Declining sexual activity and desire in men: findings from representative German surveys, 2005 and 2016.
Abstract
BACKGROUND: Surveys have indicated an increase of sexual activity in aging men; recently, however, a decrease of sexual activity has been reported in young men. AIM: To assess (i) sexual activity and desire and their determinants across the age range in a population-based male sample and (ii) their changes over 11 years. METHODS: A representative survey of men (N = 1,095) 18 to 93 years old from 2016 was compared with a survey from 2005 (N = 1,106 men) with the same age range. Samples were drawn from the German population at random using standardized sampling procedures. Questions were filled out by participants in the presence of a trained interviewer. Sexual activity was compared using logistic regression with the factors survey (2005 vs 2016), living with a partner (yes vs no), and age. Frequency of sexual desire was compared using analysis of covariance with the factors survey (2005 vs 2016), living with a partner (yes vs no), and the covariate age. OUTCOMES: Sexual activity was assessed as having been intimate with someone in the past year; frequency of sexual desire was evaluated within the past 4 weeks. RESULTS: The great majority of men cohabiting with a partner in 2016 was sexually active and indicated sexual desire until 70 years of age; half did so at an older age. Across the age range, men living without a partner reported considerably less sexual activity and desire. Compared with 2005, fewer men reported living with a partner. The overall proportion of men reporting sexual activity deceased from 81% to 73% in 2016 and absent sexual desire increased from 8% to 13%. CLINICAL TRANSLATION: The findings highlight the relevance of living with a partner for sexual activity and desire. We advocate using a measure of sexual activity that encompasses many variants of intimate behavior. STRENGTHS AND LIMITATIONS: Large and methodologically comparable population-based samples were compared. However, interpretations are limited by the absence of longitudinal data. We did not assess the effect of having a partner living elsewhere. CONCLUSION: Sexual activity and desire decreased, especially in the young and middle-age groups. The decrease of men living with a partner contributed to this decreased sexual activity and desire. There was a generation effect, with younger and middle-age men living without a partner becoming less sexually active and experiencing less desire compared with the previous survey. The findings unveil changes in sexual activity and desire in a short time span. Beutel ME, Burghardt J, Tibubos AN, et al. Declining Sexual Activity and Desire in Men-Findings From Representative German Surveys, 2005 and 2016. J Sex Med 2018;15:750-756.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Cites
Impotence and Its Medical and Psychosocial Correlates: Results of the Massachusetts Male Aging Study
Feldman, H. A., Goldstein, I., Hatzichristou, D. G., Krane, R. J., & McKinlay, J. B. (1994) · Journal of Urology · doi:10.1016/s0022-5347(17)34871-1 · Cited by 5,074 · see citing works
Mercer, C. H., Tanton, C., Prah, P., Erens, B., Sonnenberg, P., Clifton, S., Macdowall, W., Lewis, R., Field, N., Datta, J., et al. (2013) · The Lancet · doi:10.1016/s0140-6736(13)62035-8 · Cited by 724 · see citing works
Mitchell, K. R., Mercer, C. H., Ploubidis, G. B., Jones, K. G., Datta, J., Field, N. M., Copas, A. J., Tanton, C., Erens, B., Sonnenberg, P., et al. (2013) · The Lancet · doi:10.1016/s0140-6736(13)62366-1 · Cited by 540 · see citing works
Lindau, S. T., & Gavrilova, N. (2010) · BMJ · doi:10.1136/bmj.c810 · Cited by 528 · see citing works
Changes in American Adults’ Sexual Behavior and Attitudes, 1972–2012
Twenge, J. M., Sherman, R. A., & Wells, B. E. (2015) · Archives of Sexual Behavior · doi:10.1007/s10508-015-0540-2 · Cited by 326 · see citing works
Beutel, M. E., Stöbel‐Richter, Y., & Brähler, E. (2008) · BJU International · doi:10.1111/j.1464-410x.2007.07204.x · Cited by 155 · see citing works
Female Sexual Dysfunction in a Healthy Austrian Cohort: Prevalence and Risk Factors
Ponholzer, A., Roehlich, M., Racz, U., Temml, C., & Stephan Madersbacher, A. (2004) · European Urology · doi:10.1016/j.eururo.2004.10.005 · Cited by 143 · see citing works
Twenge, J. M., Sherman, R. A., & Wells, B. E. (2017) · Archives of Sexual Behavior · doi:10.1007/s10508-016-0798-z · Cited by 122 · see citing works
Hypoactive sexual desire disorder: an underestimated condition in men
MEULEMAN, E. J. H., & van Lankveld, J. J. D. M. (2005) · British Journal of Urology · doi:10.1111/j.1464-410x.2005.05285.x · Cited by 98 · see citing works
Beutel, M. E., Schumacher, J., Weidner, W., & Brähler, E. (2002) · Andrologia · doi:10.1046/j.0303-4569.2001.00473.x · Cited by 78 · see citing works
Epidemiology of sexual dysfunction in the male population
Beutel, M. E., Weidner, W., & Brähler, E. (2006) · Andrologia · doi:10.1111/j.1439-0272.2006.00730.x · Cited by 67 · see citing works
ADM-Design und Einwohnermelderegister-Stichprobe
Koch, A. (1997) · VS Verlag für Sozialwissenschaften eBooks · doi:10.1007/978-3-322-86533-5_8 · Cited by 40 · see citing works
Daugherty, J., & Copen, C. E. (2016) · PubMed · Cited by 34 · see citing works
Wentzell, E. (2017) · The Journal of Sex Research · doi:10.1080/00224499.2016.1259386 · Cited by 26 · see citing works
Das ADM-Stichproben-System Stand: 1993
ADM-Stichproben, A., & Wendt, B. (1994) · VS Verlag für Sozialwissenschaften eBooks · doi:10.1007/978-3-663-08044-2_14 · Cited by 23 · see citing works
[Social inequality and trends in mortality among singles in Norway].
