What factors affect normal sexual function in a 55-year-old male?

Under normal circumstances, a 55-year-old man's sexual health may be affected by psychological factors, physiological changes, prostatitis, diabetes, hypertension, and other conditions. If concerned, it is advisable to seek medical consultation early. The specific analysis is as follows:

1. Psychological factors

Anxiety, depression, or other psychological issues may negatively affect sexual function. These conditions can lead to decreased libido or erectile dysfunction. Seeking psychological counseling or treatment may help resolve these issues and thereby improve sexual quality of life.

2. Physiological factors

As men age, testosterone levels gradually decline, which may affect libido and erectile function. Additionally, reduced vascular elasticity and nerve sensitivity can also impair sexual performance. Maintaining a healthy lifestyle—including regular exercise, balanced nutrition, and adequate sleep—can help preserve sexual function.

3. Prostatitis

Poor hygiene and other factors may lead to bacterial infection of the prostate, potentially causing urethral stricture, impaired urine flow, and consequently affecting sexual function. Symptoms may include frequent urination, urgency, and urinary pain. Treatment should follow medical advice and may include cefuroxime axetil granules, ceftazidime for injection, or moxifloxacin hydrochloride tablets.

4. Diabetes

Diabetes, often associated with genetic factors and obesity, involves chronic high blood glucose levels that can damage nerves and blood vessels, leading to erectile dysfunction and altered sex hormone levels, further impairing sexual function. Symptoms may include increased thirst, frequent urination, and weight loss. Medications such as metformin hydrochloride tablets, gliclazide modified-release tablets, and repaglinide tablets may be used under medical supervision to manage the condition.

5. Hypertension

Hypertension is commonly caused by genetic factors and mental stress. It can impair blood supply to the penis, while long-standing high blood pressure and arteriosclerosis may damage vascular endothelium and reduce penile blood perfusion. Symptoms may include palpitations, chest pain, and shortness of breath. Antihypertensive medications such as irbesartan capsules, metoprolol tartrate tablets, and verapamil hydrochloride tablets may be prescribed to control the condition.

It is recommended to maintain a healthy daily routine, ensure sufficient sleep, improve dietary habits, adjust physical condition, and promote overall health.