Erectile dysfunction and age are closely linked, but that doesn’t mean you have to accept less pleasure or loss of confidence. I understand how frustrating it can be when your erection fails – whether it’s gradual or sudden. In this article, I go through why erection changes with age, what’s normal and when you should react. You’ll get concrete advice on how we can work together to find the cause and create a realistic plan that fits your everyday life. I’ll also share the most effective treatments that can give you back your strength, desire and control – whatever your age. Read on if you want to take back control of your sex life.
Erectile dysfunction becomes more common with age, but it can often improve significantly with the right assessment and treatment, no matter how old you are.
International speaker & expert in shockwave and EMTT treatment for erectile dysfunction, peyronies & CPPPS.
Erectile dysfunction and age go hand in hand – but that doesn’t mean that erectile dysfunction is something you just have to live with. I meet ordinary men every day who find that it takes longer to get an erection, that stiffness isn’t what it used to be, that desire fluctuates, or that pelvic pain is interfering with their sex life. It can feel vulnerable to talk about, and I understand that. My job is to give you a clear explanation, a thorough examination and a concrete plan that works in your everyday life – without shame, without finger-pointing.
Erection depends on three things: well-functioning blood vessels, nerves and hormone balance – plus a calm mind and a well-functioning pelvic floor. With age comes natural changes:
This is all understandable – but not immutable. That’s why erectile dysfunction and age are as much about physiology as they are about targeting the right places. Small adjustments in habits, targeted treatment and a calm nervous system can make a surprisingly big difference.
Erectile dysfunction (ED) increases with age. Approximately:
The numbers vary, but the point is: You’re not alone. Many experience periods of erectile dysfunction, and some have more persistent challenges. What matters is how it affects you and your life. I often find that even moderate symptoms can improve significantly with targeted efforts – even at an older age.
Everyone can have an “off day”. When the problem persists for more than three months, when morning erections disappear, when stiffness is not enough for penetration, or when there is pain/curvature, I recommend a targeted assessment. This is where I differentiate between transient stress and a cause requiring treatment. A few simple pointers: If masturbation works better than intercourse, it often points to performance stress. If the erection has become progressively weaker on all fronts – even outside of sexual situations – a physical cause is more likely. It’s a good idea to make a note of the frequency of morning erections, situations where the erection fails, medication and sleep – it makes my assessment sharper and your path shorter.
I help distinguish between psychological and physical causes – often it’s a combination and I treat both tracks. Often the solution is about regulating the nervous system (calming breathing, realistic expectations, gradual exposure) while addressing pelvic muscle tension and adjusting habits that push the body in the wrong direction (late screen time, caffeine, sleep deficit). The goal is to restore confidence and control – not to change you as a person.
This is where ultrasound and a systematic holistic assessment is particularly valuable so that I get the right strategy right from the start. Simple home markers like waist circumference, resting heart rate and a few blood pressure readings can already point me in the right direction – and I coordinate relevant blood tests via my GP when it makes sense.
Even in my 70s and 80s, I can often make a difference – with targeted rehabilitation, technical aids and combination treatments. I focus on function, comfort and enjoyment: better filling, better stiffness and more predictability. Small victories count, and they come more often than many people think.
Erection is dependent on a well-functioning vascular system and the neurotransmitter NO (nitric oxide). When the endothelial layer of the blood vessels is affected, erectile function often declines before other symptoms of heart disease. That’s why I often see ED as a window into your cardiovascular health. It can be an opportunity to take control of blood pressure, cholesterol, blood sugar, weight, sleep apnea and smoking – both for better erection and to prevent cardiovascular disease. I help you with concrete steps: more daily movement, strength training, sleep hygiene and easy dietary interventions that support vascular function.
If you have low libido, fatigue, decreased muscle mass and failing morning erections, I recommend measuring testosterone (morning test, preferably repeated) as well as SHBG and related markers. Testosterone therapy is indicated in cases of documented hypogonadism and after medical assessment. It can improve desire and energy, and indirectly erection, but is rarely the sole solution. I advise you to talk to your GP or urologist when hormone trails are relevant, and I always combine the hormone trail with lifestyle and local measures to ensure a stable effect.
I work with a holistic, but strictly evidence-based assessment. You get peace, time and a clear framework. I prioritize that you understand the causes and that the plan is realistic for your everyday life – that’s how we create results that last.
I map out timeline, symptoms, sleep, stress, relationship, exercise, libido, alcohol, previous injuries, surgeries and medications (e.g. blood pressure pills, SSRIs, finasteride, anticholinergics, etc.) I provide specific homework assignments so you can quickly feel the direction while the assessment is ongoing.
