After a certain age a man experience situations when he cannot have an erection or cannot keep an erection long enough to complete the sexual act, this situation is called erectile dysfunction or impotence. Erectile dysfunction can occur at any age but is more common in men older than 75 years. As men age, they may need more stimulation to achieve erection. They might need more time between erections. However, elderly people should still be able to have an erection and enjoy sex.
Erectile dysfunction can be caused by many diseases, but most common are: diabetes (high blood sugar), arterial hypertension (high blood pressure), atherosclerosis (hardening of the arteries), stress, anxiety or depression, excessive consumption of alcohol and tobacco, brain or spine injuries, hypogonadism (which leads to lower testosterone levels), stroke, radiotherapy to the testis, Parkinson’s disease. Some medications such as antidepressants, prostate illnesses and can also cause erectile dysfunction. After the age of 40 it is important to keep your blood sugar or blood pressure, because these 2 factors are the leading causes of sexual problems in men of a certain age. It is important to take medication for this problem, as your doctor says.
Sexual problems like erectile dysfunction can also be caused or be aggravated by conflictual relationships with your partner. Many times the improvement of the communication in couple can help your sex life. For this kind of problems it is also good to ask the opinion of a psychologist or to talk to a friend.
Feelings are powerful factors that can lead to erectile dysfunction; some previous bad experiences, nervousness about sex, stress at work or at home, feeling of depression, issues with sexual partner are great obstacles in the way of a successful and enjoyable sex lifeand should not be treated easily.
The treatment of erectile dysfunction usually starts with treating the cause that lead to this disorder. After the doctor found the cause and if it is an organic reason he can prescribe medicine to help. Doctors usually start with oral medication, but not everyone can use these drugs (like patients with heart problems or vision impairment).
There are also natural options you can try. Some medicine can also be injected into the penis or inserted as a tiny suppository in the urethra. In any case your doctor will help you decide which the best treatment for you is. If drugs are not suitable for you, you can use of penile implants, vacuum pump devices or do surgery.