Sexual function of the ageing male
Abstract
With the progressive increase in the proportion of older people, there is an increasing interest in characterizing the modifications of sexual health and the effect of its perturbations as a function of the aging process. The aim of this review is to summarize the available evidence regarding the age-dependent modifications of male sexual function and their interaction with general health and age-dependent modification of endocrine function. Elderly patients are often affected by multiple organic diseases which can interfere with sexual function. Despite this evidence, several studies have indicated that, with advancing age, normal erections are not an absolute prerequisite to remain sexually active. Good physical health, the availability of a partner, and a regular and stable pattern of sexual activity earlier in life predict the maintenance of sexual activity in old age. Conversely, there are no convincing data that hormonal changes, associated with aging, have a primary role in underlying changes in sexual function in healthy aging men. Nonetheless, sexual dysfunctions especially in elderly people are poor investigated. Asking about sexual health remains difficult or embarrassing for many primary care physicians. In addition, many patients find it difficult to raise sexual issues with their doctor. This situation often results in sexual issues not being adequately addressed thus resulting in depression, social withdrawal and delayed diagnosis of underlying medical conditions often resulting in forthcoming cardiovascular events. Education and permission from a health care professional may help to alter such misconceptions. Information from physicians regarding normal age-related changes in sexuality and encouragement, together with advice on how to continue meaningful sexual relations, may play a key role in altering such negative attitudes.
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Older men may experience severe levels of impaired sexual function without significant distress.
“Hence, older men may experience severe levels of impaired sexual function without significant distress.72”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [72]
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“− 72 Although underlying etiology is important to ensure appropriate management, fragmentation must be averted because ED represents a spectrum with various degrees of psychological and biological involvement.”
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The complex association between metabolic syndrome and male hypogonadism
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Cross-Sectional Study of Sexual Activity and Satisfaction Among Older Adult's ≥60 Years of Age
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PPL2ab neurons restore sexual responses in aged Drosophila males through dopamine
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Vitamin D and Male Sexual Function: A Transversal and Longitudinal Study
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Health-Related Quality of Life and Quality of Sexual Life in Obese Subjects
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“Why not ask the doctor?” Barriers in help-seeking for sexual problems among older adults in Poland
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Gonadal failure is associated with visceral adiposity in myotonic dystrophies
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Long Non-Coding RNA Expression Profiling in Aging Rats with Erectile Dysfunction
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Deciding Which Testosterone Therapy to Prescribe
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Long-term Satisfaction After Open Radical Prostatectomy
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Sexual desire in older men and its association with serum testosterone and other factors
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Avanafil: The Second-Generation Treatment of Erectile Dysfunction
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Treatment Approaches to Sexual Dysfunction in Late Life
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Influence of visual acuity level on sexual function in patients with cataract
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Elderly Men Sexuality in Ouagadougou (Burkina Faso)
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Addressing erectile dysfunction in prostate cancer survivors after radical prostatectomy
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Testosterone and Sexual Function
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Sexual Health in the Aging Couple
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Nosology of the Sexual Dysfunctions: Are They Appropriate to Older Adults?
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Sexual Health in the Older Adults
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Low measured free testosterone is associated with worse sexual function in community-dwelling men
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Premature Ejaculation and Its Association with Serum Testosterone Levels: A Comprehensive Review
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Statin therapy and sex hormones
Chiti, H., Parsamanesh, N., Reiner, Ž., Jamialahmadi, T., & Sahebkar, A. (2023) · Principles of Gender-Specific Medicine · doi:10.1016/b978-0-323-88534-8.00012-2 · Cited by 1 · see citing works
Underlying Principles in Ejaculatory and Orgasmic Function and Dysfunction in the Male
Scovell, J. M., & Eisenberg, M. L. (2016) · Springer eBooks · doi:10.1007/978-1-4939-3100-2_13 · Cited by 1 · see citing works
Rokach, A., & Patel, K. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-819174-3.00009-7 · Cited by 1 · see citing works
Testosterone Therapy with a Man with Equivocal Testosterone Levels
Corona, G., & Maggi, M. (2022) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2022.03.601 · Cited by 1 · see citing works
Testosterone and Sexual Function
Corona, G., Rastrelli, G., Ferri, S., Sforza, A., & Maggi, M. (2023) · Springer eBooks · doi:10.1007/978-3-031-31501-5_17 · Cited by 1 · see citing works
CONSIDERAÇÕES AO PROFISSIONAL DE SAÚDE
Louro, M. (2014)
- Authors
- Corona, G., Rastrelli, G., Maseroli, E., Forti, G., & Maggi, M.
- Affiliations
- Azienda USL di Bologna (IT)
- University of Florence (IT)
- Corresponding author
- Maggi, Mario
- Venue
- Best Practice & Research Clinical Endocrinology & Metabolism
- Publisher
- Elsevier BV
- Published
- 2013-08
- Volume
- 27
- Issue
- 4
- Pages
- 581-601
- ISSN
- 1521-690X (ISSN-L)
- OpenAlex
- W1998257707
- Cited by
- 121
- References
- 98
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 7 · 2023: 7 · 2022: 7 · 2021: 9 · 2020: 7 · 2019: 12 · 2018: 12 · 2017: 11 · 2016: 19 · 2015: 11 · 2014: 7
- FWCI
- 1.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Best Practice & Research Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Florence Research (University of Florence) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Keywords
- male sexual function, older men, sexual health, erectile dysfunction, endocrine aging, comorbidities, sexual dysfunction, physician-patient communication, primary care
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Aging, Ejaculation, Female, Humans, Erectile Dysfunction, Libido, Male, Middle Aged, Orgasm, Sexual Behavior, Testosterone, Hormone Replacement Therapy, Phosphodiesterase 5 Inhibitors, Premature Ejaculation
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