Doctors Note Logo

Published on: 9/13/2026

What are the best exercises to stay hard after 70?

Pelvic floor training, often called Kegels, is the most evidence-backed exercise for improving erection firmness after 70, and studies suggest three sets daily can restore function in many older men. Combining these with moderate aerobic activity such as 30 minutes of brisk walking most days, plus resistance training two to three times weekly, supports the blood flow, hormone levels, and nerve health that erections depend on. Yoga, glute bridges, and core work add stability and circulation benefits, while quitting smoking and managing blood pressure amplify results. Technique, frequency, and underlying causes like diabetes, prostate treatment, or medication side effects all change what will work for you, so there are several important factors to consider before starting, explained in full below.

If exercises alone are not restoring firmness, that can be an early signal of a treatable circulatory, hormonal, or medication-related issue rather than simply aging, and identifying which one matters for choosing the right next step. A free, instant, online symptom check takes only a few minutes, is private, and helps you organize your symptoms so you know whether to see a urologist, your primary care doctor, or address a heart-health concern first.

Last reviewed for medical accuracy: 09/13/2026

answer background

Explanation

How to Stay Hard After 70: The Best Exercises for Lasting Strength and Vitality

Getting older doesn’t mean giving up on a satisfying sex life. In fact, regular exercise can boost blood flow, improve hormone balance and enhance both physical and mental well-being—key ingredients for maintaining strong erections after age 70. Below, you’ll find evidence-based, doctor-recommended workouts that support pelvic health, cardiovascular fitness and overall strength.

Why Exercise Matters for Erectile Function
Erectile health is closely linked to:

  • Blood vessel health. Strong, flexible arteries deliver oxygen-rich blood to the penis.
  • Muscle tone. Pelvic floor muscles (the “powerhouse” behind erections) need regular work to contract effectively.
  • Hormonal balance. Exercise can help maintain healthy testosterone levels.
  • Mental well-being. Physical activity reduces stress, anxiety and depression, all of which can affect sexual performance (Harvard Health).

Getting clearance from your physician before starting a new routine is always wise—especially if you have heart disease, diabetes or other chronic conditions.

  1. Pelvic Floor (Kegel) Exercises
    Strengthening your pelvic floor is the single most targeted way to improve erectile rigidity and control.

How to do Kegels:

  1. Sit or lie down comfortably.
  2. Identify your pelvic floor muscles by stopping the flow of urine midstream (do this only to learn the muscles, not as a regular exercise).
  3. Contract those muscles, holding for 5–10 seconds.
  4. Relax for 5–10 seconds.
  5. Aim for 3 sets of 10–15 repetitions, 3–5 days per week.

Benefits:

  • Improves rigidity and sustainability of erections (National Institutes of Health).
  • Enhances bladder and bowel control, reducing anxiety about performance.
  1. Cardiovascular Workouts
    Aerobic exercise boosts nitric oxide production, vital for expanding blood vessels and delivering blood to the penis.

Recommended activities:

  • Brisk walking or light jogging: Start with 20–30 minutes, 3–5 times per week.
  • Cycling or stationary biking: Low-impact option that strengthens leg muscles and heart health.
  • Swimming or water aerobics: Gentle on the joints while providing full-body cardiovascular benefits.

Tips for success:

  • Use a heart-rate monitor or perceived exertion scale (“moderate” = brisk but still able to hold a conversation).
  • Gradually increase duration or intensity every 2–4 weeks.
  • Wear supportive shoes and clothing to prevent injuries.
  1. Resistance and Strength Training
    Building lean muscle mass supports metabolism, bone density and testosterone production.

Key exercises:

  • Squats and lunges: Strengthen legs, hips and lower back—essential for pelvic stability.
  • Deadlifts (light to moderate weight): Promote full-body power and posture.
  • Push-ups or chest presses: Improve upper-body strength and core stability.
  • Rows and lat pulldowns: Balance chest work to keep shoulders healthy.

Structure:

  • Perform 2–3 sessions per week on non-consecutive days.
  • Start with light weights or bodyweight, focusing on 8–12 repetitions per exercise.
  • Increase resistance by 5–10% once you can comfortably exceed 12 reps.
  1. Core and Flexibility Work
    A stable core and flexible hips reduce tension, improve posture and support pelvic alignment.

Effective routines:

  • Planks and side planks: Engage deep core muscles for spine support.
  • Bridges: Lift hips while squeezing glutes and pelvic floor.
  • Hip flexor and hamstring stretches: Ease tightness from prolonged sitting.
  • Yoga or Pilates: Combine balance, flexibility and mind-body awareness to reduce performance anxiety.

Practice tip:

  • Dedicate 10–15 minutes after each workout to gentle stretching and breathing exercises.
  1. Incorporating Exercise into Daily Life
    Long-term success depends on consistency and enjoyment.

