Rapid Evolution of Men Aging

As we age, our bodies change, and so do our sexual experiences. It’s a topic many shy away from, but it’s crucial because sexual health is a key part of overall well-being. Ignoring this can lead to larger issues, affecting both sexual vitality and overall health. My father’s experience, as I’ll explain, is a strong reminder of how interconnected these aspects of health are.

Taking medications like Cialis at about the same time each day can enhance their effectiveness, helping to establish a routine that benefits both erectile dysfunction (ED) and benign prostatic hyperplasia (BPH). However, it is important to discuss potential drug interactions with your healthcare provider before starting Cialis. Additionally, low blood pressure can be a potential side effect, especially when taken with other medications that reduce blood pressure. If you experience symptoms of low blood pressure, such as dizziness or fainting, consult your doctor immediately.

I recently revisited a 1996 study titled “Sexuality and Aging – Usual and Successful” that explored how older adults felt about their sexual lives. The timing of this study, just before modern treatments like Viagra, Cialis, and shockwave therapy (Low-Intensity Extracorporeal Shock Wave Therapy, or LI-ESWT), is striking—it wasn’t that long ago, yet it feels like a world away. The arrival of Viagra in the late ‘90s, followed by Levitra and Cialis, marked an unheralded but revolutionary shift in the treatment of erectile dysfunction. Suddenly, men no longer had to face the emotional withdrawal and isolation that often accompanied sexual dysfunction. What a different world it is now, where there’s a tangible solution. Of course, there are still other challenges that men face, but the ability to correct this particular issue has brought immense relief and changed the landscape of men’s health in profound ways.

In a way, shockwave therapy represents not quite a full second wave of that innovation but something akin to it. It provides an option for younger men to move away from medications and offers hope to those (usually older) for whom those same medications have become less effective. Shockwave therapy can enhance capabilities, providing a different approach to maintaining sexual health. I’ve covered this in greater detail in a previous article, which you can refer to for more insights into how this therapy is helping men regain control over their sexual health.

The study surveyed older adults—men averaging 68, women 65. Many were still sexually active but not as much as 10 years prior. Both men and women wished they had had more sexual interactions and/or capabilities. Men found that physical intimacy, once central, had shifted towards activities like oral sex and emotional closeness. One man noted, “finding ways to stay connected made a big difference for us.” Erectile dysfunction was a major issue, with 83% saying citing more difficulty than 10 years before. This wasn’t just a problem for men; it affected their partners too, turning shared pleasure into stress.

This shift in sexual priorities is like a baseball pitcher whose fastball isn’t any longer much of a fastball. To stay in the game, he masters offspeed pitches. Similarly, as men age, they need new techniques to maintain a fulfilling sex life. And just like in baseball, where training and conditioning have improved, today’s medical options for sexual health are far better.

Sexual contentment isn’t just about frequency or perfection. It’s about adapting and finding new ways to be satisfied. The 1996 study showed that even as physical limitations increase with age, the desire for intimacy remains—and so does the potential for sexual satisfaction. Women may focus more on the relationship and emotional connection, while men often tie their self-worth to physical performance.

Interestingly, the rise of Viagra hasn’t just improved men’s lives—it’s also had surprising environmental benefits. As Viagra became more popular, demand for traditional Chinese medicines using animal parts like tiger penises, seal penises, and reindeer antlers declined. This has likely helped conserve these animals, showing that modern medicine can have broader impacts than we might think. It’s a feel-good story where technology and business have actually helped protect endangered species—proving that caring for men’s sexual health can have unexpected positive effects.

Paying attention to sexual health can also help maintain overall health. Erectile dysfunction, for example, can be an early warning sign of other issues, like heart disease. My father’s experience underscores this connection between sexual health and overall well-being. His doctor, in the 1970s prescribed reserpine for high blood pressure, which lowered his physical and sexual energy (I heard much later from my mom). Frustrated by the side effects, my dad stopped the medication, which eventually led to a fatal problem—a thoracic aortic aneurysm from untreated hypertension.

