There are many reasons for impotence and premature ejaculation after the age of sixty, and the common ones include psychological transformation, penile congestion difficulties and other diseases. It is recommended to go to a regular hospital to find out the specific causes and treat them under the professional guidance of the doctor. 1. Psychological changes: after the age of sixty, with the decline in physical fitness, sexual intercourse is reduced, the partner is not high degree of cooperation, lack of self-confidence and other reasons leading to impotence and premature ejaculation. 2. Difficulty in blood filling of the penis: impotence due to dilation of the veins, the erection will quickly become soft and lead to impotence. 3. Other diseases: after the age of sixty, such as hypertension, diabetes, cardiovascular disease, stroke, Alzheimer’s disease, prostatitis and other underlying diseases may lead to impotence and premature ejaculation. Sexual dysfunction in the elderly may also be caused by other factors, it is recommended that patients go to the regular hospital in time for treatment.