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Middle age can be the most stressful time of life for men, as the full weight of family responsibilities, careers, and finances rests on their shoulders. They may find that they have less time to invest in sports, hobbies and social activities that they used to enjoy, and this can impact on their mental and physical wellbeing.

Unfortunately, it’s also a time when health problems can crop up or become more persistent. Two of the most common health concerns of men over the age of 50 are erectile dysfunction (ED) and hair loss. Neither of these issues are considered to be medically serious in themselves, although it’s important to investigate any underlying causes. 

Besides any trigger warnings about more potentially severe health problems, ED and hair loss can take a psychological toll, particularly if they occur at around the same stage of life. Hair is closely tied up with our sense of identity, and in men a full head of hair is a sign of youth and virility…much like the ability to perform in the bedroom.

So it’s understandable that when one or both of these attributes are starting to show signs of fatigue, men’s self-esteem and confidence can take a hit. The cultural conditioning that many men experience can make them reluctant to speak frankly about their concerns or seek the treatment that could turn things around.

Here are some steps that men can take to navigate these challenges and build their confidence and resilience.

Knowledge is power

Taking some time to research and understand the conditions can help to demystify it and diffuse some of the fear and worry. ED and hair loss are both topics that are rife with rumour and misinformation, so be very careful about your sources and make sure that they are credible and verified by recognised health organisations or professionals.  

For hair loss, learn about the potential causes such as male pattern baldness, stress, or diet, and explore treatment options such as finasteride or diet and lifestyle changes. 

ED can have physical or psychological causes, or a combination of both. There are a range of effective medications to treat ED, and in many cases lifestyle adjustments can make a big difference. 

Seek professional advice

Sadly, too many men feel that revealing their fears is a sign of weakness, and there may be a lack of an obvious confidant. The thought of discussing deeply personal issues with a medical professional can be daunting, despite the fact that a doctor will be only interested in ruling out other health problems and finding the right course of treatment. 

Therefore men should not hesitate in seeking professional healthcare advice. A doctor may carry out tests to establish the cause of the issue, and refer you to a specialist for a personalised treatment plan or recommend the best medications or therapies. 

Make lifestyle changes

It’s frequently repeated advice, but all too often poor lifestyle choices including a high-fat diet, lack of exercise, smoking and drinking to excess can be drivers of problems with sexual function. A limited diet can also cause thinning hair, because it is not getting all the vitamins and nutrients it needs to retain fullness and regrowth. 

Regular exercise can improve mood through the release of endorphins, and also lead to physical changes that can boost body-confidence and self esteem. This can help men feel more attractive and desirable, and also help to combat stress levels that perpetuate ED and can also trigger hair loss. 

Focus on personal development

Middle age can certainly bring its challenges, but it can be a rewarding time when we feel more comfortable with who we are, and sure of our talents and abilities. Focus on nurturing these areas of your life, rather than being overly concerned with appearance or what others might think about you.

Carve out time for a hobby or activity that may have taken a back seat, and remind yourself about what you enjoy and what you are good at. This can be rewarding and helps to foster a sense of self-worth that is totally independent of the judgement of others. 

Renew friendships

Friendships can become neglected as we get older and life’s burdens get in the way. Make time to see mates or revive lapsed friendships, or reach out and make new social connections. There may be online support groups for your particular area of concern if you do not feel comfortable in face to face meet ups.