We obsess over biological age. At our longevity medicine sexual health clinic, we measure everything except the metric that reflects your biological age and sexual vitality most honestly.
The number of years you maintain healthy sexual function, intimacy, desire, and connection throughout life.
Not libido. Not performance. Vitality.
We measure almost everything about how we age — fitness, cholesterol, blood sugar, inflammation, body fat, sleep, and dozens of other markers. Yet we rarely ask one simple question that may say more about your health than almost any blood test: how's your sexspan?
Sexual health is one of the few human functions that depends on nearly every longevity pathway working in harmony.
- Healthy blood vessels
- A resilient brain
- Preserved muscle mass
- Efficient mitochondria
- Balanced hormones
- Nitric oxide signalling
- Restorative sleep
- Low chronic inflammation
When these systems begin to fail, sexual function often declines before many traditional diseases become clinically apparent. Which invites an uncomfortable reframe: perhaps sexspan isn't simply another casualty of aging. Perhaps it's one of our most sensitive biomarkers of biological aging.
The evidence is growing
And the signal is becoming difficult to ignore
People who maintain satisfying sexual health into later life consistently demonstrate better physical function, improved psychological well-being, stronger social connections, and — in multiple observational studies — greater longevity. Correlation isn't causation. But the pattern keeps appearing.
The future of longevity medicine isn't just extending lifespan. It isn't even just extending healthspan. It's preserving the systems that let us stay energetic, connected, confident, and intimate.
Where Levitas comes in
Sex Optimisation — for men and women
Our Sex Optimization Clinic treats sexspan as a clinical target, not a taboo. We assess the same systems that drive it: cardiovascular and endothelial function, hormonal balance across testosterone, oestrogen and DHEA, mitochondrial energy, vascular integrity and nitric oxide signalling, sleep, and inflammation. Then we build a personalised plan to protect and extend it—providing a comprehensive bio-age sexual vitality assessment with the same rigour we bring to every longevity marker, applied to one of the most honest reflections of how well you're aging.
And because sexspan has many inputs, so does the treatment. Depending on your assessment, your plan may draw on any of the following — used individually or, more often, in combination.
Medical & hormonal
- Precision hormone restoration therapy — optimises testosterone and DHEA alongside oestrogen and thyroid, dosed directly to your physiology.
- PDE5 inhibitor optimisation — vascular erectile support titration for sustainable results.
- Insulin-resistance intervention — a root-cause driver of vascular and sexual decline
- Combination protocols — layered therapies that work together
Regenerative & injectable
- P-Shot for men — everaging platelet-rich plasma for sexual health.
- O-Shot for women — advanced platelet-rich plasma rejuvenation.
- Oxytocin and hyaluronic acid vaginal therapy — targeted for comfort and sensation.
- Carboxytherapy — targeted microcirculation and tissue quality
Device & energy
- Radiofrequency (InMode Votiva FormaV and FractoraV) — advanced vaginal dryness radiofrequency treatment for internal and external tissue remodelling.
- Shockwave therapy for erectile dysfunction — utilising low-intensity acoustic wave therapy for blood flow.
- Vacuum pump therapy — clinician-guided vascular rehabilitation
Specialist & psychological
- Urology specialist access — for complex or persistent presentations
- Psychosexual counselling — because intimacy is never only physical
Illustrative. Treatments are delivered on clinically validated platforms by our medical team.
Because living to 100 isn't the goal. Living fully until 100 is.
We think it already does. Book a consultation at our sex optimisation clinic in London & Surrey to assess your vitals.
Book an assessmentSelected publications
- Saffati G, Khera M. Sexspan: A Comprehensive Framework for Sustaining Lifelong Sexual Health. Journal of Sexual Medicine (2025).
- Saffati G, Khera M. Prolonging Sexspan: A Critical Component of Holistic Health and Longevity. Trends in Urology & Men's Health (2025).
- Beerepoot S, et al. Enjoyment of Sexuality and Longevity in Late Midlife and Older Adults. (2022).
- Miguel I, et al. Sexual Well-Being Across the Lifespan: Is Sexual Satisfaction Related to Adjustment to Aging? Sexuality Research and Social Policy (2025).