This problem is more prevalent than many men admit. Fortunately, with a few adjustments, elder sex can feel as fulfilling as ever—maybe even better. However, for many most? The CVS Pharmacy chain tracks the demographics of its prescription drug sales. Among the minority of elder men who have tried Viagra, men over 60 account for only around one-third of sales. Most users are in their forties or fifties.
In pre-approval trials, they claimed benefit—that is, firmness sufficient for intercourse—in around 70 percent of users. So the drugs help only a minority of elder men. Post-approval studies have documented persistent annoying side effects in around 40 percent of users. Side effects increase with dosage—and most men over 65 must take high doses. As a result, only around half of all men refill their prescriptions, and only a minority of elder men.
Most men over 65 bid farewell to erections and penis-in-vagina intercourse and opt for other pleasures; mutual genital hand massage, oral sex, and toys. Studies abound showing that later-life sexual function decline can be delayed with a healthy lifestyle: As sexual elder-hood hit me below the belt, I stamped around the house, cursing Fate. In an erotic context, with a supportive lover, men with semi-firm or even completely flaccid penises, can still experience great fun between the sheets capped by satisfying orgasms.
In one study Hyde , Australian aging researchers surveyed the health and sexuality of 3, mostly white, independent-living men age 75 to 95 average age This is not surprising. In solo sex, you only have yourself to please. The same was true for both premature ejaculation and difficulty ejaculating.
Men having only solo sex have better ejaculatory control than those who have partner sex. Finally, a good deal of direct-to-consumer advertising pitches older men on testosterone supplementation and many physicians are happy to prescribe it.
Testosterone level had nothing to do with erection, orgasm , or ejaculatory control. The Martin Study As part of the Adelaide Male Aging Study Martin, , a different group of Australian researchers asked men, age 65 to 80, about their health, libido, and erections.
Risk factors for low libido included: Risk factors for ED included: Surprisingly, OSA, little investigated for ED, was the health problem most closely associated with it. OSA results from either a loss of muscle tone in throat tissue, or obesity-related excess throat tissue. People with apnea mostly men exhibit persistent snoring interrupted by choking silences that temporarily shut down airflow into the lungs.
The breathing interruption sets off biological alarms that rouse the person, which restores airflow. But OSA disrupts sleep, and reduces the amount of oxygen in the blood. Erection depends, in part, on normal blood oxygen. Apnea reduces it and contributes to ED. The Slippery Slope Together, the two studies show: Like many physicians and public health officials I would argue that low T is over-diagnosed and over-treated.
Compared with single men, those in relationships had much more libido. But relationships also have downsides—greater risk of ED, premature ejaculation, difficulty ejaculating, and performance anxiety.
However, elderly couples who wish to remain sexual can still enjoy great sex and orgasms—if they make a few simple erotic adjustments: In the vast majority of older men, libido and erection function decline.
Even if they can, many most? So most elder couples who remain sexual evolve their lovemaking away from penis-vagina intercourse. Young men heat up much faster than young women, often finishing before their lovers have even warmed up to genital play. Older men take longer to become aroused—like women. So older couples become more erotically in synch, which enhances sexual and relationship satisfaction. I would love to hear from older men and women involved with them.
What can you add about the real sex lives of men over 65?