Men taking testosterone should ask to be examined for signs of prostatic tenderness or enlargement. Men who have to urinate frequently during the day or who are getting up at night to do so should see their doctor. As men grow older, many continue to have active, enjoyable sexual lives. Erections during sleep and at the time of waking are less frequent. The erection takes longer to achieve and is usually less rigid.
Penetration can be difficult without a lubricant.
An erection is more easily lost. Ejaculation is less forceful in older men and may become seepage.