I offer targeted ultrasound with a focus on:
Ultrasound (often with Doppler assessment) gives me a picture of whether the problem is primarily vascular, tissue-related or mechanical – and helps me choose the right treatment. If needed, I collaborate with urologists for further testing.
An overactive or weak pelvic floor can impair erection, increase premature ejaculation and cause pain. I screen for pudendal dysfunction and muscular imbalance and tailor training, relaxation and neuromodulation to the findings.
You get a concrete plan with goals, timeline and follow-up. When relevant, I involve your own doctor or relevant specialists. I meet a lot of men from Copenhagen, Zealand and the Nordic region as a whole – but I also help men from far away with realistic home measures and digital follow-up so that the progression is clear.
I offer combination courses where I bring together the best of medical knowledge, technology and behavior. I set clear metrics (e.g. IIEF/SHIM, perceived stiffness, pain and satisfaction) so you can see the effect in black and white.
Many people tense their pelvic floor too much. I work with:
I’ll teach you the difference between activation and relaxation so you avoid overtraining classic “kegels” that often aggravate tension problems.
I translate it into small actions in your everyday life: shorter, more frequent walks, simple strength exercises, clear bedtime routines and dietary principles you can actually stick to.
Performance anxiety, loss of desire, premature ejaculation or pain can create negative spirals. I work solution-oriented – alone or with your partner – to bring confidence, communication and concrete tools back into the bedroom. The focus is on pleasure and presence, not “performance”.
Peyronies are caused by scar tissue (plaque) in the tumor body and are more common with age. Typical signs are curvature, shortening, pain and erectile dysfunction. With ultrasound, I can determine where the plaque is located and how active the disease is.
CPPS can cause burning, stabbing or pressing pain in the perineum, penis, testicles or around the rectum. An overactive pelvic floor and pudendal irritation can inhibit erection, trigger pain during orgasm and cause after-drip/jet deviations.
My approach:
Yes, but “normal” does not equal unchangeable. Small changes are to be expected; persistent problems can often be improved with the right effort.
The pattern often gives the answer: Morning erection and spontaneous erections point to a psychological component; gradual deterioration without morning erection points to physical. In practice, it’s often both. I clarify this through conversation, ultrasound and simple tests.
They are safe for most people, but should not be taken with nitrate medications (for chest pain). Low blood pressure, certain heart conditions and interactions require medical evaluation. I’ll guide you on proper use and alternatives if it doesn’t work.
Prolonged and intensive cycling can irritate the pudendal nerve and cause sensory disturbances. Seat selection, fit, breaks and pelvic floor strengthening/relaxation minimize the risk. I’ll help you adapt your habits so you can keep cycling.
No, it doesn’t. Studies show good results for some with vascular ED. The effect is less with severe nerve damage or severe diabetes. I’ll assess your profile so you don’t waste time and money.
The goal is function. The goal is function, enjoyment and security – not your birth certificate. Many people in their 70s and 80s get noticeable improvement with the right combination.
After surgery/radiation, nerve/vessels are often affected. Rehabilitation with exercises, vacuum, pharmacological solutions and technical aids can help. I customize the process to your specific situation.
Everything is discreet and respectful. You are welcome alone or with a partner – the most important thing is that you feel safe.
Some notice changes in a few weeks, especially with lifestyle interventions and proper use of medication/assistive devices. Shockwave/EMTT and neuromodulation are typically assessed over 6-12 weeks. I set milestones with you so you can track progress.
I’m based in Copenhagen and help men from all over Zealand and the Nordic countries. If you come from far away, I plan the process so that transportation makes sense, with bundles of 3-5 treatments in a row.
Erectile dysfunction and age don’t have to define your sex life or your quality of life. With me, you get a safe space without taboos, a clear explanation and a plan that actually works. The sooner we start, the more we can often win back – stiffness, control, desire and peace of mind. Get in touch and let’s find the solution that’s right for you.
If you are interested in hearing more about how I can help you, you are always welcome to contact me by phone 41 40 08 58 or email michael@msinsight.dk. I’ll get back to you quickly with a customized proposal so we can find the best way forward together.
I will get back to you within 12-24 hours.
Are you unsure what’s behind your symptoms or whether a specialized course of treatment makes sense? Then you can start with a short, confidential assessment. Here we will assess whether your symptoms match what I work with at MS Insight and what the next relevant step might be.
The clarifying conversation is not a full consultation, diagnosis or treatment plan. It’s for those who want a serious assessment of whether it makes sense to proceed with a more thorough examination, ultrasound scan and individual plan.
The clinic is a private clinic offering an alternative treatment setup to the public system with shockwave, EMTT and NESA X for sexual dysfunctions and especially erectile dysfunction, peyronies and pelvic pain.
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