Man Have Sex

Man Have Sex
Your browser isn’t supported anymore. Update it to get the best YouTube experience and our latest features. Learn more

This content does not have an English version.
This content does not have an Arabic version.

Log in to Patient Account

English

Español
العربية
简体中文

Twitter Facebook Pinterest YouTube

Waite LJ, et al. Sexuality in older couples: Individual and dyadic characteristics. Archives of Sexual Behavior. 2017; doi:10.1007/s10508-015-0651-9.
Yafi FA, et al. Erectile dysfunction. Nature Reviews Disease Primers 2016; doi:10.1038/nrdp.2016.3.
Partin AW, et al., eds. Campbell-Walsh-Wein Urology. 12th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed March 15, 2022.
Age and fertility: A guide for patients. ReproductiveFacts.org. https://www.reproductivefacts.org/news-and-publications/patient-fact-sheets-and-booklets/documents/fact-sheets-and-info-booklets/age-and-fertility/?_ga=2.23872760.332160619.1648825435-2025818841.1647597055. Accessed March 16, 2022.
Mulhall JP, et al. Evaluation and management of testosterone deficiency: AUA guideline. The Journal of Urology. 2018; doi:10.1016/j.juro.2018.03.115.
Bhasin S, et al., eds. Reproductive disorders associated with aging. In: Essentials of Men's Health. McGraw Hill; 2021. https://accessmedicine.mhmedical.com. Accessed March 18, 2022.
Sexuality and intimacy in older adults. National Institute on Aging. https://www.nia.nih.gov/health/publication/sexuality-later-life. Accessed April 11, 2022.
White BA, et al. Life cycle of the male and Female reproductive systems. In: Endocrine and Reproductive Physiology. 5th ed. Elsevier; 2019. https://www.clinicalkey.com. Accessed March 17, 2022.
Older adults and mental health. National Institute of Mental Health. https://www.nimh.nih.gov/health/topics/older-adults-and-mental-health. Accessed March 21, 2022.
Caring for your mental health. National Institute of Mental Health. https://www.nimh.nih.gov/health/topics/caring-for-your-mental-health. Accessed March 21, 2022.
Your healthiest self: Wellness toolkits. National Institute of Mental Health. https://www.nih.gov/health-information/your-healthiest-self-wellness-toolkits. Accessed March 21, 2022.
Emotional wellness toolkit. National Institute of Mental Health. https://www.nih.gov/health-information/emotional-wellness-toolkit. Accessed March 21, 2022.
Physical wellness toolkit. National Institute of Mental Health. https://www.nih.gov/health-information/physical-wellness-toolkit. Accessed March 21, 2022.

