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Sexual Health in Older Men: What’s Normal vs. Erectile Dysfunction

Understanding the Difference Between Normal Aging & Erectile Dysfunction

Let’s be honest. Getting older comes with a few surprises, and changes in sexual health are often one of them. Maybe things aren’t as quick, strong, or spontaneous as they used to be. That’s normal. But how do you know when a shift in sexual function is just part of aging and when it might be a sign of something more, like erectile dysfunction (ED)?

Here’s the good news: you’re not alone, and you’re not powerless. According to the Mayo Clinic, it’s been studied that more than half of men between the ages of 40 and 70 experience some form of ED. Knowing what’s part of the natural aging process (and what may signal a medical concern) is essential for preserving confidence, intimacy, and sexual well-being into your later years.

How Sexual Health Naturally Changes With Age

Just like any other part of your body, sexual function changes over time. And just like you might not run as fast or recover as quickly from a workout, your sexual response might slow down a bit with age. Here are some changes that are considered completely normal as men grow older:

  • Slower Arousal: It may take longer to become sexually aroused or to achieve an erection.
  • Less-Firm Erections: Erections might not be as firm or last as long as they did in your younger years.
  • Longer Recovery Time: The refractory period (the time between orgasms) gets longer, which is normal.
  • Fewer Spontaneous Erections: Those surprise or morning erections that used to appear? They might not show up as often.
  • Changes in Libido: Testosterone levels drop over time, and with that can come a dip in sexual desire.

These changes don’t necessarily indicate a problem; most are simply a natural part of aging.

Erectile Dysfunction Symptoms

Erectile dysfunction is more than just an occasional difficulty. It refers to a persistent or recurrent inability to achieve or maintain an erection firm enough for sexual intercourse. Key signs of ED include:

  • Erections that are consistently too weak for penetration
  • Difficulty achieving an erection in most or all sexual situations
  • An abrupt or significant change in erectile ability
  • A decline in sexual interest

While age increases the likelihood of ED, it’s not an inevitable part of getting older. Many men in their 60s, 70s, and beyond enjoy a fulfilling sex life, especially if they take proactive steps to protect their health.

Common Causes of ED in Older Men

Erectile dysfunction can result from a complex mix of physical and psychological factors, including:

  • Cardiovascular disease: Reduced blood flow from hardened arteries can restrict penile blood supply.
  • Diabetes: High blood sugar damages blood vessels and nerves involved in erection.
  • Low testosterone (hypogonadism): Can impact libido and erectile function.
  • Prostate issues or surgery: Especially following treatment for prostate cancer.
  • Medications: Blood pressure drugs, antidepressants, and others may affect sexual function.
  • Mental health: Stress, anxiety, and depression can all play a role.
  • Lifestyle factors: Smoking, alcohol use, poor diet, and lack of exercise all increase ED risk.
Talking to a Healthcare Provider

Many men feel embarrassed or reluctant to talk about sexual problems, but ED is extremely common and treatable. A conversation with your doctor can help identify the underlying cause, whether it’s physical, psychological, or both, and open the door to solutions.

Treatment options include:

  • Oral medications (PDE5 inhibitors) like Viagra or Cialis
  • Testosterone replacement therapy (if low T is diagnosed)
  • Lifestyle changes such as diet, exercise, and quitting smoking
  • Therapy or counseling for mental health or relationship issues
  • Penile injections or vacuum devices
  • IntraPulse ESWT Therapy, which is a noninvasive, acoustic-wave treatment designed to stimulate blood flow
A Comprehensive View of Sexual Health

Sexual health in older men isn't just about erections; it's about intimacy, communication, and overall wellness. Your sex life may evolve, but it doesn’t have to disappear. It’s worth bearing in mind that you’re a long way from being in your twenties. Being open to change, maintaining good physical health, and seeking help when something feels off can all contribute to long-term sexual satisfaction.

Trust Heartland Men’s Health To Diagnose ED

It’s normal for sexual function to evolve with age, but ongoing difficulties that interfere with intimacy could be a sign of erectile dysfunction. The good news? ED is a common condition that is highly treatable. If you're unsure whether what you're experiencing is “normal,” talking to the experienced healthcare providers at Heartland Men’s Health is the first step toward clarity and a better sex life.

 

If you’re looking for a men’s health clinic that offers erectile dysfunction treatment in the Kansas City Metro Area, contact Heartland Men’s Health today for a consultation. We have locations in Overland Park, Kansas, Independence, Missouri, and North Kansas City, Missouri, and we are eager to help you find personalized treatment for your ED. 

We offer a variety of advanced treatment options designed to help you restore confidence and improve your quality of life. Whether you’re just beginning to explore solutions or you’ve tried treatments in the past without success, we’ll work closely with you to create a personalized plan that addresses the root cause of your symptoms. Contact us today to schedule an appointment.

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