Everything about human life and existence is subject to aging, and sexual life is not an exception to this. It is natural for middle-aged men to experience sexual problems, just as they face other issues, like a decline in vision, some hearing impairment or weakness in physical strength.
Some people accept the fact that they have grown old and sexual issues are some of the dreaded problems that come with it. However, there are ways that can help you restore your sexual stamina and vigor.
In this article, we will discuss some of the common sexual disorders that most men suffer from when they cross the threshold of 40. You will learn about these difficulties and find out about ways to overcome them. In our last piece of advice, there are certain tips and preventive measures which may help you to ensure that your sexual life remains intact even when you enter your middle age. So, stay tuned.
Let us get started with the list, without wasting another minute.
1. Premature Ejaculation: When the End Occurs Earlier Than Expected
Premature ejaculation, rapid ejaculation or PE is a condition where a man often ejaculates earlier than he or his woman wished to, either before on or shortly after getting intimate with his partner.
PE may cause definite grief or relational trouble for a guy and his partner as it prevents both partners from enjoying their sexual bliss in a sensual way. The man does not feel satisfied because of his incapability to hold out the pleasant vibrations of sexual connections for an extended period of time. Besides, the partner also feels similarly disgruntled for not being able to reach her orgasm or sexual peak.
Often, men dealing with premature ejaculation doubt their masculinity and lose confidence in their sexual performance. They may feel misunderstood because of the frustration and shame which they repeatedly experience. On the other hand, women usually suffer in silence and do not question their man’s integrity for fear of distressing them further.
It is vital to know that numerous men sporadically experience premature ejaculation during sexual intercourse. There is no reason to become distressed if such episodes are sporadic. However, if this occurs on a more regular basis, then he may be suffering from premature ejaculation.
What Can You Do About PE?
There are many ways to prevent PE such as:
- Avoiding too much excitement. Exercise more mind play into the act. There are many yoga postures which you can use to promote mind control. This helps the man to lengthen the pleasures which he obtains from sex.
- The squeeze technique is effective to control premature ejaculation. You can do so by masturbating until the semen is just about to be released, then letting go, and repeating the process.
- Try a numbing cream. You can use numbing creams to prevent premature ejaculation.
- Get professional help. Consult a specialist to help you cope with the situation.
- Learn to relax. Relieve yourself from physical and emotional stress.
2. Delayed Ejaculation: Trouble in Reaching Climax
Delayed or inhibited ejaculation is the situation when you fail to ejaculate during sexual intercourse or require lengthy periods of stimulus to experience a sexual peak. This condition is relatively rare and affects only one to four percent of men. It can cause loss of pleasure in sex; it can affect self-confidence and in some cases cause erectile dysfunction.
Here are some of the causes:
- Loss of penis sensitivity because of toughened penis skin, circulatory problems, or peripheral damage of the erogenous nerve tissue.
- Stress, depression and anxiety.
- Medication, such as antidepressants.
- Drug dependence.
- Strokes and injury to the spinal cord.
- Poor diet and excess weight.
Delayed or inhibited ejaculation may cause sexual problems between partners. This difficulty challenges sexual satisfaction and worse yet, it can lead to less sexual activities between partners. The thought that one cannot ejaculate when expected can lead to depression in middle-aged men.
What Can You Do About Delayed Ejaculation?
Failure to deliver does not mean that it is the end of your sexual relationship. Delayed ejaculation means that there is not enough energy to sustain the erection of the penis or that there is not enough flow of fluid and semen to deliver.
Here are some tips to avoid this problem:
- Learn stress management techniques.
- Go for sex counseling.
- Eat healthy foods that are rich in fiber and iron.
- Drink lots of fluids.
- Avoid too many energy drinks and caffeine.
- Exercise regularly and relieve yourself from stress and anxiety.
- Keep the penis skin well-moisturized in order to hold its natural self-lubricating properties.
3. Retrograde Ejaculation: An Inability to Ejaculate Forward
Also known as dry orgasm,the retrograde ejaculation is a situation where the ejaculation is moving back towards the bladder instead of coming out through the penis. This usually happens when the muscular valve at the base on the bladder does not close in order to prevent the semen from moving backwards.
This sexual problem can be a result or side effect caused by medications, damage to the nerve, or surgery on the bladder or prostrate.
