Understanding these changes and knowing the options for dealing with them are essential for maintaining a satisfying sex life.
Physiological changes in men
As men age, they experience a gradual decrease in testosterone levels, which can affect the libido and sexual response. In addition, changes in erectile function can occur, with erections of lower quality. The sensitivity of the penis can also decrease, which can modify the intensity of sexual sensations. Changes in ejaculation and orgasm are also observed, such as lower semen volume and less intense orgasms.
Main dysfunctions in the ‘older’ man
The most common sexual dysfunctions in older men include:
- Erectile dysfunction: This is the difficulty in attaining and maintaining an erection sufficient for sexual activity. It can have physical or psychological causes, or a combination of both.
- Decreased libido: Reduced sex drive may stem from low testosterone levels, but can also be related to emotional and relationship factors.
- Delayed ejaculation and anorgasmia: Some men may notice that it takes longer to reach orgasm or that ejaculation becomes less frequent or absent.
Risk factors and associated medical conditions
Different diseases and lifestyle habits can influence male sexual function. The most significant factors include:
- Chronic illnesses: Diabetes, hypertension and cardiovascular pathologies affect blood circulation, which is essential for a healthy erection.
- Lifestyle: Being overweight, smoking and excessive alcohol consumption can impair sexual function.
- Side effects of medication: Some drugs, especially those used to treat high blood pressure, depression or prostate conditions, can negatively affect sexual response.
Treatment options and strategies for improving sex life
There are different strategies and treatments that can help improve sex life in older adults:
- Lifestyle changes: Maintaining a balanced diet, taking regular exercise and reducing stress can significantly improve sexual function.
- Medical therapies: From oral drugs to injections, there are various options for treating erectile dysfunction and other sexual problems.
- Advanced options: In cases where conventional treatments are not effective, penile prostheses and other medical devices can be a viable solution.
- Psychological support: Individual or couples therapy can help you cope with the changes and improve intimacy.
Ageing does not mean the end of one’s sex life. With adequate information and a proactive approach, it is possible to maintain and full and satisfying intimate life. Consulting a health professional is essential, in order to address any difficulties and find the best solution. Talking about sexuality in later life naturally and without taboos is the first step towards a healthier and happier life.
