You asked, we answered: Why is my erection not as strong as it used to be?

Man sitting on the couch looking at his phone

Does the size of an erection decrease with age? And is it okay that my erection isn’t as strong anymore?

Answer by urologist Chris Deibert, MD, MPH

Erectile dysfunction increases with age. Although men at any age may experience ED, aging plays an important role.

For each decade of age, about that percentage of men will have some amount of erectile dysfunction. So, in your 70s, about 70% of men will have some amount of ED.

Diseases that contribute to or cause erectile dysfunction:

• Heart disease, including hypertension (high blood pressure)

• Diabetes

• Sleep apnea

• Stroke

Depression can also contribute to sexual dysfunction for some men. Certain medications, like some antidepressants and hypertension medications, can also cause erectile dysfunction as a side effect.

Erectile dysfunction treatment options:

• Oral medications, including sildenafil citrate (also known as the brand name Viagra)

• Penile vacuum erection devices

• Penile injections that increase blood flow

• Surgery if none of the above work What exercise helps erectile dysfunction? While there aren't specific exercises for erectile dysfunction, maintaining a healthy body weight with regular exercise is an excellent place to start.

Lifestyle changes that can improve erection quality, according to medical data:

• Weight loss of 20 pounds or more

• Regular cardio

• Diet, especially lowering blood sugar and cholesterol

• Maintaining good blood pressure levels

• Quit smoking

In many cases, lifestyle modifications can enhance the effectiveness of medications, and sometimes may eliminate the need for any medications at all. Our on-site registered dietitian will work directly with you to help you find long-term solutions for eating healthier and maintaining an exercise routine.

Make a men’s health appointment

Call 800.922.0000 to schedule a comprehensive evaluation.