Clinical Resource Hub
Sexual Dysfunction
in Aging Adults
Sexual difficulties are common, clinically recognized, and — in most cases — treatable. This hub brings together evidence-based articles, clinical guides, and interactive tools to help you understand what is happening and what you can do about it.
Psychologist-authored · Peer-reviewed sources · MD-reviewed contentStart Here: Understanding the Basics
These articles provide clinical context for the most common sexual dysfunctions that emerge with aging. They are written in plain language and grounded in peer-reviewed research.
Erectile Dysfunction
Erectile Dysfunction: Prevalence, Causes & Aging
A clinical overview of erectile disorder — how common it is, what drives it physiologically and psychologically, and why it becomes more prevalent with age. Part 1 of a two-part series.
Erectile Dysfunction
Erectile Dysfunction: Treatment Options & Decisions
A practical review of the current treatment landscape for erectile disorder, from PDE5 inhibitors and hormonal interventions to psychological therapy, vacuum devices, and penile rehabilitation.
Desire · Female
Menopause & Sexual Desire: The Clinical Picture
How estrogen, progesterone, and testosterone shifts during and after menopause affect sexual interest, arousal, and satisfaction — and what the research says about managing these changes.
Hypoactive Sexual Desire · Female
Low Desire in Women: HSDD Explained
An in-depth look at Hypoactive Sexual Desire Disorder (HSDD) in women — including diagnostic criteria, the biopsychosocial model, and what the current evidence says about treatment pathways.
Hypoactive Sexual Desire · Male
Low Desire in Men: HSDD & Androgen Decline
Male low desire is underdiagnosed and often dismissed. This article covers the clinical picture of HSDD in men, the role of testosterone, and the psychological contributors that medication alone won't fix.
Orgasm Disorders
Anorgasmia & Orgasm Changes with Age
Explores female orgasmic disorder (FOD) and delayed/absent orgasm in men — what changes with aging, why, and what the clinical evidence says about addressing difficulty reaching orgasm.
Deeper Dives: Mechanisms & Management
These are more detailed clinical explainers covering the physiology, risk factors, and management of specific dysfunction types. Useful for those who want to go further, or who are preparing to speak with a clinician.
Ejaculatory Changes · Male
Ejaculatory Changes in Aging Men
Covers delayed ejaculation, reduced ejaculatory force, anejaculation, and retrograde ejaculation — the physiological shifts behind these changes and the clinical factors involved in assessment and care.
Pelvic Floor
Pelvic Floor Dysfunction & Sexual Health
The pelvic floor is a key but often-overlooked contributor to sexual pain, arousal difficulty, and orgasm changes. This guide explains how pelvic floor dysfunction intersects with sexual function, and what evidence-based options exist.
Assessments & Exercises
These tools are not diagnostic — they are designed to help you reflect, identify patterns, and prepare for conversations with your healthcare provider. They are grounded in clinically-validated frameworks.
Interactive Assessment
Desire & Arousal Check-In
8 questions based on the Female Sexual Function Index (FSFI) and International Index of Erectile Function (IIEF) frameworks, adapted for self-reflection.
Question 1 of 8
Reflective Exercise
Contributing Factors Explorer
Rate how much each domain is currently affecting your sexual wellbeing. Based on the biopsychosocial model of sexual dysfunction.
Your highest-rated domains are likely your most productive starting points for a conversation with a clinician or therapist.
Preparation Checklist
Talk to Your Doctor: Prep Checklist
Research shows that patients who prepare specific concerns before a medical appointment get more from that visit. Use this before your next appointment.
Your symptoms
Your medications
Your goals
Questions to ask