Zahl, P., Rognerud, M. A., & Strand, B. H. (2003) · PubMed · Cited by 2 · see citing works
Flagged first, then by citations
1 of the 17 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Ueda, P., Mercer, C. H., Ghaznavi, C., & Herbenick, D. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.3833 · Cited by 198 · see citing works
Epidemiology of Male Sexual Dysfunction in Asian and European Regions: A Systematic Review
Irfan, M., Hussain, N. H. N., Norhayati, M. N., Mohamed, M., Sidi, H., & Ismail, S. B. (2020) · American Journal of Men s Health · doi:10.1177/1557988320937200 · Cited by 112 · see citing works
Gleason, N., Banik, S., Braverman, J., & Coleman, E. (2021) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2021.08.008 · Cited by 80 · see citing works
Park, Y., & MacDonald, G. (2022) · Archives of Sexual Behavior · doi:10.1007/s10508-021-02153-y · Cited by 60 · see citing works
Herbenick, D., Rosenberg, M. S., Golzarri‐Arroyo, L., Fortenberry, J. D., & Fu, T. (2021) · Archives of Sexual Behavior · doi:10.1007/s10508-021-02125-2 · Cited by 56 · see citing works
Karşıyakalı, N., Şahin, Y., Ateş, H. A., Okucu, E., & Karabay, E. (2020) · Sexual Medicine · doi:10.1016/j.esxm.2020.10.007 · Cited by 76 · see citing works
Explaining the Decline in Young Adult Sexual Activity in the United States
Lei, L., & South, S. J. (2020) · Journal of Marriage and the Family · doi:10.1111/jomf.12723 · Cited by 38 · see citing works
Herkommer, K., Meissner, V. H., Dinkel, A., Jahnen, M., Schiele, S., Kron, M., Ankerst, D. P., & Gschwend, J. E. (2023) · Andrology · doi:10.1111/andr.13524 · Cited by 34 · see citing works
Sexual Abstinence and Associated Factors Among Young and Middle-Aged Men: A Systematic Review
Irfan, M., Hussain, N. H. N., Norhayati, M. N., Mohamed, M., & Ismail, S. B. (2020) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2019.12.003 · Cited by 32 · see citing works
Defining sexuality in later life: A systematic review
Macleod, A., & McCabe, M. P. (2020) · Australian Journal on Ageing · doi:10.1111/ajag.12741 · Cited by 32 · see citing works
Burghardt, J., Beutel, M. E., Hasenburg, A., Schmutzer, G., & Brähler, E. (2019) · Archives of Sexual Behavior · doi:10.1007/s10508-019-01525-9 · Cited by 30 · see citing works
Herbenick, D., Fu, T., & Patterson, C. L. (2022) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2022.2126417 · Cited by 25 · see citing works
Ueda, P., & Mercer, C. H. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-030708 · Cited by 21 · see citing works
Ghaznavi, C., Ueda, P., Okuhama, A., & Sakamoto, H. (2023) · The Journal of Sex Research · doi:10.1080/00224499.2023.2178614 · Cited by 21 · see citing works
Rottmann, N., Larsen, P. V., Johansen, C., Hagedoorn, M., Dalton, S. O., & Hansen, D. G. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.828422 · Cited by 17 · see citing works
Træen, B., Fischer, N., & Kvalem, I. L. (2021) · Sexual & Relationship Therapy · doi:10.1080/14681994.2021.1912316 · Cited by 17 · see citing works
Grulich, A. E., Mercer, C. H., Sturrock, B. R., Baral, S., Turpin, N., Phanuphak, N., Rowley, J. T., Wi, T., Gemzell‐Danielsson, K., Garcia‐Moreno, C., et al. (2025) · The Lancet · doi:10.1016/s0140-6736(25)01188-2 · Cited by 18 · see citing works
Attaky, A., Schepers, J., Kok, G., & Dewitte, M. D. (2021) · Sexual Medicine · doi:10.1016/j.esxm.2020.100303 · Cited by 17 · see citing works
Meissner, V. H., Schroeter, L., Köhn, F., Kron, M., Zitzmann, M., Arsov, C., Imkamp, F., Hadaschik, B. A., Gschwend, J. E., & Herkommer, K. (2019) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2019.04.018 · Cited by 19 · see citing works
