Impotence refers to sexual dysfunction, and men in their fifties can treat sexual dysfunction through general treatment, medication, physical therapy and surgery. 1. General treatment: the main thing is to improve the lifestyle, you should maintain good habits, do not smoke and drink alcohol, appropriate aerobic exercise, regular life. If there is an underlying disease, such as cardiovascular disease, diabetes, etc., should be actively treating the primary disease. If the usual work pressure, can be psychological counseling. 2. Drug treatment: you can choose phosphodiesterase 5 inhibitor treatment, such as sildenafil, if there is a low level of androgen, you can use androgenic drugs, such as methyltestosterone tablets. 3. Physical therapy: Physical therapy is mainly through the vacuum erection device, the use of negative pressure to attract blood into the cavernous body of the penis. 4. Surgery: If other treatments are not effective, penile vascular surgery and penile prosthesis implantation can be performed. Fifty-year-old men with sexual dysfunction should go to the hospital in a timely manner, examination and treatment, if you need to use the above drugs, you need to follow the doctor’s instructions.