The major cause of a slowdown in the blood circulation in the body in older days. Slow blood circulation directly impacts the erection of the male. Another issue is the poor health of the old man. Then there are some medical issues. The combined effect is the lack of desire and stamina for sexual intercourse. Health plays an important role in sexual life in older days. A healthy old can get a hard erection for Cialis 60 mg. The chances of successful intercourse in older days depend on health, rather than on anything else.