Other Topics in Patient Care & Health Info

Diseases & Conditions A-Z

Symptoms A-Z

Tests & Procedures A-Z

Drugs & Supplements A-Z

Health Books

Healthy Living Program

Mayo Clinic Health Letter

Mayo Clinic Voice Apps

Healthy Lifestyle
Sexual health
In-Depth
Senior sex - Tips for older men

Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations.
What you can do to maintain a healthy and enjoyable sex life as you grow older.
As you age, sex isn't the same as it was in your 20s — but it can still be enjoyable. Unlike some myths suggest, sex isn't just for the young. Many seniors still enjoy their sexuality into their 80s and beyond.
A healthy sex life is both fulfilling and good for other parts of your life too — such as your physical health and self-esteem.
Changes to your body or lifestyle can make you feel vulnerable or uncomfortable — especially when it comes to sex.
You might be worried about these changes. But remember, they don't have to end your enjoyment of sex. Working with your changing body can help you keep a healthy and happy sex life. For instance, you may need to change your sexual routine to include more stimulation to become aroused.
Sexual well-being is closely tied to the rest of your health. How you're feeling, long-term health conditions, age-related changes or drugs can all affect you sexually.
Some surgeries and many drugs — such as blood pressure drugs, antihistamines, antidepressants and acid-blocking drugs — can affect sexual function.
Also, changes to your body — such as testosterone and sperm changes, nerve damage, bone and muscle loss, and low iron — can affect your sexual health.
And existing health conditions — such as heart disease, diabetes, cancer and prostate problems — can have an impact too.
But don't give up. You and your partner can try new ways to be intimate that work with your needs and abilities.
For example, if you're worried about having sex after a heart attack, talk with your health care provider about your concerns. If arthritis pain is a problem, try different sexual positions. Or try using heat to lessen joint pain before or after sexual activity.
Stay positive and focus on ways of being sexual and intimate that work for you and your partner.
At any age, emotional issues can affect how you feel sexually. Sometimes this is good news. With fewer distractions, more time and privacy, and no worries about pregnancy — many older couples report better sex lives.
But other adults may feel stressed by health problems, money troubles and other lifestyle changes. Depression can lower your desire for sex. If you think you might be depressed, talk to your health care provider or a counselor.
Sex may not be the same for you or your partner as it was when you were younger. But sex and intimacy can still be a rewarding part of your life. Here are some tips for keeping a healthy and enjoyable sex life:
Expand your definition of sex. Intercourse is only one way to have a fulfilling sex life. Touching, kissing and other intimate contact can be rewarding for you and your partner.
As you age, you and your partner may have different sexual abilities and needs. Be open to finding new ways to enjoy sexual contact and intimacy.
Change your routine. Simple changes can improve your sex life. Change the time of day you have sex. Try the morning — when you're refreshed from a good night's sleep and when your testosterone levels are likely higher — rather than at the end of a long day.
Because it might take longer for you or your partner to become aroused, take more time for romance. Try a new sexual position or find other ways of connecting romantically and sexually.
Don't give up on romance. If you've lost your partner, it can be difficult to imagine starting another relationship. But socializing is well worth the effort for many single seniors. No one outgrows the need for emotional closeness and intimacy.
If you start an intimate relationship with a new partner, use a condom. Many older adults don't know that they are still at risk of sexually transmitted infections, such as herpes and gonorrhea.
One final piece of advice for keeping a healthy sex life: Take care of yourself and stay as healthy as you can.
See your health care provider regularly, especially if you have long-term health conditions or take prescription drugs. Other conditions and drugs can affect your sexual health, but your provider can help.
There is a problem with
information submitted for this request. Review/update the
information highlighted below and resubmit the form.
Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health.
Error Include a valid email address
To provide you with the most relevant and helpful information, and understand which
information is beneficial, we may combine your email and website usage information with
other information we have about you. If you are a Mayo Clinic patient, this could
include protected health information. If we combine this information with your protected
health information, we will treat all of that information as protected health
information and will only use or disclose that information as set forth in our notice of
privacy practices. You may opt-out of email communications at any time by clicking on
the unsubscribe link in the e-mail.
You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox.
Please, try again in a couple of minutes
Our caring team of Mayo Clinic experts can help you with your health concerns. Visit Mayo Clinic Men's Health to
get started.
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press .
Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below.

A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

Therapists
:
Login
|
Sign Up

Key points

Somewhere between half and 90 percent of men over 65 suffer some level of erectile dysfunction.
Chronic health conditions, not psychological problems or relationship issues, are the main causes of sexual dysfunction in men over 75.
With enough penile massage and/or fellatio, men with semi-firm or even flaccid penises can still have orgasms.

Are you a Therapist?
Get Listed Today

Get Help

Find a Therapist

Find a Treatment Center

Find a Psychiatrist

Find a Support Group

Find Teletherapy

Members
Login
Sign Up

United States

Austin, TX
Brooklyn, NY
Chicago, IL
Denver, CO
Houston, TX
Los Angeles, CA
New York, NY
Portland, OR
San Diego, CA
San Francisco, CA
Seattle, WA
Washington, DC

Our conversations are sprinkled with slips, pauses, lies, and clues to our inner world. Here’s what we reveal when we speak, whether we mean to or not.

