoice to pay later, or splitting the total into convenient monthly installments. Installment plans can be arranged in advance to give you more flexibility.

For other services at AYUN, installment payments are also possible. Just give us a call, and we’ll find a suitable solution together.

Others
Other

Do I have to come to your clinic to discuss my results?

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The discussion of the results usually takes place at our clinic. If you prefer, the conversation can also take place via video conference.

The same applies to the nutrition counseling, which can take place either on-site or via video conference.

Longevity Check-ups
Female Health

Can I bring my child with me?

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Our services are only available to persons of legal age. However, you are welcome to bring a child with you as a companion. No childcare service is available.

Others
Other

At what stage of life should I consider the Women's Health Check-up?

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This check-up is valuable at many points in your journey — especially if you’re:

  • In your 30s or 40s and want to take a proactive approach to aging
  • Navigating perimenopause, fertility planning, or recovery after the pill
  • Experiencing PCOS, irregular cycles, or unexplained fatigue
  • Ready to tune into your body and understand how your hormones are influencing how you feel

It’s not just about fixing symptoms — it’s about building a clear, confident foundation for your health going forward.

Female Health