Why can’t people over 60 get an erection?

Erectile dysfunction in men over 60 years old is usually related to the degradation of physiological functions caused by age, and may also be caused by chronic diseases, drug side effects, or psychological factors. Common causes include decreased vascular function, decreased hormone levels, abnormal nerve conduction, the impact of underlying diseases, and psychological stress. It is recommended to seek medical treatment promptly to investigate the specific cause and avoid self-medication.

1. Decreased blood vessel function

With age, the endothelial function of the corpus cavernosum of the penis gradually declines, and insufficient arterial blood supply leads to a decrease in erection hardness. Chronic diseases such as high blood pressure and hyperlipidemia will accelerate vascular lesions. Daily salt and fat intake need to be controlled, and PDE5 inhibitors such as Tadalafil tablets should be used as directed by the doctor to improve blood flow.

2. Decreased hormone levels

Testosterone secretion decreases every year after the age of 50, and reduced sexual desire directly affects erectile function. It manifests as reduced morning erections and a weakened desire for sexual activity, which can be confirmed by serum testosterone testing. It is necessary to consider alternative treatments such as testosterone undecanoate capsules under the guidance of a doctor, while maintaining moderate exercise to maintain muscle mass.

3. Abnormal nerve conduction

Peripheral neuropathy caused by diabetes can impair erection signaling, and prostate surgery can damage the nerves that innervate the penis. Such patients need to strictly monitor their blood sugar, and can try physical therapy such as vacuum negative pressure devices to assist in erection during the postoperative recovery period.

4. Impact of basic diseases

Patients with coronary heart disease may avoid sexual intercourse because they are worried about angina pectoris, and antidepressants such as paroxetine may also inhibit erections. Joint diagnosis and treatment by the cardiovascular department and andrology department is required to adjust the medication regimen and assess cardiac exercise tolerance.

5. Psychological stress factors

Changes in social roles and changes in partner relationships after retirement may cause anxiety and depression. It is recommended to improve the mood through psychological counseling, and the spouse's participation in treatment can help relieve stress. If necessary, short-term use of Shugan Jieyu Capsules and other Chinese patent medicines can be used for conditioning.

When older men experience erectile dysfunction, they should prioritize checking for basic diseases such as hypertension and diabetes to avoid over-reliance on aphrodisiac health products. Maintaining a regular schedule and pelvic floor muscle training, and brisk walking for 30 minutes three times a week can improve blood circulation. Your spouse needs to provide full understanding and support, and jointly participate in dietary adjustments such as increasing deep-sea fish, nuts and other arginine-rich foods. If symptoms persist for more than 3 months, it is recommended to go to the men's department of a regular hospital for professional examinations such as penile blood flow Doppler ultrasound.