Posted March 31, 2017

|

Reviewed by Lybi Ma

As I write this, I’m pushing 70. That’s the younger side of old as demographers define it. But sexually, I’m elderly—and familiar with the changes that afflict aging men, notably gradual erection loss. 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.
If elder men can raise erections, they usually owe them to Viagra, Cialis, or Levitra. However, for many (most?) men over 65, the drugs turn out to be a disappointment:
Bottom line: 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.
Meanwhile, for 43 years, I’ve been a journalist specializing in health and sexuality . Studies abound showing that later-life sexual function decline can be delayed with a healthy lifestyle: daily exercise, no tobacco, a plant-based diet , sleeping eight hours a night, and no more than two alcoholic drinks a day. I’ve done my best to live that way, and thought (naively) that I was immunized against the sexual ravages of Time. Alas, no.
As sexual elderhood hit me below the belt, I stamped around the house, cursing Fate. My wife of 47 years said, “For God’s sake, Mike, you’ve been writing about this for eons. You know what’s happening and why. Get a grip.”
Eventually, I did. And like millions of older men before me, I discovered that erotic changes don’t necessarily scuttle sex. Yes, erection loss can be unnerving, but here’s the upside: Men don’t need erections to enjoy great sex and marvelous orgasms. This bears repeating: 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.
Before the Food and Drug Administration approved Viagra in 1998, the conventional wisdom was that older couples simply stopped having sex, so researchers didn’t focus on it. But since Viagra, over the past almost 20 years, elder sex has become a hot topic, and two recent Australian studies show that older men’s situation, while not horrible, isn’t pretty.
In one study (Hyde 2012), Australian aging researchers surveyed the health and sexuality of 3,274 mostly white, independent-living men aged 75 to 95 (average age 82). Respondents’ demographics— education , smoking , alcohol use, single vs. partnered, etc.—differed a bit from the U.S. but not by much, so the findings can be reasonably extrapolated to Americans:
Problem Whole Group (3,274) Partnered (857)
Compared with the whole group, erection problems were considerably more prevalent among men with regular sex partners. This is not surprising. It’s easier to raise erections during masturbation than partner sex. In solo sex, you only have yourself to please. In partner sex, the man’s needs and desires must mesh with the woman’s, and things get complicated and erections suffer.
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.
Despite general awareness that men’s sexual function declines with age, a considerable proportion of these men were still upset about it.
Finally, a good deal of direct-to-consumer advertising pitches older men on testosterone supplementation, and many physicians are happy to prescribe it. But in this sample, only 7 percent actually had “low T,” and among those who did, the hormone deficiency was associated with only one sex problem, lack of libido. Testosterone level had nothing to do with erection, orgasm , or ejaculatory control.
The main causes of this sample’s sex problems were not psychological problems or relationship issues but rather chronic health conditions: obesity, arthritis, cancer, diabetes, heart disease, sleep disorders, and high blood pressure.
As part of the Adelaide Male Aging Study (Martin, 2012), a different group of Australian researchers asked 271 men, aged 65 to 80, about their health, libido, and erections.
Risk factors for low libido included: anxiety, depression , insomnia , sedentary lifestyle, and more than two alcoholic drinks a day.
Risk factors for ED included: anxiety, depression, diabetes, insomnia, cancer, smoking, obesity (especially potbelly), high blood pressure medication, more than two alcoholic drinks a day, and obstructive sleep apnea (OSA).
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.
So somewhere between half and 90 percent of men over 65 suffer some level of ED. That's depressing. However, elderly couples who wish to remain sexual can still enjoy great sex and orgasms—if they make a few simple erotic adjustments:
Many older men respond to age-related sexual changes by retiring from sex, especially when erection drugs don’t work. If that’s how you decide to proceed, it’s your call. But I’m in my late sixties, and I can happily testify that without drugs, with the adjustments just mentioned, elder sex can feel as fulfilling as ever—maybe even better.
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?
Surprisingly few older men use erection drugs
New York Times , March 28, 1998, “U.S. Approves Sale of Impotence Pill. Huge Market Seen.”
New York Times , Dec. 4, 2005. “Sales of Impotence Drugs are Declining.”
Banner, L.L. and R.U. Anderson. “Integrated Sildenafil and Cognitive-Behavior Sex Therapy for Psychgenic Erectile Dysfunction: A Pilot Study,” Journal of Sexual Medicine (2007) 4(4, Pt 2):1117.
Chia, S.J. et al. “Clinical Application of Prognostic Factors for Patients with Organic Causes of Erectile Dysfunction on 100 mg of Sildenafil Citrate,” International Journal of Urology (2004) 11:1104.
DeBusk, R.F. et al. “Efficacy and Safety of Sildenafil Citrate in Men with Erectile Dysfunction and Stable Coronary Artery Disease,” American Journal of Cardiology (2004) 93:147.
May, M. et al. “Erectile Dysfunction, Discrepancy Between High Prevalence and Low Utilization of Treatment Options: Results from the Cottbus Survey,” British Journal of Urology International (2007) 100:1110.
Melnik T. and C.H. Abdo. “Psychogenic Erectile Dysfunction: Comparative Study of Three Therapeutic Approaches,” Journal of Sex and Marital Therapy (2005) 31:243.
Mulhall, J. et al. “Importance of and Satisfaction with Sex Among Men and Women Worldwide: Results of the Global Better Sex Survey,” Journal of Sexual Medicine (2008) 5:788.
Pickering, T.G. et al. “Sildenafil Cittrate for Erectile Dysfunction in Men Receiving Multiple Antihypertensive Agents: A Randomized Controlled Trial,” American Journal of Hypertension 17:1135.
The studies of the sex lives of men over 65
Hyde, Z. et al. “Prevalance and Predictors of Sexual Problems in Men Aged 75-95 Years: A Population-Based Study,” Journal of Sexual Medicine (2012) 9:442.
Martin, S. et al. “Clinical and Biopsychosocial Determinants of Sexual Dysfunction in Middle-Aged and Older Australian Men,” Journal of Sexual Medicine (2012) 9:2093.
Michael Castleman, M.A. , is a San Francisco-based journalist. He has written about sexuality for 36 years.

Get the help you need from a therapist near you–a FREE service from Psychology Today.

Psychology Today © 2022 Sussex Publishers, LLC

Our conversations are sprinkled with slips, pauses, lies, and clues to our inner world. Here’s what we reveal when we speak, whether we mean to or not.

Medically Reviewed by Poonam Sachdev on June 26, 2022
© 2022 WebMD, LLC. All rights reserved. View privacy policy and trust info
Was your guy raised as a traditional, stoic, man's man? If
Zoo Sex Dog Com
A Bell In Danger Shower Fuck
Petite Swedish Teen

Man Have Sex

Report Page