Abstract
A crucial transition for adult males, especially after fifty, is to challenge adolescent learning about sex as a performance where the criteria is easy, automatic, 100 percent predictable erections and intercourse. Most insidious, and ultimately iatrogenic, is the view of the man as an autonomous functioner who needs nothing from the woman. The traditional double standard sets the stage for erectile dysfunction and ultimately inhibited sexual desire and avoidance. Sexual desire and functioning is facilitated by valuing intimate, interactive sexuality and accepting a variable, flexible approach to pleasuring, eroticism, and intercourse.