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Sexual And Intimacy Health Support

Fast appointments (self payers or privately insured patients only)

Online doctor consultations and testing at our office in Berlin Prenzlauer Berg

On-demand coaching from doctors for your current problems, needs and healthspan goals.

How Does Great Sex Impact Your Longevity?

Sexual health is often compartmentalized as a lifestyle concern, but in the context of longevity, it is treated by forward-thinking physicians as a "vital sign."

Because sexual function relies on the precise coordination of your vascular (blood flow), neurological (nerves), hormonal, and psychological systems, it is often the first system to falter when your general health is declining. In addition, relationship health is a crucial component for longevity - physical and emotional. Sex and sexual wellbeing plays a big role in our relationships.

Many common sexual health complaints such as Low Libido, Pain or Discomfort during sex, or Erectile Challenges are not merely an inevitable sign of aging. They can be early, important warning signals that your cardiovascular, metabolic, or endocrine (hormonal) health is beginning to decline.

With regard to relationship health, a healthy intimate life has a positive effect on the relationship. Likewise a functioning relationship is positively associated with a healthy sexlife - it’s bidirectional.

Addressing sex related symptoms is a strategic investment in your future health, potentially preventing more serious conditions down the line. Knowing the warning signs allows you to intervene early.

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Close-up of a couple’s hands touching on a wooden table, emphasizing emotional connection, support and good sexual health

Warning Signs In Men And Women

Men

  • Erectile Dysfunction (ED) / Erectile Challenges: Can develop 3 to 5 years before a major cardiovascular event (like a heart attack or stroke). It is an early warning system for endothelial dysfunction (stiffening of the arteries).
  • Drop in Libido: May indicate Hypogonadism (Low Testosterone) or Metabolic Syndrome. Clinically low Testosteron is associated with higher risks of obesity, osteoporosis, and systemic inflammation.

Women

  • Persistent Low Libido (HSDD): Can be caused by hormone imbalance, thyroid dysfunction, or systemic stress.
  • Painful Intercourse (Dyspareunia): Often attributed to low estrogen causing tissue atrophy (Vaginal dryness), but warrants a full assessment.
  • Vascular Inability to Arouse: Lack of lubrication/sensation despite mental desire. Can be a subtle sign of atherosclerosis or hypertension (vascular issues).

Why Troubleshooting Sexual Health Is Complicated

Sexual health is multi-systemic. Problems in one area can cascade into another. The symptoms may be a result of one or a combination of issues:

  • Hormonal: Addressing Hormone-related sexual dysfunction tied to Menopause-/andropause-related decline in desire.
  • Vascular: Poor blood flow impacts arousal and function in both sexes.
  • Psychological: Issues like Performance anxiety, stress, and relationship dynamics.

Symptoms

  • Desire & Libido: Driven by hormone imbalances, chronic stress, poor sleep, and systemic inflammation.
  • Function & Arousal: Influenced by vascular health, neurological function, and the age-related decline in hormone levels.
  • Pain & Comfort: Affected by estrogen deficiency (leading to vaginal dryness), muscle tension, and infection.

How Treatment May Look Like

At The Longevity Practice, we go beyond symptom management to investigate and address root causes using a personalized, data-driven approach.

  • Comprehensive Assessment: Evaluation of sexual function, libido changes, and relevant diagnostics.
  • Hormonal Evaluation: Review of hormonal contributors, including menopause, andropause, thyroid health, and HRT considerations.
  • Root-Cause Intervention: Evidence-based protocols to support blood flow, metabolic health, and hormone balance.
  • Holistic Context: Sexual health is addressed alongside stress, sleep, weight, hormonal shifts, and emotional well-being.
  • Lifestyle Guidance: Support around relationship, intimacy, and communication factors when relevant.
  • Referral Strategy: Clear guidance on specialist referrals when needed (e.g., urology, gynecology, psychosexual therapy).


What Our Practice Does Not Offer

Please note that The Longevity Practice specializes in preventive and medicinal treatment. We do not offer surgery, procedural interventions or trauma therapy. If your diagnosis requires these interventions, we will provide the appropriate specialist referral.

A man and woman dancing together in a garden, illustrating physical vitality, healthy aging and sexual health
Close-up of a couple holding hands to resemble healthy sexual well-being and health

About The Longevity Practice & Next Steps

At The Longevity Practice, we focus on identifying risks before they become health problems through early, precise diagnostics. Instead of reacting to disease, we create clear, personalized plans to maintain long-term health. Our goal is to give every patient a deep understanding of their body along with practical steps they can take today. With prevention and clarity at the core, we help patients build a longer, healthier life.

Our Core Principles

Our priority is helping people feel their best at any age and supporting them in living longer, healthier lives. To achieve this, we focus on several core principles:

  • Scientific Precision
  • Personalization
  • Prevention First
  • Clarity & Guidance
  • Long-Term Healthspan
  • Trust & Transparency

Note: Our approach centers on sustainable, non-invasive solutions. We focus on these core principles to ensure lasting physiological correction and long-term health management

Next Steps

See if our approach is right for you. Book your consultation online and Schedule an appointment

Evidence-based Longevity

In our practice, we rely exclusively on evidence-based methods and medical diagnostics that have been scientifically proven to make a difference. Our focus is on preventing the “four horsemen” of aging—cardiovascular disease, cancer, metabolic dysfunction, and neurodegeneration—rather than offering trends like epigenetic age tests or wellness drips. Our Prevention strategy addresses tailored exercises, nutrition, sleep, mental health and if necessary support by supplement and medication.

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Cost Of Sexual Health Focus Session

The cost for a Sexual Health Focus Session is based on the German healthcare pricing system (GOÄ – Gebührenordnung für Ärzte). We encourage you not to stop at consultation alone, but to begin your full Longevity Journey with us. Here is what our protocol looks like:

Sexual Health Focus Session
199€
Goal: Identify systemic causal relationships in sexual dysfunction to distinguish symptoms from underlying pathology and develop a personalized longevity-focused treatment strategy.
Duration: 45 minutes
Full Diagnostic Visit
1,399€
Goal: Establish a data-driven biological baseline to unlock personalized peak performance and long-term health optimization.
Duration: 3 hours
Introduction Session
0€
Schedule a quick video call to learn more about The Longevity Practice services and approach.
Duration: 15 minutes

Testimonials

What our customers say about us

Karen, 51 – Reclaiming Intimacy
I assumed losing interest in sex was just an inevitable part of getting older. It put a real strain on my marriage. After balancing my hormones, it was like a light switched back on. I didn’t just regain my libido; I regained my connection with my husband.
Mark, 54 – Hormones & Sexual Health
I was struggling with performance and low drive, which really took a toll on my self-esteem. I felt like I was losing a part of my identity. Addressing my testosterone levels didn't just help in the bedroom; it gave me back my general 'spark' and confidence in everyday life.
Sarah, 48 – Comfort & Connection
The physical discomfort and dryness made intimacy feel like a chore I wanted to avoid. I wish I’d spoken up sooner. Once we fixed the underlying tissue health, the pain disappeared.
David, 52 - Sexual Health
My desire was flatlining. I thought it was just work stress. It turns out my metabolic health was the culprit. Losing some weight and fixing my labs fixed the problem.
Nina, 53 – Feeling Like Myself
Menopause made me feel disconnected from my own body—I just didn't feel 'sexy' or even interested. Getting my hormones stabilized helped me feel like a woman again rather than just a tired mom.