Even though retrograde ejaculation does not have a severe effect on the health of the penis, many men wish to have it cured, if possible. The treatment of retrograde ejaculation mostly includes the following:
- Ask your doctor to change the prescription which you are currently taking.
- Stop taking drugs that may be contributing to the problem.
- Begin the treatment that can help with the problem such as nerve damage that is causing dry orgasm.
- If the cause of the retrograde ejaculation occurs before surgery, there may not be a treatment that can improve the situation.
4. Loss of Libido: Finding It Hard to Be in the Mood
It is not surprising for men to face a decline in their libido or desire to have sex as they move towards middle age. It is not only women who experience hormonal imbalance. Men also undergo change in hormones after they have turned 30. The slowing down of testosterone production is what triggers a low libido in males.
What Causes a Loss of Libido?
The causes of a loss of libido are:
- Stress can rob you of your sexual appetite and may lead to erectile dysfunction.
- Increased fat deposits increase the manufacture of estrogen, which affects the production of testosterone.
- Reduced blood flow due to a lack of physical activity.
- Lack of sleep leads to increased stress levels, which affects libido.
- Side effects of medication.
- Drug addiction or dependence.
What Can You Do About Loss of Libido?
You can reverse your loss of libido through several ways:
- Relieve yourself from stress and take time for relaxation.
- Consume a proper diet, do regular exercises and have adequate sleep.
- Take herbal male enhancement supplements to enable an improved sex drive and sexual function. Such supplements increase blood flow towards the genitals and increase the production of testosterone. They also ensure a robust and healthy sex drive without any side effects.
5. Erectile Dysfunction or Impotence: When Your Penis Fails to Sustain Erections
Erectile Dysfunction or ED is a sexual problem where the penis fails to sustain an erection during sexual activity. This happens because of the lack of sufficient blood flow to the penis. ED can occur in men of all ages, but mainly affects the middle-aged men.
Some of the causes of ED include:
- Psychological and lifestyle issues.
- Physical and medical conditions, such as high blood pressure, heart disease, diabetes, Parkinson’s disease, trauma from prostate cancer surgery and hormonal problems.
What Can You Do About ED?
There are major treatment options for erectile dysfunction, and these include the following:
- Use of mechanical devices like penis vacuum pumps and penile bands.
- Intake of suitable drugs, such as Viagra.
- Penile injections, which is an alternative for men who do not respond well to drugs due to serious health issues, such as diabetes.
- A surgical implant, which is the last option when other treatment options fail.
Drugs Like Viagra: What You Should Know
If you opt to take drugs like Viagra, make sure that you have consulted a physician. They will diagnose your condition before giving you a prescription. Remember, do not self-medicate because something that has worked for others might not necessarily work the same way for you.
Viagra can cause paralysis and heart failure when taken the wrong way by someone who is not compatible with it. This is why you need to consult a physician first.
6. Testosterone Deficiency: A Drop in the Male Sex Hormone
Testosterone is a male sexual hormone that makes men what they are. It helps with the development of male genitalia. It assists in the growth of a beard, pubic hair and the torso. It maintains bone density and enhances muscle growth. Besides all that, it controls the libido and erectile function.
When men reach the age of 30, testosterone starts to decrease. This condition continues as they become older. Deficiencies in testosterone can lead to a loss of libido, exhaustion, a decrease in muscular mass, erectile dysfunction or impotence, depression, and a lack of concentration. Men who lack testosterone have a higher risk of osteoporosis.
When the level of testosterone drops drastically, it decreases your sexual urges. This leads to less pleasurable sexual experiences between partners.
If you suspect your testosterone is low, you don’t need to worry because there are effective treatments to encourage your body to make more, such as the following:
- Include foods such as oysters, which can boost the production of testosterone.
- Refrain from drinking energy drinks and alcoholic beverages.
- Avoid products containing nicotine, like cigarettes
- Exercise regularly to develop more muscles. Squats, bench presses, chin ups and arm rows are a few good examples.
- Feel good about yourself and relieve your mind from stress and anxiety.
- Take testosterone supplements advised by your doctor.
