Your sex life, your way

Learn how Hims can help

When Do Men Hit Their Sexual Prime?

Dr. Felix Gussone

Reviewed by Felix Gussone, MD

Written by Daniel Yetman

Published 02/27/2025

As is the case with many health questions, the answer to “when do men hit their sexual peak?” depends on a number of factors. First, know that the term “sexual prime” isn’t just about your libido. Rather, it refers to the period of your life when your sex drive and overall sexual health are highest. Many factors can influence a man’s sexual prime, such as:

  • Age

  • Hormone levels

  • Overall health

  • Penis and reproductive health

  • Social and emotional factors

Different men may find they hit their sexual prime at different points in their  lives. Though it may reach a peak at a certain point in life, you can expect it to wax and wane at times.

While hormone levels that influence sex drive are generally highest in early adulthood, other factors, such as increased sexual experience, and better sexual compatibility with a partner might lead to improved sexual experiences at certain points in your life.

Although different people experience their sexual prime at different points in their lives, certain age-related changes occur around the same ages for the majority of men.

Research on Male Sex Drive by Age

The relationship between age and sex drive is complex, and certain aspects of sexual desire may peak at different times.

In a 2022 study published in Archives of Sexual Behavior, researchers measured three types of sexual desire in males and females:

  • Sexual desire relating to a partner

  • Solitary sexual desire, aka the desire for sexual activity with oneself

  • Sexual desire relating to an acquaintance or stranger deemed attractive

Although men generally exhibited higher levels of sexual desire than women, sexual desire was highest among middle-aged individuals of both genders. In males, the researchers found that sex drive increased until about age 40 and then showed a more complex relationship afterward.

Partnered and solitary desire remained steady from about ages 40 to 60. Sexual desire relating to an attractive person, though, was negatively associated with age after the age of 40.

The researchers posed that the shift might be explained by a shift in social needs with age. Many people desire new experiences in younger life but have an increasing desire for close and familiar relationships after midlife.

In a 2020 review of studies, researchers examined sexual desire in men older than 60 and found the prevalence of lacking libido tended to increase with age—but with wide margins that support the possibility of a healthy sex drive at any age.

Lack of sexual desire by age:

  • 12–51.6% for men over 60

  • 20–65.9% for men over 70

  • 40–82.4% for men over 80

Overall, the review showed that in healthy men, a decrease in sexual desire and activity only increases slightly with age. Many men middle-aged and older still consider sexuality an important part of life.

Sexual Health by Age

Men experience different sexual milestones throughout their lives. Understanding these phases can help define what sexual prime means at various ages.

  • Teens and early 20s: This phase is characterized by high testosterone levels, frequent sexual thoughts, and new sexual experiences. While physical performance is often at its peak, emotional maturity and sexual experience are still developing in many younger men.

  • Late 20s to early 30s: Testosterone levels begin to stabilize, and many men report a balance between physical capability and experience. This is often a period of increased sexual confidence and satisfaction.

  • Mid-30s to 40s: Testosterone levels gradually decline starting at around age 30. Sex drive generally remains relatively stable during this period, and many men experience greater emotional and psychological stability. Some men may prioritize closer intimate relationships during this period of their lives.

  • 50s and beyond: Aging brings physiological changes, such as increased rates of erectile dysfunction and other health issues that may affect a person’s sex life. Advances in medical treatments such as PDE-5 inhibitors (Viagra, Cialis, and others) as well as hormone replacement therapy, can help address age-related challenges.

Testosterone

Male sex drive is highly associated with the hormone testosterone. In men, testosterone is produced primarily by the testes. In addition to playing into sex drive, it has many effects on the body:

Testosterone binds to receptors in your brain and plays a meaty role in sex drive. As testosterone levels drop, you may notice a decrease in your sex drive. On the flip side, an influx of testosterone can have the opposite effect. In males, testosterone levels normally surge at puberty by a 30-fold increase. Most teenagers start noticing an increase in sexual thoughts around this period and begin having spontaneous erections.

Testosterone levels are highest in young men and naturally decrease with age, often dropping about 1 to 2% per year after the age of 30. This decline may vary based on factors such as body fat, medications, and chronic diseases.

Neurotransmitters

Neurotransmitters—or your brain’s chemical messengers—play a role in your motivation for sexual activity. They also help transmit neurological information between your brain and penis.

Dopamine is thought to be the primary neurotransmitter responsible for triggering sexual motivation through activating the brain’s reward center. Increased levels of dopamine in your brian’s reward centers could contribute to the development of hypersexuality and vice versa.

Other hormones

Levels of other hormones also seem to play a role in male libido. Research suggests that low estrogen and related hormones such as estradiol can also play a role in low sex drive. 