Just as addressing erectile health can signal broader issues, neglecting sexual health in treatment can have serious consequences. My father didn’t focus on sexuality when he sought treatment; his concern was blood pressure. Had his doctor taken a more holistic approach—considering physical vitality, emotional needs, and quality of life—he might have explored other treatments, such as weight loss or different medications. This isn’t about blame but about the need for a thoughtful approach that supports overall health.

We’re now in a much better place than pre-Viagra. There are more ways to stay sexually active and content as you age. For women, this means understanding the unique pressures men face, especially regarding physical performance. The dynamics of intimacy can sometimes create a paradox: the desire to connect can lead to performance anxiety, which undermines the connection both partners seek. Find a physician who recognizes the importance of both general and sexual health. It’s not about trying to be 20 again; it’s about finding ways to stay happy, healthy, and connected at YOUR age.

Introduction to Sexual Health and Aging

As we age, our bodies undergo a range of changes that can impact our sexual health. While aging is a natural process, it can also bring about a variety of challenges that affect our ability to enjoy a healthy and fulfilling sex life. These changes are nothing to be ashamed of; they are part of the human experience. Understanding how aging influences sexual health can help us navigate these changes with grace and confidence. In this section, we will explore the impact of aging on sexual health and discuss some common issues that can arise. It is important to note that medications like tadalafil do not protect against sexually transmitted diseases, including HIV or AIDS. Always use protective measures and consult a doctor for any questions related to sexual health and safety.

The Impact of Aging on Sexual Health

Aging can have a significant impact on our sexual health, affecting both men and women in different ways. For men, a decline in testosterone levels is common, which can lead to reduced libido and erectile dysfunction. Women, on the other hand, may experience a decrease in estrogen levels, resulting in vaginal dryness and a drop in sexual desire. Additionally, aging often brings about health issues such as high blood pressure, diabetes, and cardiovascular disease, all of which can further complicate sexual health. These conditions can affect blood flow and overall energy levels, making it more challenging to maintain a satisfying sex life. Understanding these changes is the first step toward addressing them effectively.

Pulmonary arterial hypertension (PAH) is a specific type of high blood pressure affecting the lungs that is treated with the drug Adcirca, which contains tadalafil.

Common Sexual Health Issues in Aging Men and Women: Erectile Dysfunction

As we age, certain sexual health issues become more prevalent. For men, erectile dysfunction (ED) is a common concern, often linked to factors like low testosterone levels, high blood pressure, and diabetes. Women may face challenges such as vaginal dryness, decreased sexual desire, and pain during sexual intercourse. Other issues that can affect both men and women include low libido, premature ejaculation, and difficulty achieving orgasm. These problems can be frustrating and can strain relationships, but they are not insurmountable. Recognizing these issues and seeking appropriate treatment can make a significant difference in maintaining a healthy and enjoyable sex life. Physical therapy can also play a crucial role in addressing these sexual health issues by restoring tissue function, optimizing recovery, and preventing future problems.

Treatment Options for Sexual Health Issues: Sexual Dysfunction

Fortunately, there are a variety of treatment options available for sexual health issues, including extracorporeal shockwave therapy. Radial pressure wave therapy is another innovative treatment that can be considered.

For men, medications like Cialis and Viagra have revolutionized the treatment of erectile dysfunction, offering a reliable solution for many. Hormone replacement therapy (HRT) can also help boost testosterone levels. Women may benefit from HRT, vaginal estrogen therapy, or lubricants to alleviate vaginal dryness. Beyond medications, lifestyle changes such as regular exercise, a healthy diet, and effective stress management can also play a crucial role in improving sexual health. These treatments and lifestyle adjustments can help individuals regain confidence and enjoy a fulfilling sex life.

Innovative Therapies for Sexual Health: Shockwave Therapy

In recent years, innovative therapies have emerged to address sexual health issues more effectively. One such therapy is shockwave therapy, which uses low-intensity shockwaves to increase blood flow and stimulate healing in the penis or vagina. Another innovative therapy is radial shock wave therapy, which has been studied for its effectiveness in treating chronic conditions and is now being explored for sexual health applications. This non-invasive treatment has shown promise in improving erectile function and overall sexual health. Another cutting-edge therapy is platelet-rich plasma (PRP) therapy, which involves injecting platelet-rich plasma to stimulate tissue healing and improve function. These therapies offer new hope for those struggling with sexual health issues, providing alternative options that go beyond traditional treatments.

