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1. Changes in Size and Shape
As men age, the penis may appear slightly shorter or thinner. This is usually due to:
- Reduced blood flow
- Loss of tissue elasticity
- Changes in connective tissue
These changes are typically gradual and vary widely from person to person.
2. Erections May Take Longer
- Lower testosterone levels
- Circulatory changes
- Certain medications or health conditions
Importantly, this is normal, not a sign of failure or loss of masculinity.
3. Sensitivity Can Decrease
With age, nerve sensitivity may decline slightly, which can affect sexual response. While this may change how stimulation feels, it doesn’t mean intimacy or pleasure disappears — it simply evolves.
4. Health Conditions Play a Bigger Role
Conditions such as heart disease, diabetes, high blood pressure, and obesity can directly impact penile function. In fact, erectile changes are sometimes early warning signs of broader cardiovascular issues.
This is why doctors often view sexual health as a window into overall health.
5. Testosterone Gradually Declines
Testosterone levels tend to decrease slowly after midlife. This can affect:
- Libido
- Energy levels
- Muscle mass
- Sexual performance
However, many men maintain healthy testosterone levels well into older age, especially with good lifestyle habits.
6. Sexual Desire Doesn’t Automatically Disappear
Contrary to popular myths, many older men continue to have active, satisfying sex lives. Desire may change, but emotional intimacy, connection, and experience often compensate for physical differences.
How to Support Sexual Health as You Age
Experts recommend:
- Regular physical activity
- A heart-healthy diet
- Avoiding smoking
- Managing chronic conditions
- Open communication with healthcare providers
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