7. Hypertension: The Effects of High Blood Pressure on Sexual Performance
High blood pressure is one of the common conditions faced by middle-aged men. It causes many other health issues, such as cardiovascular disease.
Aside from heart diseases, high blood pressure can also affect men’s sexual performance. Effective blood flow through the arteries and veins is essential to achieve and sustain an erection. Any health disorder that impairs blood flow such as hypertension can cause erectile dysfunction.
What Can You Do About It?
- Regulate your blood pressure. Take appropriate medication to normalize your blood pressure and regulate your blood flow.
- Lose weight. If you want to perform well, you should be fit and healthy. The hearts of overweight men tend to pump more blood in order to sustain oxygen, thus causing high blood pressure.
- Eat correctly. Do not eat fatty and salty foods. Include fruits and vegetables in your diet. Choose lean meat as it contains less fat.
- Exercise regularly. It helps you burn the extra fat deposits and regulate your blood flow.
8. Priapism: Persistent, Painful and a Never Ending Erection
Priapism is a never-ending erection that lasts for hours in the absence of physical or psychological stimulation. Even though it is rare for a man to come across this nasty disorder, it is a disastrous situation that requires immediate medical care.
Common causes of priapism include:
- Alcohol or drug abuse, especially cocaine.
- Certain medications, such as antidepressants and blood pressure medication.
- Injury to the genitals.
- Certain types of anesthesia.
- Spinal cord problems.
- Penile injection therapy.
- Blood diseases, such as leukemia and sickle cell anemia.
It is vital to get treatment for priapism because a prolonged erection can damage the penis. The treatment aims to relieve the erection and safeguard penile function. Here are your treatment options:
- Doctors may drain the blood using a needle placed in the side of the penis.
- They may prescribe medicine to shrivel blood vessels, which cuts the blood flow to the penis.
- In rare cases, they may operate to prevent permanent damage to the penis.
- If the condition is due to sickle cell disease, they may do a blood transfusion.
9. Peyronie’s Disease: The Growth of Fibrous Plaque
Peyronie’s disease is the curvature of the penis caused by fibrous plaque or scars situated along the shaft of the penis, on either side. Plaque starts as a small area of irritation and inflammation, which later grows into a hard scar. This scar decreases the elasticity of the penis in the affected area.
The mild form of Peyronie’s Disease often heals itself within six to 15 months; however, the severe cases may last for years. The hardened area decreases flexibility, causes pain and forces the penis to bend during erections. Some of the major causes of this disease include:
- Vasculitis: An inflammation of blood or lymphatic vessels that may lead to the development of scar tissue.
- Connective tissue disorders: Connective tissue such as skin, bone and cartilage, work to support other bodily tissues. Such disorders harden the connective tissue.
- Heredity: If the disorder runs in the family, the descendants are at a greater risk of developing the disease.
- Your doctor will often suggest that you wait for a year before starting the proper treatment.
- They may inject medication directly into the plaque in order to soften the affected tissue.
- Males with serious disorder often undergo surgery. This is a risky procedure and your doctor will only perform surgery on men with severe curvatures and who are unable to do intercourse.
10. Balanitis: When Penis Irritation and Inflammation Strikes
Balanitis is an inflammation of the skin of the penis or the glans penis. This condition is common in uncircumcised males and men with diabetes. In diabetics, glucose from urine gets trapped under the foreskin, and works as a breeding ground for bacteria.
Main causes include:
- Inflammation: It may occur when you don’t wash the delicate skin under the foreskin regularly. It allows debris, sweat, dead skin and bacteria to gather under the foreskin and cause irritation.
- Dermatitis: Allergic reactions may occur when you are sensitive to chemicals in certain products, such as detergents, soaps, perfumes and spermicides. An allergic reaction may lead to irritation, itching and a rash.
- Infection: Thrush may cause an itchy rash. Some sexually transmitted diseases such as herpes, gonorrhea, and syphilis may produce symptoms of balanitis.
- Your doctor will prescribe you a suitable antibiotic or antifungal medication if there is an infection.
- Appropriate hygiene measures work to prevent future attacks of balanitis.
- Avoid strong chemicals or soaps, particularly those known to cause a skin reaction.
11. Impotence and Prostate Surgery
A prostatectomy is a surgical procedure that removes some or all of a man’s prostate. Doctors often conduct this surgery to treat prostate cancer or an enlarged prostate.
