Overcoming Physical Barriers

Sexual dysfunction, however, is not necessarily something that is in one's head, and is a major reason sexual relationships suffer. Erectile dysfunction among men aged 65 and older is usually related to physical problems,most cases of erectile dysfunction for men under 65 are more psychological.

That's not to say there isn't a mental aspect to erectile dysfunction in older men. As with any medical condition, psychological issues also come into play. For men, much of their self-esteem emanates from how they feel sexually. Erectile dysfunction (ED) affects 25 percent of men either completely or moderately by age 40. By age 70, that increases to one out of two men.

More important, research in the last three to five years shows that impotence or sexual dysfunction is largely a physical problem, not an emotional problem. "Nearly everything we assumed in the last 95 years was totally wrong,"E.D. is a circulatory problem, it's part of vascular disease…E.D. is an early warning sign of a heart attack."

In addition to cardiovascular conditions, depression, anxiety and prostate disease can also be factors in sexual dysfunction or sexual problems. And the bad news is that medications for these conditions negatively affect sexual functioning, creating a vicious cycle and making it harder to jump-start one's sex life, and possibly affecting a couple's overall relationship.

Viagra has replaced traditionally invasive treatments for men's sexual dysfunction,new medications more effective than Viagra will soon hit the market. These will be easier to take, quicker acting and will not pose a cardiovascular threat as Viagra has shown to.

However, what works even better than Viagra for many men with erectile dysfunction is increasing one's physical activity, kicking the smoking habit, and watching one's weight and cholesterol. As erectile dysfunction is related to cardiovascular disease, such changes can also reduce the risk of the biggest killer of men in the world.

Meanwhile, older women experience reduced vaginal lubrication and reduced blood flow to sex organs, and the intensity of muscle spasms during an orgasm are diminished. These and other issues can be addressed through estrogen replacement therapy and something as simple as using lubricants.

Strategies for Keeping the Spark Alive

* Treat your partner as if you're dating
* Romance your spouse outside the bedroom
* Plan a date night
* Talk with your partner
* Listen to your partner
* Understand your partner's sexual needs and desires
* Keep physically fit and attractive for your partner
* Maintain perspective on sex as life ebbs and flows
* Resolve any underlying conflicts as they will spillover to the bedroom
* Have fun and engage in foreplay, whether that's kissing, sexual banter or anything else
* Be adventurous and creative in and outside the bedroom
* Exercise, preferably together
* Stop smoking and get your partner to quit
* Watch your weight and cholesterol
* Consider seeking specialized treatment from a specialist if behavioral changes don't work