Talking with your doctor about sex takes some planning and preparation. Below is a guide of things to do before and during the appointment to make the conversation easier and more helpful. Accept This One Crucial Truth: YOU Have to Bring It Up I cannot emphasize this enough: most doctors will not initiate a conversation about sex, especially with older patients.

Let’s get something straight from the beginning: sex is not a performance, and your penis is not the star of a one-man show. Yet, many men become fixated on erections, framing any difficulties as “performance problems”—as if sex were a test to pass or fail. That mindset reflects a long-standing (and outdated) idea that men are the sole “deliverers” of sex. It’s time to rewrite that script.

Look, the penis has a tough job. By the age of 60, you have a 60% chance of having some kind of erectile dysfunction (ED)