Feature Archive

Men: Troubleshoot Your Sex Life

Follow these 5 steps to improve your sexual vitality and performance as you get older.

ByNeilOsterweil
WebMD Feature

Reviewed ByMichaelSmith,MD

The Marlboro man just doesn't keep it up like he used to.

On the outside, he may still look like the epitome of the rugged American male -- a man's man. But inside, it's another story: years of cigarettes, liquor, and steak and eggs can do a number both on a man's heart and sexual vitality.

Well, it didn't have to happen. Sure, men experience a drop in levels of the sex hormone testosterone as they age. Many a man finds that he's no longer the young buck, bed-wise, that he was in his randy youth.

But if you're worried that your sexual life is headed off into the sunset as you approach midlife, rest easy. You can maintain -- even boost -- your sexual vitality by making a few smart decisions now.

"Healthy men can have erections at any age," says Michael Castleman, a sex educator and health writer based in San Francisco. "Once you hit about 50, erections change. They are slower to rise, they don't rise from fantasy alone -- you need manipulation and direct sexual stimulation. What happens to a lot of men is that they notice these changes and they flip out and think, 'Omigod, I've reached the end of my sexual road.' Well, things aren't over, they've just changed."