14 UROLOGY, URO-ONCOLOGY AND SEXOLOGY UPDATE Andrew Siegel MD 2/11/2023 “Rocking but Rusty”: Expectations of Male Sexual Function by Decade Dr. Andrew Siegel is a physician and urological surgeon who is board-certied in urology as well as in female pelvic medicine and reconstructive surgery. He is an Assistant Clinical Professor of Surgery at the Rutgers-New Jersey Medical School and is a Castle Connolly Top Doctor New York Metro Area, Inside Jersey Top Doctor and Inside Jersey Top Doctor for Women's Health. His mission is to “bridge the gap” between the public and the medical community. He is a urologist at New Jersey Urology, one of the largest urology practices in the United States. He is the co-founder of PelvicRx and Private Gym. His latest book is Prostate Cancer 20/20: A Practical Guide to Understanding Management Options for Patients and Their Families. I have arbitrarily broken sexual expectations down by decade, with the understanding that these are general trends and that an individual may vary greatly from others in his age cohort, depending upon genetics, lifestyle, luck, and other factors. There are 30-year-old men who have major sexual issues and 80-year-old men who are veritable “studs,” so age per se is not the ultimate factor. I crafted what follows after almost 35 years in the urology trenches, working the front line with thousands of patient interactions. Furthermore, I am a 60-something year-old, keenly observant of the subtle changes that I have personally witnessed (although I must report that I am still holding my own!). Educational books are available on so many topics regarding expectations, such as “What to Expect When You're Expecting,” but I have yet to see “The Manual of Man,” explaining the changes we might expect to experience as time goes on. (I would love to tackle writing that book someday, but it would be a formidable task considering all that may go awry).
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