Ateş, E., Kazıcı, H. G., Yıldız, A. E., Sulaimanov, S., Kol, A., & Erol, H. (2021) · Archivio Italiano di Urologia e Andrologia · doi:10.4081/aiua.2021.3.341 · Cited by 13 · see citing works
Hadisuyatmana, S., Efendi, F., Has, E. M. M., Wahyuni, S. D., Bauer, M., Boyd, J., & Reisenhofer, S. (2021) · Sexuality and Disability · doi:10.1007/s11195-021-09687-y · Cited by 11 · see citing works
Eddy, S., Douglass, C. H., Raggatt, M. H., Thomas, A. J., & Lim, M. S. C. (2023) · Sexual Health · doi:10.1071/sh22122 · Cited by 11 · see citing works
van Greevenbroek, R., Patel, D., & Singh, A. (2023) · Designing Interactive Systems Conference · doi:10.1145/3563657.3596080 · Cited by 8 · see citing works
Costa, R. M. (2022) · Cambridge University Press eBooks · doi:10.1017/9781108943567.011 · Cited by 8 · see citing works
Macleod, A., Busija, L., & McCabe, M. P. (2019) · Sexual Medicine · doi:10.1016/j.esxm.2019.10.001 · Cited by 8 · see citing works
Przydacz, M., Chłosta, M., Chrobak, A. A., Rajwa, P., Dudek, P., Wiatr, T., Gronostaj, K., Czech, A. K., Miszczyk, M., Skalski, M., et al. (2024) · PLoS ONE · doi:10.1371/journal.pone.0296449 · Cited by 7 · see citing works
Trost, L. W., Rowland, D. L., Meston, C. M., Kingsberg, S. A., Briken, P., Gross, M., Esho, T. C., Lewis, R., & Giraldi, A. (2026) · Sexual Medicine Reviews · doi:10.1093/sxmrev/qeag028 · Cited by 7 · see citing works
(2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9780890425787.x13_sexual_dysfunctions · Cited by 6 · see citing works
Changes in sexual frequency among 51 150 infertile Chinese couples over the past 10 years
Zhu, Y., Wang, B., Zhu, Q., Ye, J., & Kuang, Y. (2022) · Human Reproduction · doi:10.1093/humrep/deac044 · Cited by 4 · see citing works
Hahn, A., Kröger, C. B., Meyer, C. G., Loderstädt, U., Meyer, T., Frickmann, H., & Zautner, A. E. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17155504 · Cited by 4 · see citing works
Fischer, N., Kozák, M., Graham, C. A., Clifton, S., Mercer, C. H., & Mitchell, K. R. (2025) · The Journal of Sex Research · doi:10.1080/00224499.2025.2555053 · Cited by 4 · see citing works
Evaluation and management of male sexual dysfunction in Parkinson's disease: A clinical road map
Rafetto, A. N., Murray, G. R., & Ziegelmann, M. J. (2025) · Journal of Parkinson s Disease · doi:10.1177/1877718x251394341 · Cited by 4 · see citing works
Characteristics of Young People Reporting a Low Sexual Desire in Switzerland
Chok, L., Surı́s, J.-C., & Barrense‐Dias, Y. (2023) · Sexuality & Culture · doi:10.1007/s12119-023-10171-2 · Cited by 3 · see citing works
Meissner, V. H., Soehne, V. A., Dinkel, A., Jahnen, M., Schiele, S., Kron, M., Gschwend, J. E., & Herkommer, K. (2025) · International Journal of Impotence Research · doi:10.1038/s41443-025-01119-1 · Cited by 2 · see citing works
Peyronie’s disease and risk of depression. A nationwide 25-year cohort study
Lindhardt-Mejlholm, S. L., Mortensen, K. K., Andersen, I. T., Nørgaard, M., & Lund, L. C. (2025) · The Journal of Sexual Medicine · doi:10.1093/jsxmed/qdaf168 · Cited by 2 · see citing works
Li, S., Tan, T., Xiang, D., Bai, C., Zhou, L., & Wu, G. (2023) · Public Health · doi:10.1016/j.puhe.2023.08.030 · Cited by 2 · see citing works
Sexual Inactivity in Japan: A Scoping Review
Ueda, P., Toki, S., Nomura, S., Pacher, A., Ghaznavi, C., & Sakamoto, H. (2025) · The Journal of Sex Research · doi:10.1080/00224499.2025.2564192 · Cited by 2 · see citing works
Social class differentials in marital sex in China (2000–2015)
