Doctors Note Logo

Published on: 1/14/2026

Best Exercise for ED Over 65: Safe, Joint-Friendly Options

For men over 65 with erectile dysfunction, the safest joint-friendly plan pairs low-impact cardio (brisk walking, stationary cycling, swimming, or an elliptical) with twice-weekly light resistance training, daily pelvic floor Kegels, and gentle flexibility or mind-body work like yoga or tai chi; regular exercise boosts blood flow and nitric oxide and is linked to up to 40% lower ED risk. There are several factors to consider, including how to start and progress, intensity targets, a simple weekly plan, and when to consult a doctor or stop for warning symptoms; see the complete guidance and key precautions below.

answer background

Explanation

Best Exercise for Erectile Dysfunction Over 65: Safe, Joint-Friendly Options

Erectile dysfunction (ED) affects a significant number of men over 65. While age-related changes in blood vessels, hormones, and nerves play a role, staying active is one of the most effective strategies for managing— and even improving—ED. Research shows that regular exercise enhances blood flow, boosts nitric oxide production (a key molecule for erections), and supports overall cardiovascular health. In a landmark study, men with higher levels of physical activity had up to a 40% lower risk of ED compared to sedentary peers.

Below, you’ll find a range of joint-friendly, safe exercises tailored to men over 65. Always start slowly, listen to your body, and speak to your doctor if you have any serious medical concerns or symptoms.


Why Exercise Helps Erectile Dysfunction

  • Improves blood flow
    Aerobic activity strengthens your heart and widens blood vessels, making it easier to get and maintain an erection.
  • Enhances endothelial function
    Regular movement stimulates the cells lining your arteries to produce more nitric oxide, which relaxes blood vessels.
  • Boosts mood and confidence
    Exercise releases endorphins, reduces stress, and can ease performance anxiety.
  • Supports weight management
    Maintaining a healthy weight lowers risks of diabetes and high blood pressure—both linked to ED.

Safe, Joint-Friendly Aerobic Exercises

Aerobic (cardio) workouts are the cornerstone of ED management. For those over 65 or with joint concerns, low-impact options are best:

  • Brisk Walking
    • Aim for 20–30 minutes per session, 4–5 days a week
    • Use cushioned shoes and choose flat, even terrain
  • Stationary Cycling
    • Set resistance to a moderate level—enough to raise your heart rate without straining knees
    • Start with 10–15 minutes and gradually build to 30–40 minutes
  • Swimming or Water Aerobics
    • Water supports your weight, reducing stress on joints
    • Incorporate laps, water jogging, or guided classes
  • Elliptical Trainer
    • Mimics running without impact
    • Maintain a comfortable stride length and posture

Tips for success:
• Warm up with 5 minutes of gentle movement
• Monitor intensity by the “talk test”—you should be able to speak but not sing
• Cool down with 5 minutes of slow walking or gentle stretches


Resistance Training for Strength and Metabolism

Building muscle supports better glucose control and vascular health. Aim for two sessions per week, focusing on major muscle groups:

  • Bodyweight Exercises
    • Wall push-ups or incline push-ups
    • Chair squats or sit-to-stands
    • Seated leg lifts
  • Resistance Bands
    • Bicep curls, shoulder presses, seated rows
    • Start with light tension and 8–12 repetitions
  • Light Free Weights
    • 2–5 lb dumbbells for arm and shoulder exercises
    • Ensure controlled movements to protect joints

Key guidelines:
• Rest 48 hours between resistance sessions
• Keep movements slow and deliberate
• Stop if you feel joint pain—modify or reduce load


Pelvic Floor (Kegel) Exercises

Pelvic floor muscle strength directly influences erectile function by helping to maintain rigidity:

  1. Identify the muscles
    • Imagine stopping your urine midstream—those are the pelvic floor muscles.
  2. Basic Kegels
    • Tighten muscles for 5 seconds, then relax for 5 seconds
    • Repeat 10–15 times, 3 times a day
  3. Advanced Progression
    • Hold for up to 10 seconds
    • Incorporate quick 1–2 second contractions

Pro tips:
• Breathe normally—do not hold your breath
• Avoid tightening buttocks or thighs


Flexibility and Mind-Body Practices

Maintaining flexibility and reducing stress can enhance overall sexual health:

  • Yoga
    • Poses like Bridge, Cobra, and Butterfly improve hip flexibility and blood flow
    • Incorporate deep breathing to lower stress hormones
  • Tai Chi
    • Gentle, flowing movements enhance balance, circulation, and mental focus
  • Static Stretching
    • Hamstrings, hip flexors, lower back—hold each stretch 15–30 seconds

Putting It All Together: Sample Weekly Plan

Day Activity
Monday 30 min brisk walk + pelvic floor exercises
Tuesday Resistance band session + gentle stretches
Wednesday 30 min water aerobics or swim
Thursday Yoga class (20–30 min) + pelvic floor
Friday Stationary cycling (30 min)
Saturday Rest or light tai chi (20 min)
Sunday Resistance training + flexibility routine

Precautions and Tips

  • Check with your doctor before starting any new exercise, especially if you have heart disease, joint replacements, or severe arthritis.
  • Start slow and progress gradually to avoid injury.
  • Use support—walking poles, water noodles, or resistance bands with handles—to reduce joint stress.
  • Stay hydrated and fuel your body with balanced meals.

When to Seek Further Help

If you experience any of the following, seek medical attention promptly:

  • Chest pain, dizziness, or unusual shortness of breath during exercise
  • Sudden swelling or severe pain in joints
  • Persistent fatigue or palpitations

You might also consider doing a free, online “symptom check for” erectile dysfunction at https://www.ubiehealth.com to help guide your next steps.


Speak to a doctor before making changes that could affect your heart, joints, or overall health. A personalized medical evaluation ensures you choose the safest, most effective exercise plan for your needs.

Thinking about asking ChatGPT?Ask me instead

Tell your friends about us.

We would love to help them too.

smily Shiba-inu looking

For First Time Users

What is Ubie’s Doctor’s Note?

We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.

Learn more about symptoms

Impotence

Learn more about diseases

Erectile Dysfunction

Was this page helpful?

Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.