Elderly male impotence is firstly related to age and the decline of physical state, in addition, some chronic diseases can also lead to impotence, such as hypertension, hyperlipidemia, coronary heart disease, diabetes mellitus and hyperlipidemia and so on. With the increase of age, especially the androgen level in the body of elderly men will also decline, coupled with the physical state is also deteriorating, sexual ability will gradually weaken. Elderly men are prone to hypertension, hyperlipidemia, diabetes mellitus, coronary heart disease and other chronic diseases, which can lead to penile cavernous vascular lesions, resulting in insufficient blood supply to the cavernous body, thus leading to impotence. Elderly men with impotence, to the hospital for a clear diagnosis, to identify the specific cause of the disease, and actively treat the primary disease, in the doctor’s treatment can be reasonable application of medication such as sildenafil, tadalafil and so on.