Zhang, Y., Wang, X., & Pan, S. (2022) · Chinese Journal of Sociology · doi:10.1177/2057150x221107958 · Cited by 2 · see citing works
Bernecker, K., Becker, D., Weitkamp, K., & Wehrli, F. S. V. (2024) · Current Psychology · doi:10.1007/s12144-024-06017-1 · Cited by 2 · see citing works
Gosztonyi, M. (2024) · Social Psychology and Society · doi:10.17759/sps.2024150208 · Cited by 1 · see citing works
Associations of vasectomy with sexual dysfunctions and the sex life of middle‐aged men
Jahnen, M., Rechberger, A., Meissner, V. H., Schiele, S., Schulwitz, H. S., Gschwend, J. E., & Herkommer, K. (2024) · Andrology · doi:10.1111/andr.13804 · Cited by 1 · see citing works
Gomes, S. D. L. R., Costa, R. M., Mangia, P., Pestana, J. O. M., Coelho, M. P., & Correia, C. (2019) · Análise Psicológica · doi:10.14417/ap.1524 · Cited by 1 · see citing works
Pozza, D., Berardi, A., Pozza, M., Mosca, A., & Pozza, C. (2021) · Archivio Italiano di Urologia e Andrologia · doi:10.4081/aiua.2021.1.53 · Cited by 1 · see citing works
Cybersex (including sex robots)
Fuß, J., & Bőthe, B. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-822201-0.00010-1 · Cited by 1 · see citing works
La cybersexualité va-t-elle remplacer la sexualité ?
Moal, R. (2021) · Sages-Femmes · doi:10.1016/j.sagf.2020.11.009
Ammonium gas effect on the male rats’ reproductive system
Belyaev, N., Timchenko, L. D., Rzhepakovsky, I. V., Piskov, S., Grudneva, A. D., & Mikhailenko, V. V. (2021) · Medical news of the North Caucasus · doi:10.14300/mnnc.2021.16013
Neuhof, C., & Hartmann, U. H. (2021) · Springer eBooks · doi:10.1007/978-3-662-62512-5_20
Cerwenka, S. C., Pietras, L., Dekker, A., & Briken, P. (2022) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2022.2158976
(2022) · Cambridge University Press eBooks · doi:10.1017/9781108943567.010
Rastrelli, G., Corona, G., & Maggi, M. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-13825-6.00107-2
Sexual Preferences in Men: Casual Sex and Sexual Variety
Brooks, T. R. (2025) · Springer eBooks · doi:10.1007/978-3-031-08956-5_2250-1
Historical Trends in Sexual Activity and Sexual Health in France (1992–2023): A Gendered Perspective
Bajos, N., Bozon, M., Bellamine, R., & Andro, A. (2026) · Perspectives on Sexual and Reproductive Health · doi:10.1111/psrh.70078
- Authors
- Beutel, M. E., Burghardt, J., Tibubos, A. N., Klein, E. M., Schmutzer, G., & Brähler, E.
- Affiliations
- University Medical Center of the Johannes Gutenberg University Mainz (DE)
- Leipzig University (DE)
- Corresponding author
- Burghardt, Juliane
- Venue
- The Journal of Sexual Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2018-05-01
- Volume
- 15
- Issue
- 5
- Pages
- 750-756
- ISSN
- 1743-6095 (ISSN-L)
- 1743-6109
- OpenAlex
- W2802141521
- Cited by
- 53
- References
- 17
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 5 · 2023: 6 · 2022: 9 · 2021: 11 · 2020: 7 · 2019: 5
- FWCI
- 4.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- The Journal of Sexual Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Social Sciences › Sociology and Political Science › Marriage and Sexual Relationships
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Keywords
- sexual activity, sexual desire, men, age differences, living arrangements, cohabitation, partner status, generational change, sexual behavior trends, older men, young men, Germany
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Germany, Humans, Libido, Male, Middle Aged, Puberty, Precocious, Surveys and Questionnaires, Sexual Behavior, Socioeconomic Factors, Logistic Models, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review