Hard to get up usually refers to erectile dysfunction, and when a man sixty-three years old develops erectile dysfunction, it may be caused with factors such as psycho-psychological, trauma, and declining androgen levels. 1. Spiritual psychology: men may experience erectile dysfunction when there is prolonged stress, marital discord, or too much depression in their daily lives. 2. Trauma: Trauma may affect the nerve reflexes of the reproductive system, resulting in the phenomenon of hardness. 3. Decrease in androgen levels: as you get older, hormone levels will gradually decrease, and you may experience erectile dysfunction, decreased muscle strength, joint pain, and other symptoms. When a man is sixty-three years old and has erectile dysfunction, after excluding physiological factors, he should go to the hospital in time for examination and treatment under the guidance of the doctor.