Partial androgen deficiency of the aging male is associated with symptoms c
ollectively accepted as the andropause syndrome. The underlying hormonal ch
anges, the definition of age-dependent cofactors for changing sexuality, an
d the data on decreasing erectile function are the main topics of this crit
ical analysis. Alterations in libido, ejaculation and sperm quality also ha
ve to be considered in order to define a change in male sexuality as part o
f the natural process of aging.