Lifestyle Changes for Improving Sexual Health

In addition to medical treatments, making certain lifestyle changes can significantly enhance sexual health. Regular exercise helps improve blood flow and boosts overall energy levels, while a balanced diet supports hormonal balance and general well-being. Managing stress through techniques like meditation or yoga can also improve sexual desire and performance. Good sleep hygiene, quitting smoking, and limiting alcohol consumption are other important factors that contribute to a healthy sex life. By adopting these lifestyle changes, individuals can take proactive steps to improve their sexual health and enjoy a more satisfying and fulfilling sex life.

Communicating with Your Partner

Open communication with your partner about sexual health is crucial for maintaining a strong and fulfilling relationship. If you’re experiencing erectile dysfunction (ED) or other sexual health issues, it’s essential to discuss these openly with your partner. This dialogue helps both of you understand each other’s needs and work together to find solutions.

When talking to your partner, be honest about your feelings and concerns. Explain how ED is affecting you and your relationship, and listen to their perspective as well. Educating your partner about ED and its treatment options can also foster understanding and support. Remember, communication is the cornerstone of a healthy relationship. By discussing your sexual health openly, you can work together to overcome challenges and maintain a fulfilling connection.

Seeking Medical Help

If you’re dealing with erectile dysfunction (ED) or other sexual health issues, seeking medical help is a vital step. A healthcare professional can diagnose the underlying causes of your ED and recommend appropriate treatment options.

When you visit a healthcare provider, be prepared to discuss your medical history, including any medications you’re taking and any existing health conditions. Your doctor may perform a physical exam and run tests to pinpoint the cause of your ED. Don’t hesitate to ask questions or seek a second opinion if you’re not satisfied with the diagnosis or treatment plan. Taking this proactive step is crucial for regaining your sexual health and overall well-being.

The Importance of Regular Sexual Intercourse

Regular sexual intercourse plays a significant role in maintaining a healthy and fulfilling relationship. Beyond physical pleasure, it offers numerous emotional and physical benefits, such as reducing stress, improving mood, and boosting self-esteem.

However, erectile dysfunction (ED) can disrupt a regular sex life. If you’re experiencing ED, it’s important to talk to your partner and seek medical help. With the right treatment and support, you can overcome ED and maintain a satisfying sex life. Remember, regular sexual intercourse is not just about physical intimacy; it’s also about emotional connection and intimacy. Prioritizing your sexual health can help you maintain a strong and fulfilling relationship with your partner.

Shockwave Therapy for Erectile Dysfunction

Shockwave therapy has emerged as a promising non-invasive treatment for erectile dysfunction (ED). This therapy uses low-intensity shockwaves to increase blood flow to the penis and promote healing, offering a new avenue for those struggling with ED.

There are two main types of shockwave therapy: radial shockwave therapy (R-SWT) and focused shockwave therapy (F-SWT). R-SWT uses low-intensity shockwaves to enhance blood flow, while F-SWT employs high-intensity shockwaves to target specific areas of the penis. Studies have shown that shockwave therapy can be effective, especially for men who haven’t responded to other treatments. However, more research is needed to fully understand its benefits and risks. This innovative approach provides hope for many, offering an alternative to traditional treatments.

Future Directions in Men’s Aging and Sexual Health

As men age, they may face various sexual health issues, including erectile dysfunction (ED), low libido, and decreased sexual desire. However, advancements in medical technology and treatment options are paving the way for men to maintain a healthy and fulfilling sex life well into their later years.

Future directions in men’s aging and sexual health include the development of new treatments like gene therapy and stem cell therapy. Researchers are also exploring the potential of shockwave therapy and other non-invasive treatments for ED. Additionally, there’s a growing recognition of the need to address the emotional and psychological aspects of sexual health in older men. Providing counseling and support can help men cope with the emotional impacts of aging and sexual health issues. With these advancements, the future looks promising for men seeking to maintain their sexual health and overall well-being.

Peak Masculinity
Starts Here

By Dr. Ryan Welter

August 15, 2025