Michael Castleman, author of the book, “Great Sex”, has advice on ED that may surprise you. He makes a distinction between what he calls true ED, and Edis, a term used by sex therapists meaning men’s dissatisfaction with the quality of their erections. Only a small fraction of men age 45 to 60 have “true ED”; A larger but still small number of men over 60 have true Ed, defined as the inability to get an erection, even with vigorous physical stimulation. Conversely, EDis is characterized generally as the inability to get hard merely through visual stimuli, as you probably did in your 20s. Edis also means being unable to reach the degree of size, firmness and duration that men typically do in their 20s.
Castleman posits that true ED is caused by physical problems which inhibit blood flow to the penis. EDis on the other hand, is sometimes due to stress and anxiety during sex, which also limits blood flow to the penis; Anxiety and stress is a result of inadequate or no sex education, which is common for most men. Because…the only “sex ed” most men get is from porn—porn that shows men with huge cocks. These images lead men to believe they must be as big as the porn actors. Further, education through porn or a “street education”, hasn’t taught men that women rarely have orgasm through penile vaginal penetration. Women’s orgasms are usually reached by cunnilingus or other clitoral stimulation. Castleman thinks it is amazing how few men know this. In reality, both men and women reach peak sexual performance when they relax, focus on enjoying each other, and the sensation of skin on skin, not just genitals.
The author states, “just about every man experiences [EDis as a normal part of aging]”. Men may “droop from minor distractions, anything from donning a condom to hearing a motorcycle roar up the street.” This can be overcome with an ample amount of physical stimulation. He also recommends Viagra and similar treatments for both EDis and ED.

