Practical Geriatrics: Men's Sexual Health After Midlife

The document provided guidance for clinicians on evaluating and treating sexual dysfunction in men after midlife, focusing on physiological changes like reduced testosterone and changes in sexual response. It highlighted the importance of addressing psychological, cultural, and relationship factors, as these significantly impacted sexual activity. Treatments for erectile dysfunction, such as sildenafil citrate (Viagra), vacuum devices, and psychosexual therapy, were discussed, along with disorders of ejaculation and testosterone supplementation, while noting potential risks like prostate cancer. The document emphasized open communication and education to help older men adapt to sexual changes and improve their quality of life, urging clinicians to discuss sexual health without assumptions about sexual orientation or preferences.