You’re in a long-term relationship, and intimacy has always been an easy, enjoyable part of life. Lately, however, things feel different. Maybe it's taking longer to get aroused, or your erections aren’t as firm or reliable as they used to be. You might be wondering if this is just a normal part of getting older or if it’s something you should be concerned about.

As you move through life, it's natural to notice changes in your body. One of those changes, especially for men in their 40s and beyond, might be in your sexual function. At Genesis Lifestyle Medicine, we understand how these changes can feel embarrassing. The good news is that erectile dysfunction (ED) doesn’t have to be a permanent fixture of aging. By identifying the root causes and exploring the wide range of treatment options, you can regain confidence and improve your sexual health at any stage of life.

What is normal with age-related ED?

As men age, experiencing some level of erectile dysfunction is common, but it's important to understand the distinction between "normal" age-related changes and those that might signal a more serious issue. Erectile dysfunction is defined as the inability to get or maintain an erection firm enough for satisfactory sexual activity. According to studies, around 50-55% of men between the ages of 40 and 70 will experience some degree of ED.

However, this doesn’t mean every man will have severe ED, and in many cases, lifestyle changes can mitigate the symptoms. Mild, occasional issues with erections, such as difficulty getting or maintaining an erection during stressful times, can be normal. When these problems become frequent or start to interfere with your quality of life, they may indicate a deeper issue.

Symptoms of age-related ED

The symptoms of age-related ED often start subtly and gradually worsen over time. These symptoms can include:

• Inability to get or maintain an erection: You might notice that your erections aren’t as strong or long-lasting as they once were. Even if you feel mentally aroused, the physical response may be slower or weaker.
  
• Changes in erection quality: Erections may take longer to achieve, feel less full, or lose firmness quickly during sex. What used to happen automatically with a little stimulation might now require more direct or intense touch.
  
• Decreased sexual desire: A drop in libido can accompany these physical changes, leaving you less interested in initiating sex or less mentally aroused by sexual stimuli.

When ED is more than just aging

While it’s common for erections to change as you age, ED is not an inevitable part of getting older. Erectile dysfunction is often caused by a combination of physical and psychological factors that are treatable. Understanding the underlying causes is crucial for determining the best treatment. Several physical factors can contribute to ED, including:

• Hormonal changes: Testosterone levels naturally decline with age, which can lead to a decreased sex drive and affect your ability to achieve erections. Other hormonal shifts, such as changes in thyroid or growth hormone levels, can also play a role.
  
• Cardiovascular disease: Healthy blood flow is essential for achieving erections. Conditions like atherosclerosis (plaque buildup in the arteries), diabetes, obesity, and high blood pressure can restrict blood flow to the penis, making it harder to get an erection.
  
• Nerve damage: Conditions such as diabetes, multiple sclerosis, or prolonged bicycle riding can damage the nerves responsible for sexual response.

Psychological factors can also play a role in ED, including stress, anxiety, depression, or relationship issues. Even if the primary cause is physical, the frustration of experiencing ED can create performance anxiety, further worsening the problem.

When to seek treatment for ED

If you’re noticing persistent changes in your sexual function, it’s time to consider seeking help. The key is not to wait until ED becomes a significant source of stress or discomfort in your life. Here are a few signs it’s time to talk to a healthcare provider:

• You’re unable to maintain an erection firm enough for sex regularly.
• You notice a sudden or drastic change in your erection quality.
• You experience a decline in sexual desire that’s affecting your relationship.
• Your ED is causing significant distress, anxiety, or performance concerns.

At Genesis Lifestyle Medicine, we specialize in identifying the root causes of ED and offering various treatments to help you reclaim your confidence. Early intervention can help prevent ED from worsening and improve overall quality of life.

Treatment options for ED

There’s no one-size-fits-all approach to treating erectile dysfunction, and at Genesis Lifestyle Medicine, we tailor your treatment plan to your individual needs. Some treatments include:

• Oral medications: PDE5 inhibitors like Sildenafil (Viagra), Tadalafil (Cialis), and Vardenafil (Levitra) are often the first line of treatment. These medications increase blood flow to the penis, helping to produce an erection when sexually aroused.
  
• Hormone therapy: For men with low testosterone levels, testosterone replacement therapy (TRT) can improve both sexual desire and erectile function. Hormone therapy helps restore balance, making it easier for you to achieve and maintain erections.
  
• GAINSWave therapy: This non-invasive treatment uses sound waves to improve blood flow and stimulate the growth of new blood vessels in the penis. It’s a popular option for men looking for a natural way to improve erectile function.
  
• P-Shot (Priapus Shot): This treatment involves injecting platelet-rich plasma (PRP) into the penis to stimulate tissue growth and enhance blood flow. The P-Shot has been shown to improve both the firmness and longevity of erections.
  
• Lifestyle changes: For some men, adopting a healthier lifestyle can have a significant impact on erectile function. Losing weight, exercising regularly, quitting smoking, and managing stress can all improve sexual health.

Take control of your sexual health

Erectile dysfunction is a common condition, but it doesn’t have to define your experience of aging. Understanding what’s normal and when to seek treatment is the first step toward taking control of your sexual health. Whether your ED is caused by aging, lifestyle factors, or a health condition, there are effective treatments available.

At Genesis Lifestyle Medicine, we’re here to guide you on your journey to better health. From hormone therapy and medications to advanced treatments like GAINSWave and the P-Shot, we offer compassionate, comprehensive care tailored to your unique needs. If you’re struggling with ED, reach out to us today and take the first step toward regaining confidence and vitality.