There seems logical to think that there's a big gap between a young man and
an elderly one, inclusive in terms of sexuality.
Several are the modifications in physical and psychic terms, being such fairly
specific of each individual.
Usually conceptualization of sexual alterations of man begins from around
40/50 years of age as sexual dysfunctions of the elderly man, and dysfunctions
of erection and sexual desire that stand major importance for the sake
of clinical practice.
Roughly, these two dysfunctions are, once discarded any given organic cause,
intrinsically related to a couple's daily routine. It's represented by monotony
and automatism of relations, as well as stress, overdoing on eating habits,
alcohol and tobacco, besides anxiety likely to be experienced by the man when
noticing that, in front of erotic stimulus, his penis no longer reacts as promptly
as previously, characterizing the fear of sexual performance.
There should be bore in mind that, as we get older, also sexual desire
tends to diminish somehow, being this fact accepted as a physiological alteration
stemming from the ageing process. However, there should be well established
what diminishing desire is and what is lack of interest for sex. Although
both share certain common causes, the psychological pattern is quite distinctive
between both of them.
Highly varied are the changes in terms of physiology of sexual response
in mature man given that the dysfunction in relation to the youth lies in the
duration of each phase of sexual cycle.
In mature man or elderly erection is usually slow, much as penetration and
ejaculation while loss of penial intumescences after orgasm is fairly quick,
taking generally a couple of seconds, in contrast to a young man who features
rapid erection, precocious ejaculation and quirk ejaculation with slow loss
of intumescence.
It's notorious the physical modifications with respects to a mature man's genitals.
The scrotum turns less elastic and the testicles lose growth capacity owing
to a lack of vase congestion, apart from having a drastic reduction of the testicular
elevation.
The ejaculatory contractions appear in lesser quantity, duration and intensity
and noticeably a considerable decrease in the strength of ejaculated release,
which generally not surpass over 30'-in youth, spur might range from 30' to
reach as far as 60' and over of ejaculatory matter from the urethral sphincter.
Furthermore, the refractive period tends to augment considerably after the
50's, likely to suffer variations of hours and even days until the next erection.
Obviously, all of such reactions oscillate individually and not all individuals
display them all at the same time.
Fundamental is to be aware of personal limitations and to respect such alterations
stemming from ageing. Taking the most out of self-experience, seeing that vigour
of youth cannot be recruited any longer.
Dr. Darci L. Duro Janarelli
Gynaecologist | 
