Erectile Dysfunction in Older Men: Causes, Treatments, and Real Options

When erectile dysfunction in older men, the inability to get or keep an erection sufficient for sex, often linked to aging, circulation issues, or chronic conditions. Also known as ED, it affects more than half of men over 60—but it’s not just a normal part of getting older. It’s a signal. Something in the body isn’t working right. Blood flow? Nerves? Hormones? Or maybe a side effect from meds for blood pressure, diabetes, or depression. It’s not weakness. It’s biology.

Many men assume it’s just age, but tadalafil, a long-acting ED medication sold as Forzest or Cialis, that improves blood flow to the penis with effects lasting up to 36 hours and sildenafil, the active ingredient in Viagra, which works faster but lasts only 4 to 6 hours have helped millions get back to normal sex lives. These aren’t magic pills—they’re tools. They work best when the underlying cause is treated too. High blood sugar? Control it. Low testosterone? Check levels. Taking too many pills for other conditions? That’s where deprescribing, the careful process of stopping unnecessary medications to reduce side effects and improve function comes in. Some ED cases clear up just by cutting out a drug that’s making things worse.

Not everyone can take pills. Some men have heart problems, others can’t swallow tablets, or they just don’t like the idea. That’s where Alprostadil, a medication delivered as an injection or urethral suppository that directly triggers an erection steps in. It’s not the first choice for most, but for those who’ve tried everything else, it’s a game-changer. Vacuum pumps, penile implants, even lifestyle changes like walking 30 minutes a day or losing 5% of body weight—these all have real data behind them. You don’t need to accept this as your new normal.

What you’ll find in the posts below are honest comparisons—not marketing fluff. Real side effects. Real costs. Real success rates. From how Forzest stacks up against Cialis Black, to why Alprostadil works when pills don’t, to how smoking messes with your ED meds. No jargon. No guesswork. Just what works, what doesn’t, and what to ask your doctor next time you sit down with them.