Beyond Prime – 6 Common Sexual Issues Men Face as We Age

Youth is associated with robust sexual function and vitality. As we age, maintaining our sexual health can become challenging as physical and psychological changes affect sexual performance and satisfaction. 

This article explores six of the most common sexual issues many guys experience as they grow older. Some are more well-known and openly discussed, like erectile issues and decreased libido, while others are only whispered about or flat-out ignored, like performance anxiety and reduced sensitivity.

Fortunately, there are strategies to combat these challenges for those who want to be proactive in their sexual health and wellness. Proactive management enhances intimate relationships, improves sexual health, and preserves quality of life. 

Let’s dive in and explore the most common sexual issues men experience with age, their underlying causes, and practical ways to address them.

#1 Premature Ejaculation

Premature ejaculation is a common sexual issue where ejaculation occurs sooner than desired, often within one minute of penetration. It can affect sexual satisfaction and emotional intimacy, leading to distress and increased frustration for both partners, further exacerbating the issue.

This common sexual problem affects about one in five men in the sexually active age group. According to numerous surveys conducted, premature ejaculation is the most common  functional issue in the bedroom for men1.


Premature ejaculation can result from a combination of factors, including:

  • Psychological: Stress, relationship issues, and feelings of anxiousness can significantly impact ejaculatory control.
  • Hypersensitivity: Increased penile sensitivity to stimulation can cause rapid ejaculation.
  • Hormonal Imbalances: Variations in serotonin, dopamine, and other hormone levels can affect ejaculatory timing.

Physical, chemical, and psychological determinants influence rapid or premature ejaculation.

Natural Ways to Combat Premature Ejaculation

Most men with premature ejaculation do not seek assistance, whether due to embarrassment, anxiety, or a lack of confidence in available treatments. Fortunately, there are natural strategies to help manage this common sexual issue.

The “stop-start” method involves stimulating the penis until the urge to ejaculate is felt, then stopping until the sensation subsides, repeating the process. The squeeze technique involves applying pressure to the penis just before ejaculation to help delay it.

Herbal supplements like Ashwagandha, known for its stress-relieving properties, can help manage anxiety-related issues. Saffron, a well-known spice, and Shilajit, a mineral wax, have been shown to help delay ejaculation and improve sexual function.

#2 Erectile Issues

Erectile issues or difficulties in achieving or maintaining an erection are a common concern among aging men. They can have a significant impact on self-esteem, intimate relationships, and sexual performance.

The prevalence of these issues increases with each passing year, typically afflicting men over 40. Studies suggest more than half of men over the age of 40 experience some degree of erectile difficulties2.


Several factors can contribute to erectile issues in older men, including the following:

  • Reduced Blood Flow: This is often the result of cardiovascular conditions like atherosclerosis, which narrows and hardens the arteries.
  • Hormonal Changes: Declining testosterone levels affect sexual desire and erectile function.
  • Psychological Factors: Stress and depressive or anxious feelings can exacerbate existing or, in some cases, cause erectile issues.

Erectile issues stem from a complex interplay of physical and mental health concerns.

Natural Ways to Combat Erectile Issues

A multifaceted approach is often the best way to address erectile issues. Start by adopting a healthier lifestyle. Exercising regularly improves cardiovascular health and blood flow, while a balanced diet supports overall wellness.

Additionally, natural supplements may help alleviate some erectile issues. Consider products containing Ginseng, which is known for improving blood flow, and L-arginine, an amino acid that supports vascular health. If your problem stems from an underlying medical condition, you should consult with a physician.

#3 Low Libido

Reduced interest in sexual activity, or low libido, is a common issue that affects older men, significantly impacting intimate relationships. A decrease in the desire to engage in sexual activities can lead to feelings of disconnection, frustration, and misunderstanding between partners.

While fluctuations in libido are expected, a persistent lack of sexual desire can strain even the strongest relationships. Enhancing libido and overall sexual health is essential for maintaining fulfilling sexual relationships.


Several factors contribute to low libido, including:

  • Psychological: Prolonged stress and feelings of anxiousness interfere with the brain’s ability to produce the chemicals responsible for sexual desire.
  • Hormonal Changes: Declining testosterone levels directly impact sex drive.
  • Medical Conditions: Diabetes, cardiovascular disease, and depression can diminish sexual desire.
  • Medications: Certain medications are associated with side effects that lower libido.

Physiological, psychological, and external factors can adversely impact libido and sexual desire.

Natural Ways to Combat Low Libido

Managing stress effectively by meditating or practicing yoga and deep-breathing exercises can help restore sexual desire. These stress-reducing practices improve mood and enhance well-being, supporting a healthier libido.

Several natural supplements have been shown to boost libido. Maca Root has traditionally been used to enhance sexual desire and stamina, while Tribulus Terrestris helps increase testosterone levels and improve libido. When low libido is linked to significantly reduced testosterone levels, medical treatment, such as hormone therapy, may be necessary.  As always, if your issues stem from a medical condition, a visit to a physician is warranted.  

#4 Prostate Health Issues

Two prevalent prostate conditions become a concern as men age: benign prostatic hyperplasia (BPH) and prostatitis. An enlarged prostate (BPH) is more common in older men and can lead to urinary problems. Inflammation of the prostate (prostatitis) often causes pain and urinary issues and can be acute or chronic.

