Don’t Buy Erection Drugs on the Internet

First off want to thank you for your good advice , love your website! OK. Here’s my question. As a fit 74-year-old guy, I am perplexed. I’m wondering about losing erections at my age with the nice lovely younger lady friend I’m having sex with. My sister referred me to a nationwide network set up by Susan Somers called FOREVER HEALTH that promises to rebalance hormone levels back to what they were around age 25. This is also supposed to be all natural, not drugs! I’d like to know if you have heard any positive feedback from anyone about this ? I have seriously been thinking about calling one of these doctors and making an appointment to check into it. If it works for us that would be great. If not my next thoughts would be to look into getting a penal implant. Thanks!


  • Michael Castleman says:

    Thank you for your kind words about my site. I really appreciate your endorsement.

    I’m glad you’re still healthy and physically fit at 74, but even optimal health and fitness don’t protect the large majority of older men from eventually developing ED. The best research shows that by age 65, around 90 percent of men experience erection difficulties. You’re 9 years beyond 65. I wish you were in the 10 percent who escape ED, but alas, apparently not.

    About hormones: No matter if they’re bioidentical or not, hormone treatments have many powerful effects on the body and should always be used cautiously. The main sexual hormone for men is testosterone (T). Unfortunately, many men view it as a panacea for sex problems—and it isn’t. T is the hormone of libido. In men who are demonstrably clinical deficient, supplemental T restores lost sexual desire. That’s all it does. It doesn’t spur erections beyond a placebo effect. In addition, T should never be prescribed unless men are clinically deficient, which takes not just one blood test, but several at different times of day because T levels fluctuate considerably. Unfortunately some poorly informed or unscrupulous doctors prescribe T with no blood tests or just one. If you see a doc who does that, find another doctor. There’s a lot of brouhaha about bioidentical hormones. I’ve seen studies showing they’re better than the alternative, but that advantage doesn’t change the fact that hormone treatment works much better for libido than erection restoration. Personally, unless several tests at different times of day showed I was clearly deficient, I’d be very cautious about taking hormones. Of course, you’re free to make your own decision.

    You don’t mention erection drugs. Have you tried any? I’d go that route before hormones. I suggest you try varying doses of all the medications: Viagra, Cialis, Levitra, and the couple of others. They’re all chemically similar, but they’re different molecules, and one might work better for you than the others. I’d also recommend experimenting with different dosages. If you don’t take nitrate medication for heart disease (usually nitroglycerin for angina), they’re reasonably safe and effective.

    You mention that your lady friend is younger. If she’s over 40, and certainly if she’s in her late 40s or older, she’s experiencing menopausal changes, quite possibly vaginal dryness and maybe vaginal tissue thinning (atrophy). These can make intercourse uncomfortable or painful, even with lots of lubricant. The fact is, for older couples, intercourse often becomes more trouble than it’s worth. Older men develop erection problems and older women, dryness and atrophy. Good research shows that most older couples who remain regularly sexual jettison intercourse in favor of all the other ways to make love. Sex therapists call them “outercourse:” kissing, hugging, cuddling, mutual whole-body massage, hand jobs and fingering, oral sex, toys, and maybe some anal play and kink. It can feel disconcerting to evolve lovemaking away from intercourse, but after a few months, most couples say the new normal feels just as fulfilling as penis-in-vagina sex, sometimes more so. I suggest you discuss this with your lover and experiment.

    When life changes, it often helps to obtain new information that can provide perspective. In that vein, I offer my low-cost e-book, Enjoy the Best Sex of Your Life. Its 135 chapters discuss all aspects of lovemaking, including several that deal with sex and aging, erection issues, menopause, and the many elements of outercourse. My e-book carries a money-back guarantee through PayPal so it’s risk-free.

    Finally, any doctor can prescribe erection medications, but most physicians are not sexual medicine specialists. To find one near you who is, visit the North America Society of Sexual Medicine. You and your lover might also like to consult a sex therapist for advice on tailoring your lovemaking to your current stage of life. If you’re unfamiliar with sex therapy, the therapist does NOT have sex with you and does NOT watch you have sex. Sex therapy is a form of talk-based psychotherapy with “homework.” It usually takes four to six months of weekly one-hour sessions. It costs $150-250/hour, though many therapists discount fees for those who can’t afford standard rates. For more, read my low-cost article, An Intimate Look at Sex Therapy (it’s a chapter in my e-book), and/or see the film, “Hope Springs” with Meryl Streep and Tommy Lee Jones. It’s a fun romantic comedy, and I bet you and your lover enjoy it. To find a sex therapist near you, visit the American Association of Sex Educators, Counselors, and Therapists, the Society for Sex Therapy and Research, or the American Board of Sexology.

    I wish you great sex.

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