There can be a few side effects to this surgery. One of the penalties of this surgery can be incontinence or impotence. Thus, you should talk to your doctor about any concerns you may have about your sex life before undergoing a prostatectomy.
12. Paraphimosis: Impaired Blood Flow
Paraphimosis may happen after sexual intercourse. It may also occur as a result of injury to the penis head. In this condition, the foreskin gets stuck behind the ridge of the head of the penis.
Paraphimosis can cause pain and swelling. It also slows the flow of blood to the penis. In severe cases, the lack of blood flow can cause gangrene, which is the death of tissue.
- The doctor aims to reduce swelling of the glans and foreskin.
- Application of ice may help to lessen swelling.
- Doctors may use an injection to help drain the penis.
- In a few cases, a surgeon may make small cuts in the foreskin to release it.
- Doctors may use circumcision as a treatment for paraphimosis.
13. Age and Male Fertility: All About Reduced Semen Quantity
Semen, which contains sperm, is ejected through the end of the penis when the man reaches sexual peak.
As you grow old, your sperm ages, too. You may experience a decreased volume of sperm with age. The testes continue to produce sperm, but the rate of sperm cell production slows down. Besides, the tubes that carry sperm may become less elastic.
The seminal vesicles, epididymis, and prostate gland lose some of their surface cells. But they continue to produce the fluid that helps to carry sperm.
Other Causes for Decreased Semen
Some of the causes of decreased semen volume include the following:
- Poor diet.
- Unhealthy lifestyle.
- Lack of exercise.
- Medical conditions like high blood pressure, diabetes and urinary tract infection.
- Frequent ejaculation.
14. A Rare Sexual Disorder All Men Should Be Aware of Today
Penile cancer occurs when the penis cells divide themselves abnormally and in an uncontrolled manner. In some cases, certain non-cancerous tumors may also advance to grow as cancer. Penile cancer includes tumors or abscesses on the penis, bleeding and abnormal discharge from the penis.
Risk Factors for Penile Cancer
The risk factors for cancer of the penis may include the following:
- Age: Most cases of penile cancer happen in men over age 50.
- Circumcision: Men who are not circumcised at birth are at a risk of getting penile cancer.
- Smoking: It exposes your body to numerous cancer-causing chemicals.
- Smegma: Oily secretions from the skin can accumulate under the foreskin of the penis and create a thick, foul-smelling substance called smegma. Smegma can cause inflammation and irritation.
Penile Cancer Treatment Options
Doctors conduct surgery to effectively remove the cancerous cells from the penis. In severe cases, they may conduct an amputation of the penis, otherwise known as a penectomy. Other surgical options include:
- Wide Local Excision
- Laser Surgery
15. Tips to Keep Yourself Sexual Healthy, Even During Middle Age
Prevention is better and cheaper than cure. There are practical methods to reduce the incidences of sexual health disorders as you grow old. To keep yourself sexually young, you must keep these in mind:
- Age is all in your mind. Growing old is just a mindset. Feel young and healthy. Don’t get discouraged and stressed about growing old. Have a positive outlook on life and it will reflect on your physique.
- Live a healthy lifestyle. Your body will surely change and you must be ready for it. As it changes, you should work to rejuvenate your body by having a healthy lifestyle. Have a proper diet and engage in regular exercise. Avoid smoking and alcohol consumption.
- Know your body. As changes come, do not reject them. Instead, understand them and make adjustments if necessary. Do not get entangled in the fact that your body has changed and that those changes will limit the things you can do. Instead, embrace your age with grace.
- Have an open discussion with your partner. It helps a lot if you have an open -minded partner who understands what changes may occur with age. Be open about the difficulties you experience and make her understand the processes you need to go through.
- Consult with your doctor. Regular consultation with your doctor will help you to understand your condition. This will also allow your doctor to prescribe the appropriate medicine for you. Avoid self-medication.
There are many causes of a decrease in sexual health as you age. You cannot control all the factors that cause sexual disorders, but you can do the needful. Make healthy eating choices and improve lifestyle habits in order to lead a satisfying life. When you are physically and psychologically fit, age just seems like a number. Don’t let your age ruin your sexual chemistry with your partner.