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Updated: Feb 27, 2026

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
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Age, libido, and male sexual function.

A K Slob1

  • 1Department of Endocrinology and Reproduction, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands. slob@endov.fgg.eur.nl

The Prostate. Supplement
|November 1, 2000
PubMed
Summary

Older men with sexual dysfunction can benefit from sexological counseling and treatment. Physicians should address sexual health in aging patients, offering appropriate diagnostic screening and discussing available treatments for improved quality of life.

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Predicting responsiveness to the treatment of rapid ejaculation with 25 mg clomipramine as needed.

International journal of impotence research·2004
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Sexual response in men with inhibited or retarded ejaculation.

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The treatment of premature ejaculation: psychological and biological strategies.

Drugs of today (Barcelona, Spain : 1998)·2004
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[Favorable effect of sildenafil on erectile dysfunction in patients after radiotherapy for prostate cancer; randomised, double-blind, placebo-controlled crossover study].

Nederlands tijdschrift voor geneeskunde·2003
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The plication procedure for penile curvature: surgical outcome and postoperative sexual functioning.

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The limited practical value of color Doppler sonography in the differential diagnosis of men with erectile dysfunction.

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Area of Science:

  • Gerontology
  • Sexual Medicine
  • Urology

Background:

  • Male sexual dysfunction (MSD) and its treatment underwent significant reappraisal in the late 20th century.
  • Despite this, specific studies on sexual function in aging males (60-90 years) remain limited.
  • Many older men with erectile dysfunction (ED) do not seek treatment due to various reasons.

Purpose of the Study:

  • To emphasize the importance of addressing sexual health in aging male patients.
  • To advocate for comprehensive sexological evaluation and treatment for older men with sexual dysfunction.
  • To highlight the role of physicians in managing sexual matters as part of overall quality of life.

Main Methods:

  • Review of current understanding of male sexual dysfunction in aging men.
  • Discussion of appropriate diagnostic approaches including history-taking and physical examination.
  • Consideration of available pharmacomedical and counseling treatments.

Main Results:

  • Aging men with sexual dysfunction, including ED, can benefit from sexological interventions.
  • Physicians should adopt a similar diagnostic and treatment approach for older and younger patients with sexual dysfunction.
  • Effective treatments are available to address sexual difficulties in older men seeking care.

Conclusions:

  • Sexual health is an integral component of quality of life for aging men.
  • Physicians have an obligation to include sexual matters in the care of their older patients.
  • Modern effective treatments can successfully manage sexual dysfunction in the aging male population.

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