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Relevant information for clinical decision-making in a wide spectrum of diseases includes the extent to which sexual function is intact, how important it is to preserve sexual capacity and whether waning sexual function causes distress. Little information is available on elderly men. We aimed to obtain this basic information.

Radiumhemmet's Scale of Sexual Function was posted to 435 randomly selected men aged 50–80 years. Assessments included sexual desire, erectile capacity, orgasm and ejaculation and to what extent waning sexual function distressed the men. The questions were answered anonymously.

Information was obtained from 319 men (73%). Of these, 83% stated that sex was ‘very important’, ‘important’ or a ‘spice to life’. Physiological potency for men aged 50–59, 60–69 and 70–80 amounted to 97%, 76% and 51% respectively. Among the oldest men (70–80 years), 46% reported …