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As men age, it's natural to experience changes in sexual health. You might notice it takes longer to become aroused or face challenges like difficulty achieving or maintaining an erection. But these signs don't mean your best days are behind you. In fact, understanding these changes can lead to improved health and intimacy. Erectile dysfunction (ED) is more common than you might think. Research indicates that about 52% of men between 40 and 70 experience some form of ED. It's essential to recognize that ED often signals underlying health issues such as high blood pressure, diabetes, or stress. By viewing ED as a health indicator rather than just a performance issue, you can take proactive steps to enhance both your sexual function and overall well-being. Several factors can contribute to ED: Medical Conditions: Cardiovascular diseases and high blood pressure can narrow arteries, reducing blood flow to the penis. Diabetes may cause nerve damage and poor circulation, leading to erection difficulties. Neurological disorders like Parkinson's disease or multiple sclerosis can disrupt nerve signals essential for arousal. Kidney and liver issues can affect hormone balance and energy levels, impacting sexual performance. Hormonal Imbalances: Low testosterone levels can decrease libido, reduce energy, and result in weaker erections. Thyroid disorders can affect metabolism and sexual function. Although rare, prolactin imbalances can impact sexual desire and performance. Psychological and Emotional Factors: Stress and anxiety increase cortisol levels, which can disrupt testosterone production and circulation. Performance anxiety, or worrying about sexual performance, can exacerbate ED. Depression often leads to low energy and a lack of interest in intimacy. Relationship issues, such as emotional disconnection, can also contribute to physical intimacy struggles. Lifestyle Choices: Smoking damages blood vessels, restricting blood flow to the penis. Excessive alcohol use can cause nerve damage and hormone imbalances. A lack of exercise can lead to poor circulation and obesity, increasing the risk of ED. Poor diet, especially one high in processed foods and sugar, contributes to obesity and diabetes, leading to ED. The good news is that by identifying these factors, you can take proactive steps to address them. Consulting with a healthcare professional can help determine the underlying causes of ED and guide you toward effective treatments. Lifestyle changes, such as adopting a balanced diet, engaging in regular exercise, managing stress, and quitting smoking, can significantly improve sexual health. Remember, experiencing changes in sexual health is a common part of aging, but it doesn't mean you have to accept them without action. 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Aired: May 11, 2025