What are the symptoms of Aging changes in the male reproductive system?
Last updated September 7, 2026.
**As you age, you may notice lower sex drive, slower or less frequent erections, and more time needed between ejaculations.** These changes usually develop gradually, and you can continue to enjoy sex and father children as you get older. Prostate enlargement can cause a weak urine stream, trouble starting urination, or more nighttime bathroom trips. Persistent trouble getting or keeping an erection needs a clinician's assessment because medicines, diabetes, and circulation problems can contribute. Staying active, avoiding smoking, and managing your blood pressure and diabetes can support sexual health.
What to do
- **Track changes:** Write down when sexual or urinary changes started and how they affect your daily life.
- **Schedule an assessment:** See a clinician for persistent erection problems, bothersome loss of desire, or new urinary symptoms.
- **Review your medicines:** Ask your clinician whether your medicines affect erections or urination before changing any doses.
- **Support your health:** Stay physically active, avoid smoking, and follow your treatment plan for diabetes or high blood pressure.
- **Adjust evening habits:** If nighttime urination bothers you, limit drinks near bedtime and reduce caffeine and alcohol.
- **Get immediate care:** Seek medical help right away if you cannot urinate, see blood in your urine, or have fever with painful urination.
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