Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Paper
  • Published:

Causes of sexual decline in aging married men: Germany and America

Abstract

Married men in Germany (n=48) and America (n=50) between 50 and 80 years old, none in poor health, provided comparable information on sexual behavior and attitudes, and gave saliva samples from which testosterone was assayed. Sexuality declines with age, as expected. Neither testosterone nor psychological depression explain levels of sexuality. In both nations, wife's desire for intercourse, subject's ability to maintain an erection, and subject's imagination about other women, explain certain aspects of sexuality. Subject's health and marital satisfaction are related to sexuality among Americans but not among Germans. Behavioral models for the two nations are compared.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2

Similar content being viewed by others

References

  1. Michael R, Gagnon J, Laumann E, Kolata G. . Sex in America Warner Books: NY 1994

  2. McKinlay J, Feldman H. . Age-related variation in sexual activity and interest in normal men; results from the Massachusetts male aging study. In: Rossi A (ed). Sexuality Across the Life Course. University of Chicago: Chicago 1994 261–285.

    Google Scholar 

  3. Laumann E, Paik A, Rosen R. . Sexual dysfunction in the United States. JAMA 1999 281: 537–544.

    Article  CAS  PubMed  Google Scholar 

  4. McKinlay J, Longcope C, Gray A. . The questionable physiologic and epidemiologic basis for a male climacteric syndrome. Maturitas 1989 11: 103–115.

    Article  CAS  PubMed  Google Scholar 

  5. Krause W. . Do we need the concept of male climacteric? Fortschritte der Medizin 1995 113: 32–40.

    CAS  PubMed  Google Scholar 

  6. Mazur A. . Aging and endocrinology. Science 1998 279: 305–306.

    CAS  PubMed  Google Scholar 

  7. Couillard C et al . Contribution of body fatness and adipose tissue distribution to the age variation in plasma steriod hormone concentrations in men. J Clin Endoc Met 2000 85: 1026–1031.

    CAS  Google Scholar 

  8. Tsitouras P, Martin C, Harman S. . Relationship of serum testosterone to sexual activity in healthy elderly men. J Gerontology 1982 37: 288–293.

    Article  CAS  Google Scholar 

  9. Davidson J et al . Hormonal changes and sexual function in aging men. J Clin Endoc Met 1983 57: 71–77.

    Article  CAS  Google Scholar 

  10. Sadowsky M, Antonovsky H, Maoz B. . Sexual activity and sex hormone levels in aging men. Intern Psychogeriatrics 1993 5: 181–186.

    Article  CAS  Google Scholar 

  11. Mazur A, Booth A. . Testosterone and dominance in men. Behav Brain Sci 1998 21: 353–363.

    Article  CAS  PubMed  Google Scholar 

  12. Feldman H et al . Impotence and its medical and psychosocial correlates. J Urology 1994 151: 54–61.

    Article  CAS  Google Scholar 

  13. McKinlay J. . The worldwide prevalence and epidemiology of erectile dysfunction. Int J Impot Res 2000 12: Suppl 4 S6–S11.

    Article  PubMed  Google Scholar 

  14. Edwards J, Booth A. . Sexuality, marriage, and well-being; the middle years. In: Rossi A (ed). Sexuality Across the Life Course. University of Chicago: Chicago 1994 233–259.

    Google Scholar 

  15. Araujo A et al . The relationship between depressive symptoms and male erectile dysfunction. Psych Med 1998 60: 458–465.

    Article  CAS  Google Scholar 

  16. Dabbs J et al . Reliability of salivary testosterone measurements. Enzymes Protein Markers 1995 41: 1581–1584.

    CAS  Google Scholar 

  17. Granger D, Schwartz E, Booth A, Arentz M. . Salivary testosterone determination in studies of child health and development. Horm Beh 1999 35: 8–27.

    Article  Google Scholar 

  18. Mazur A. . Biosocial models of deviant behavior among male army veterans. Biol Psy 1995 41: 271–293.

    Article  CAS  Google Scholar 

  19. Radloff L. . The CES-D scale; a self-report depression scale for research in the general population. Applied Psych Meas 1977 1: 385–401.

    Article  Google Scholar 

  20. Kaplan H. . The Evaluation of Sexual Disorders Brunner/Mazel: NY 1983

Download references

Acknowledgements

We appreciate the contributions and advice of Allan Birnbaum, Sam Feld, Douglas Granger, John McKinlay, Rolf Porst, Sanford Temes, and Douglas Wolf. This work was supported by Grant No. P20-AG-12837 from the US National Institute of Aging, and Grant No. 01EUK9910/063-99 from the German Federal Ministry of Education and Research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to A Mazur.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mazur, A., Mueller, U., Krause, W. et al. Causes of sexual decline in aging married men: Germany and America. Int J Impot Res 14, 101–106 (2002). https://doi.org/10.1038/sj.ijir.3900833

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ijir.3900833

Keywords

This article is cited by

Search

Quick links