Men's Sexual Health With Again

As you age, it's common to notice changes in sexual function and desire. By the age of 55, around half of men will experience some level of erectile dysfunction, and many will see a reduction in libido throughout their lives.

It’s also natural to feel uneasy discussing these topics. However, considering their prevalence, it's crucial to foster an open dialogue. While modern medicine can't reverse every aging-related change, numerous effective treatments exist for men facing sexual health challenges. So let’s begin the conversation.

Your overall health significantly influences your sexual health, and the reverse is also true.

There’s a clear link between men’s general well-being and their sexual health. Conditions like diabetes, hypertension, high cholesterol, obesity, enlarged prostate, and smoking can all lead to sexual function changes over time. Atherosclerosis can cause erectile dysfunction approximately five years before coronary artery disease manifests, serving as an early indicator of potential heart problems.

Conversely, enhancing sexual health can also elevate overall health. Addressing low testosterone and erectile dysfunction has been associated with decreased depression risk and improved life quality.

Understanding what’s normal versus what’s concerning

Rather than stressing over what changes might be “normal,” I recommend that men focus on what’s troublesome for them. For instance, if a 50-year-old man feels no inclination for sex and this doesn’t disturb him or his partner, then it isn’t an issue. However, if he has erectile dysfunction, he should evaluate his heart disease risk. In contrast, if an 80-year-old has issues with erections that he finds concerning, that’s a problem that should be addressed.

Boosting libido and sexual function: prevention is key

To manage age-related libido shifts, prioritize good health, stay socially active, and maintain open communication with your partner. For both sexual and overall health, it’s essential to quit smoking, limit alcohol and marijuana use, and adopt a well-balanced diet rich in fruits and vegetables. Engaging in strenuous exercise seems particularly beneficial for men’s sexual well-being, and resistance training can enhance testosterone levels.

Medication reviews may be beneficial

Various medications, including those for hypertension, heart conditions, anxiety, and other mental health issues, can impact sexual function. Your healthcare provider might adjust these medications to minimize sexual side effects while maintaining health effectiveness.

Six treatments for erectile dysfunction are approved in the U.S.

Oral medications like Viagra and Cialis are often the first-choice treatments for erectile dysfunction but may have side effects like flushing, reflux, and headaches. An over-the-counter alternative, Eroxon, a topical gel approved in 2023, is currently pending release in the U.S. Other options include injectable treatments, urethral suppositories, and vacuum erection devices, which can also benefit many men dealing with erectile dysfunction.

If these treatments fall short, surgical insertion of an internal prosthesis can provide an effective solution, though it limits future treatment options. Specialized urologists at The Portland Clinic can conduct this outpatient procedure and assist with other treatment avenues as well.

If you're worried about your sexual health, consult your primary care provider or a urologist specializing in this area. Many men find improvement through lifestyle changes and most respond well to medical treatments. The most important step you can take for your sexual health is to be candid about your situation, your aspirations, and to be open to exploring available