Prostate issues impact sexual function, making it difficult to maintain erections, increasing pain during ejaculation, and reducing sexual satisfaction. Poor prostate health can also lead to a decreased libido, leading to increased stress and frustration.


Some potential causes of prostate issues include the following:

  • Hormonal Changes
  • Inflammation
  • Infections
  • Poor Diet
  • Lack of Exercise

In addition to aging, these internal and external factors can have a profound effect on prostate health.

Natural Ways to Combat Prostate Health Issues

Promoting prostate health through holistic approaches can reduce the risk of complications and improve overall sexual function. Reducing caffeine and alcohol intake, maintaining a healthy weight, and exercising regularly benefit prostate health.

A diet rich in fruits, vegetables, and healthy fats can also support a healthy prostate. Regular screenings and check-ups can lead to early detection of issues, allowing you to manage them effectively. Additionally, certain supplements, such as Saw Palmetto, have been shown to reduce symptoms associated with BPH and prostatitis.  For prostate problems caused by medical conditions, it is important to see a doctor.  

#5 Reduced Sensations

Reduced penile sensations or sensitivity is a distressing issue for men and their partners. This condition can manifest as a lessened response to touch or decreased pleasure and satisfaction during sexual activity, potentially causing partners to feel confused or rejected.

As sensitivity decreases, achieving and maintaining arousal becomes more difficult. Reaching climax also becomes more challenging, affecting confidence in the bedroom and intimacy in relationships.


Several factors can reduce penile sensitivity:

  • Nerve Damage: Certain neurological disorders can damage the nerves responsible for penile sensitivity.
  • Diabetes: High blood sugar levels can lead to neuropathy, negatively affecting nerve function.
  • Reduced Blood Flow: Natural aging can reduce blood flow and nerve function, diminishing sensitivity.
  • Chronic Medical Conditions: Multiple Sclerosis, Peyronie’s disease, and other conditions can affect penile sensitivity.
  • Medications: Medications for blood pressure and depression may have side effects that reduce sensitivity and nerve function.

Overall, nerve health and healthy blood flow are vital for penile sensitivity, and damage to nerve function, whatever the reason, can significantly impact sexual health and satisfaction.

Natural Ways to Combat Reduced Sensations

Maintaining a healthy weight and engaging in physical activity enhances blood flow and nerve function, preserving penile sensitivity. Walking, swimming, and strength training are particularly beneficial for nerve health.

Quitting smoking and moderating alcohol consumption can improve penile sensitivity, as excessive intake of these substances impairs blood flow and nerve function. Certain supplements, like Ginkgo Biloba, Ashwagandha, and Vitamin B12, have been scientifically shown to support nerve health and improve blood circulation. Because some of the causes here are medical in nature, a physician’s advice is important.  

#6 Performance Anxiety

Performance anxiety refers to the fear or anxiety related to sexual performance. This common psychological issue affects many men, impacting sexual function as they age. Understanding the causes and implementing healthy coping mechanisms can improve sexual health, allowing men to enjoy a more confident, intimate life.

Though primarily a mental issue, the effects of performance anxiety extend beyond the mind, potentially leading to erectile problems, premature ejaculation, and a decrease in sexual satisfaction for both partners.


The most common psychological and emotional causes of performance anxiety include:

  • Past experiences of sexual failure
  • Increased stress from personal or work life
  • Mental health disorders
  • Low self-esteem
  • Negative body image
  • Fear of not satisfying a partner

Performance anxiety generally results from a combination of mental factors rather than physical or physiological issues.

Natural Ways to Combat Performance Anxiety

Adopting healthy coping mechanisms such as relaxation techniques, natural supplementation, and cognitive-behavioral therapy (CBT) can significantly improve mental well-being and reduce performance-related anxiety. Practices like progressive muscle relaxation and deep-breathing exercises help calm the mind and body, alleviating the burden of anxiety during sexual encounters.

Valerian Root and Chamomile have traditionally been used to promote relaxation, calm nervousness, and soothe the mind. Through guided therapy sessions, CBT helps individuals identify and challenge negative thought patterns and beliefs to develop healthier attitudes towards sex, improving confidence.

Age with Dignity: Maintaining Sexual Health and Vitality

Prioritizing sexual health improves personal satisfaction and strengthens intimate relationships. Consider holistic approaches to sexual wellness and seek professional advice if your issues seem overwhelming.

Integrating natural supplements with healthy lifestyle adjustments and stress-management techniques can help effectively manage sexual challenges as you age. Supplements like ProSolution+ target erectile issues and premature ejaculation while increasing stamina and orgasmic intensity.

Get proactive and enhance your sexual health and satisfaction.


1.  https://www.sciencedirect.com/science/article/abs/pii/S0302283806008396 

2.  https://pubmed.ncbi.nlm.nih.gov/31267639/ 

About Thomas Arkenis

Avatar photoThomas is a natural health enthusiast and our resident journalist. He's an avid contributor to various traditional medicine conferences and forums, Thomas stays on top of the latest industry trends to bring you the latest product and ingredient innovations.

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