Health conditions

Many health conditions that can impact sex drive become more common with age in men. Here are some examples:

For example, undergoing cancer treatment can lead to sexual dysfunction. High blood pressure and diabetes are risk factors for erectile dysfunction (ED).

Cardiovascular disease becomes more common with age and is a well-established risk factor for erectile dysfunction. Erectile dysfunction doesn’t directly affect your sex drive, but it can make sexual activity more difficult.

Physical Stamina and Recovery

Overall fitness is often naturally higher in younger men and can decline with age. Younger men often exhibit higher energy levels, quicker recovery times between sexual activities, and greater physical stamina. All of these factors can contribute to a man’s perceived sexual prime.

You can’t stop the aging process completely. But maintaining physical activity throughout your lifespan and eating a healthy diet can help slow the decline of physical fitness and help you maintain good stamina throughout your life, which might help contribute to maintaining healthy sexual relationships as you age.

Mental Health and Libido

Mental health conditions such as depression can contribute to decreased libido. According to data from the Substance Abuse and Mental Health Services Administration (SAMHSA), major depressive disorder was more common in American individuals between 18–24 in 2021 than in other adult age groups.

Additionally, medications such as antidepressants can contribute to the development of sexual issues such as erectile dysfunction.

Many types of sexual dysfunction, such as erectile dysfunction, tend to become more common with age. Maintaining healthy lifestyle habits throughout your life can potentially help you maintain your sexual function as you get older, as can medical intervention in the event of the onset of a sexual-health issue.

Fertility and Sperm Health

Male fertility is closely linked to sperm quality, which tends to be at its best during the late teen years and 20s. Sperm motility and morphology tend to decline gradually with age, although many men maintain the ability to father children well into late life.

It’s more well-known that advanced age can negatively impact female fertility, but it can also have a negative impact for males. Research suggests that advanced age in males is associated with a higher chance of miscarriage or infertility.

A 2020 study on semen analysis by age reported that:

  • Males over 31 were more likely to have decreased sperm motility

  • Males over 41 were more likely to have low sperm concentrations

  • Males over 50 were more likely to have anomalies in semen volume, sperm concentration, and sperm DNA

Psychological and emotional well-being also play a crucial role in maintaining your overall sexual health. Confidence, self-awareness, and emotional maturity can also influence a man’s sexual experiences.

Confidence and Experience

While younger men may have higher testosterone levels and a stronger urge  for exploration and novel sexual experiences, older men often have greater sexual experience that may help enhance sexual satisfaction.

Mental Health, Revisited

Anxiety, stress, and depression can fluctuate throughout life, which stands to negatively sexual performance at any age. Strong mental health can contribute to a more fulfilling sex life.

Again, 2021 SAMHSA data found that among all age groups of men, those between 18 and 24 had experienced the highest rates of major depressive disorder.

Relationship Dynamics

When is a man’s sexual peak? One influencing factor is the quality of his relationships. Trust, communication, and emotional closeness can enhance sexual satisfaction, regardless of age.

Stress

High levels of stress or anxiety—which a person can experience for any number of reasons—can negatively impact sex drive. Some strategies the World Health Organization recommends for managing stress include:

  • Keeping a daily routine

  • Getting plenty of sleep

  • Connecting with family and friends

  • Eating a healthy diet filled with plenty of fresh fruits and vegetables

  • Drinking plenty of fluids

  • Exercising regularly

Aging is an inevitable part of life, but there are some things you can do to extend your sexual prime (and support healthy longevity in general). Some strategies include the following:

  • Minimizing alcohol intake

  • Avoiding smoking or tobacco use

  • Avoiding recreational drug use

  • Eating a balanced diet low in processed foods and sugars

  • Exercising regularly

  • Avoiding abusing anabolic steroids for muscle-building

  • Communicating with your sexual partner about your wants and needs

  • Talking to your doctor about medications such as PDE5 inhibitors if you are dealing with erectile dysfunction

Talking to your doctor about testosterone replacement therapy if your testosterone levels are low or you suspect they may be low.

When do men reach their sexual peak? Every person is unique and people may experience their sexuality differently at different ages. In general, testosterone levels peak in early adulthood, signaling a sex drive high. But, that’s not the full story.

Taking care of your overall health can help you remain sexually active into late life. Many men continue to experience a healthy sex life through their 50s, 60s, 70s, and beyond. Your doctor can advise you about medications or hormone therapies that may help you maintain your sexual health as you age.