Practical strategies:

  • Set realistic goals: Aim for a total of 150 minutes of moderate activity weekly (World Health Organization).
  • Find a buddy: Partner up with a friend for walks or classes—accountability boosts adherence.
  • Track progress: Use a diary or phone app to log workouts and note improvements in mood, energy and performance.
  • Mix it up: Alternate cardio, strength and flexibility days to prevent boredom and overuse injuries.

Lifestyle Partners for Success
Exercise is most effective when combined with healthy habits:

  • Balanced diet: Focus on whole grains, lean protein, healthy fats and plenty of fruits and vegetables (Mediterranean-style eating is linked to better erectile function).
  • Weight management: Excess body fat can worsen vascular and hormonal health.
  • Limit alcohol and avoid smoking: Both impair blood flow and nerve function.
  • Quality sleep: Aim for 7–8 hours per night to support hormone regulation and recovery.
  • Stress reduction: Practices like meditation, deep breathing or tai chi can ease anxiety that impairs performance.

When to Seek Professional Help
It’s normal to experience occasional changes in sexual performance. However, persistent erectile difficulties may signal underlying conditions such as heart disease, diabetes or low testosterone. You might consider a free, online symptom check, using the doctor approved Ubie Symptom Checker to explore possible causes.

If you notice any of the following, speak to a doctor promptly:

  • Sudden or severe erectile difficulties.
  • Painful urination or pelvic pain.
  • Unexplained fatigue, weight changes or mood shifts.
  • Chest pain, shortness of breath or irregular heartbeat during exercise.

Conclusion
Staying hard after 70 is entirely achievable with a balanced exercise program that targets your cardiovascular system, pelvic floor and overall strength. Combine regular workouts with healthy lifestyle choices, monitor your progress and address any persistent issues with a healthcare provider. Always consult your doctor before beginning new activities, especially if you have chronic health concerns. Prioritize your well-being today—and keep enjoying a vibrant, active life into your later years.

(References)

  • * Araujo AB, Travison TG, Ganz P, Chiu GR, Kupelian V, Rosen RC, Hall SA, McKinlay JB. Erectile dysfunction and mortality. J Sex Med. 2009 Sep;6(9):2445-54. doi: 10.1111/j.1743-6109.2009.01354.x. Epub 2009 Jun 15. PMID: 19538544; PMCID: PMC3524836.

  • * Shamloul R, Ghanem H. Erectile dysfunction. Lancet. 2013 Jan 12;381(9861):153-65. doi: 10.1016/S0140-6736(12)60520-0. Epub 2012 Oct 5. PMID: 23040455.

  • * Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012 Apr;2(2):1143-211. doi: 10.1002/cphy.c110025. PMID: 23798298; PMCID: PMC4241367.

  • * Rew KT, Heidelbaugh JJ. Erectile Dysfunction. Am Fam Physician. 2016 Nov 15;94(10):820-827. PMID: 27929275.

  • * Erectile Dysfunction. Am Fam Physician. 2016 Nov 15;94(10):Online. PMID: 27929283.

  • * Roehrborn CG, Barkin J, Gange SN, Shore ND, Giddens JL, Bolton DM, Cowan BE, Cantwell AL, McVary KT, Te AE, Gholami SS, Moseley WG, Chin PT, Dowling WT, Freedman SJ, Incze PF, Coffield KS, Herron S, Rashid P, Rukstalis DB. Five year results of the prospective randomized controlled prostatic urethral L.I.F.T. study. Can J Urol. 2017 Jun;24(3):8802-8813. PMID: 28646935.

  • * Ermis E, Ozbay Ozyilmaz S, Salabas E, Senol C, Cengiz M, Allahverdiyev S, Ucar H. The relationship between erectile dysfunction and the Atherogenic Index of Plasma. Int J Impot Res. 2020 Jul;32(4):462-468. doi: 10.1038/s41443-019-0167-2. Epub 2019 Jun 26. PMID: 31243351.

  • * Meldrum DR, Morris MA, Gambone JC, Esposito K. Aging and erectile function. Aging Male. 2020 Dec;23(5):1115-1124. doi: 10.1080/13685538.2019.1686756. Epub 2019 Nov 14. PMID: 31724458.

  • * Leitão AE, Vieira MCS, Pelegrini A, da Silva EL, Guimarães ACA. A 6-month, double-blind, placebo-controlled, randomized trial to evaluate the effect of Eurycoma longifolia (Tongkat Ali) and concurrent training on erectile function and testosterone levels in androgen deficiency of aging males (ADAM). Maturitas. 2021 Mar;145:78-85. doi: 10.1016/j.maturitas.2020.12.002. Epub 2020 Dec 10. PMID: 33541567.

  • * Arsever S. Activité physique dans le traitement non médicamenteux de la dysfonction érectile. Rev Med Suisse. 2024 Jun 12;20(878):1182. doi: 10.53738/REVMED.2024.20.878.1182. PMID: 38867565.

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.

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.