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Sometimes stress or other kinds of emotional problems can inhibit a male's sexual responsiveness. The use of various substances can also be implicated. Age can play a role as well, but this shouldn't be interpreted as doom for all older males. The sexual response can change over a lifetime, but loss of erectile function is not inevitable for all older men. Young and healthy men may become alarmed because they are suddenly unable to perform or complete sexual activities that have up until then been completely trouble free. Sometimes these men just don't give their bodies time enough to rest and recover between sessions, or everyday life concerns can distract them. They think that there is something wrong when these things prevent them from performing sexually. Rest, relaxation, strenuous physical activities and being with relaxed and laid-back partners can make all the difference.

Men who are more mature (not necessarily older) experienced and relaxed with lovemaking realize that during sex the world does not center on their endowment. Things usually go better when people learn how to concentrate on the pleasure of their partners rather than their own. The implication is that worrying about one's ability to 'perfom' may itself tend to inhibit one's sexual responsiveness. If there are no physical/medical obstacles to erection, then it will almost certainly be true that nocturnal erections will occur as they normally do. If this area is a concern for you, your doctor may be able to help you determine if nocturnal erections are happening.

Anyone having such difficulties should absolutely let their physicians know, regardless of age. Erectile function is strongly related to blood pressure (you can think of the penis as a hydraulic lift) so ruling out medical causes is an absolute must. Incidentally, it is lower blood pressure that helps an erection to happen, and NOT higher blood pressure. Counter-intuitive, yes.

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