18 Sources

  1. Calabrò RS, et al. (2019). Neuroanatomy and function of human sexual behavior: A neglected or unknown issue? https://pmc.ncbi.nlm.nih.gov/articles/PMC6908863/
  2. Chen T, et al. (2020). Different levels of estradiol are correlated with sexual dysfunction in adult men. https://www.nature.com/articles/s41598-020-69712-6
  3. Cohen J, et al. (2020). Low testosterone in adolescents & young adults. https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2019.00916/full
  4. du Fossé, N. A. et al(2020). Advanced paternal age is associated with an increased risk of spontaneous miscarriage: a systematic review and meta-analysis. https://pmc.ncbi.nlm.nih.gov/articles/PMC7456349/
  5. Geerkens MJM, et al. (2020). Sexual dysfunction and bother due to erectile dysfunction in the healthy elderly male population: Prevalence from a systematic review. https://www.sciencedirect.com/science/article/abs/pii/S2405456919300793
  6. Jimo M, et al. (2022). Fertility in the aging male: A systematic review. https://www.sciencedirect.com/science/article/pii/S0015028222019938
  7. Kaufman, J. M. et al. (2005). The decline of androgen levels in elderly men and its clinical and therapeutic implications. https://pubmed.ncbi.nlm.nih.gov/15901667/
  8. Major depression. (2023). https://www.nimh.nih.gov/health/statistics/major-depression
  9. Oei, N. Y. et al (2012). Dopamine modulates reward system activity during subconscious processing of sexual stimuli. https://pubmed.ncbi.nlm.nih.gov/22395731/
  10. Perheentupa, A. et al(2016). Semen quality improves marginally during young adulthood: a longitudinal follow-up study. Human reproduction https://pmc.ncbi.nlm.nih.gov/articles/PMC4755441/
  11. Pino V, et al. (2020). The effects of aging on semen parameters and sperm DNA fragmentation. https://pmc.ncbi.nlm.nih.gov/articles/PMC6993171/
  12. Roberts H, et al. (2021). Age, sex, and other demographic trends in sexual behavior in the United States: Initial findings of the sexual behaviors, internet use, and psychological adjustment survey. https://pmc.ncbi.nlm.nih.gov/articles/PMC8345845/
  13. Rodgers JL, et al. (2019). Cardiovascular risks associated with gender and aging. Cardiovascular risks associated with gender and aging. https://pmc.ncbi.nlm.nih.gov/articles/PMC6616540/
  14. Sexual health issues in men with cancer. (2022). https://www.cancer.gov/about-cancer/treatment/side-effects/sexuality-men
  15. Stress. (2023). Stress. https://www.who.int/news-room/questions-and-answers/item/stress
  16. Why do older adults lose their libido? https://www.ncoa.org/article/why-do-older-adults-lose-their-libido/
  17. Wieczorek LL, et al. (2022). Age effects on women’s and men’s dyadic and solitary sexual desire. https://pmc.ncbi.nlm.nih.gov/articles/PMC9663354/
  18. Yannas D, et al. (2021). Erectile dysfunction Is a hallmark of cardiovascular disease: Unavoidable matter of fact or opportunity to improve men’s health? erectile dysfunction is a hallmark of cardiovascular disease: Unavoidable matter of fact or opportunity to improve men’s health? https://pmc.ncbi.nlm.nih.gov/articles/PMC8161068/
Editorial Standards

Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. See a mistake? Let us know at [email protected]!

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.

Felix Gussone, MD

Dr. Felix Gussone is a medical content specialist and Medical Advisor at Hims & Hers. Prior to joining Hims & Hers, Felix worked in digital health at Ro, focusing on patient education.

Raised in Germany, Dr. Gussone earned his M.D. from Ludwig-Maximilians-University before transitioning into health journalism and medical education content. He currently leads the medical information content team at an American biotech company.

Throughout his career, Dr. Gussone has used his medical expertise to drive the development of evidence-based health content and patient education materials. He has over 10 years of experience covering a wide range of topics, including health news, diet and weight loss, mental health, and sexual health, for prominent television programs and online publications.

Dr. Gussone has contributed to leading television programs such as CNN’s Anderson Cooper 360, NBC TODAY, and NBC Nightly News with Lester Holt, where he produced and wrote a wide range of health and wellness stories for television and digital outlets that engaged and informed diverse audiences across the United States and abroad. In addition to his work in cable and network health reporting, Felix served as Senior Health Editor at Elemental, Medium’s health and wellness publication, where he led editorial content development focused on science and personal well-being.

Dr. Gussone lives in Cambridge, Massachusetts and Brooklyn, and enjoys perfume making, scuba diving, roller blading, and traveling. You can find Dr. Gussone on LinkedIn for more information.

Read more

Related Articles

Put yourself in good hands

Hims connects you with doctor-trusted products so you can have your best sex ever