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Sexual And Intimacy Health Support In Cologne

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.

The Link Between Sexual Wellness and Longevity

Sexual health is frequently categorized as a lifestyle matter; however, in the realm of longevity, it is regarded by progressive physicians as a "vital sign."

As sexual function requires the precise interplay of your vascular (blood flow), neurological (nerve), hormonal, and psychological systems, it is frequently the first area to show weakness when your overall health is in decline. Furthermore, the health of a relationship is a vital factor for both physical and emotional longevity. Sex and sexual wellness contribute significantly to our relationships.

Numerous common sexual health concerns, including Low Libido, Pain or Discomfort during intercourse, or Erectile Challenges, are not simply unavoidable aspects of aging. They can represent early and significant warning signs that your cardiovascular, metabolic, or endocrine (hormonal) health may be starting to deteriorate.

Regarding relationship health, a fulfilling intimate life positively impacts the partnership. In the same way, a healthy relationship is positively correlated with a vibrant sex life—the connection is bidirectional.

Attending to symptoms related to sexual health is a proactive investment in your long-term wellness, with the potential to head off more severe conditions in the future. Recognizing the warning signs enables you to take early action.

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

Key Indicators for Men and Women

Men

  • Erectile Dysfunction (ED) / Erectile Challenges: May appear 3 to 5 years prior to a major cardiovascular incident (such as a heart attack or stroke). It serves as an initial alert system for endothelial dysfunction (the hardening of arteries).
  • Drop in Libido: Can suggest Hypogonadism (Low Testosterone) or Metabolic Syndrome. Diagnosed low testosterone is linked to increased risks of obesity, osteoporosis, and body-wide inflammation.

Women

  • Persistent Low Libido (HSDD): May be the result of a hormone imbalance, issues with thyroid function, or systemic stress.
  • Painful Intercourse (Dyspareunia): This is often linked to low estrogen that causes tissue atrophy (vaginal dryness), but it necessitates a complete evaluation.
  • Vascular Inability to Arouse: A lack of lubrication or sensation despite having the mental desire. This can be an understated sign of atherosclerosis or hypertension (blood vessel issues).

The Complex Nature of Sexual Health

Sexual well-being is a multi-system issue. Difficulties in one system can create a cascade effect in another. Symptoms might arise from a single factor or a mix of issues:

  • Hormonal: Managing hormone-driven sexual dysfunction associated with the decline in desire during menopause and andropause.
  • Vascular: Inadequate blood flow affects arousal and performance in both men and women.
  • Psychological: Factors such as performance anxiety, stress, and the dynamics within a relationship.

Symptoms

  • Desire & Libido: Influenced by hormonal imbalances, persistent stress, insufficient sleep, and systemic inflammation.
  • Function & Arousal: Affected by vascular condition, neurological operations, and the age-associated reduction in hormone levels.
  • Pain & Comfort: Impacted by estrogen deficiency (which results in vaginal dryness), muscular tension, and infections.

Our Approach to Treatment

At The Longevity Practice, we move beyond managing symptoms to uncover and treat the underlying causes with a personalized, data-informed strategy.

  • Comprehensive Assessment: A thorough review of sexual function, changes in libido, and applicable diagnostics.
  • Hormonal Evaluation: An analysis of hormonal factors, which includes menopause, andropause, thyroid function, and HRT options.
  • Root-Cause Intervention: Utilizing evidence-based strategies to improve blood flow, metabolic function, and hormonal equilibrium.
  • Holistic Context: Sexual wellness is evaluated in conjunction with stress, sleep, weight, hormonal fluctuations, and emotional health.
  • Lifestyle Guidance: Offering support on matters of relationship, intimacy, and communication when applicable.
  • Referral Strategy: Providing clear direction for specialist referrals when required (e.g., to urology, gynecology, or psychosexual therapy).


What Our Practice Does Not Offer

Please be aware that The Longevity Practice focuses on preventive medicine and medicinal therapies. We do not perform surgery, procedural treatments, or trauma therapy. If your condition calls for these types of interventions, we will ensure you receive the correct specialist referral.

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Close-up of a couple holding hands to resemble healthy sexual well-being and health

Our Philosophy and Your Next Steps

At The Longevity Practice, our emphasis is on detecting risks with early and accurate diagnostics before they escalate into health problems. Instead of responding to illness, we develop clear, individualized strategies to preserve long-term health. Our objective is to equip every patient with a profound insight into their own body, along with concrete actions they can implement today. With prevention and clarity as our foundation, we assist patients in building a longer, more healthful life.

Our Foundational Principles

Our main goal is to help individuals feel their best at every age while supporting them in achieving longer, healthier lives. To do this, we are guided by several foundational principles:

  • Scientific Accuracy
  • Individualized Care
  • A Preventive Focus
  • Clarity and Direction
  • Extended Healthspan
  • Trust and Openness

Note: Our methodology is centered on sustainable, non-invasive options. We concentrate on these core principles to facilitate lasting physiological improvement and long-term health management.

How to Get Started

Find out if our method is suitable for you. Reserve your consultation online and Schedule an appointment

Evidence-based Longevity In Cologne

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 In Cologne

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.