## 1. Loss of Size

Beginning in midlife, many men notice a decrease in both the length and girth of their penis. This isn’t your imagination. According to urologists, it happens due to reduced blood flow, decreased testosterone levels, and a natural buildup of plaque in the penile arteries—similar to what occurs in heart disease, just in a more sensitive area. While it can feel alarming, it’s a normal part of the aging process.

## 2. Decreased Firmness

Gone are the days of “steel.” Erections may become softer or less frequent as you age, largely because of reduced blood flow and a drop in hormone production. While medications like Viagra and other ED treatments can help, they typically address the symptoms rather than the root causes. It’s important to know that this is a physiological change, not a