Disclaimer: This article is for educational purposes only. It is not medical advice. Always consult with a licensed healthcare provider before beginning or changing any health regimen.

The Connection Between Energy, Recovery, and Sexual Health
For athletes over 35, sexual health is deeply tied to overall energy and recovery. Research shows that fatigue, overtraining, and chronic stress blunt sexual desire and performance. Both men and women experience declines in libido and function when their training load exceeds their ability to recover. For men, this often manifests as decreased testosterone levels, impaired erectile function, and reduced sexual interest. For women, high stress and low recovery correlate with menstrual cycle disruption, decreased arousal, and diminished sexual satisfaction.
Scientific Data on Energy and Libido
- High training volume and low energy availability are associated with suppressed reproductive function in both sexes. Endurance athletes with very high training loads often report reduced libido and sexual satisfaction, independent of testosterone levels (Hackney, 2017).
- Overtraining syndrome has been linked to suppression of the hypothalamic-pituitary-gonadal (HPG) axis, leading to decreased sex hormone output (Meeusen et al., 2010).
- Cortisol, the body’s primary stress hormone, directly antagonizes both testosterone and estrogen pathways, further impairing sexual health (Whirledge & Cidlowski, 2010).
Lay explanation: When you push training too hard without enough recovery, your body sees reproduction as a low priority. Hormone levels drop, and sexual desire or function often declines.
Role of Recovery in Sexual Function
When athletes recover properly, their sexual function tends to be stronger. The body prioritizes sexual health once survival and repair demands are met. In contrast, when glycogen is depleted, sleep is compromised, or inflammation is unresolved, sexual function often drops.
Key recovery factors influencing sexual health include:
- Sleep quality: Deep sleep triggers pulses of growth hormone and testosterone production (Van Cauter et al., 2000).
- Nutrition: Zinc and magnesium deficiencies are well documented to reduce testosterone and sexual function (Prasad, 2013).
- Hormonal balance: Recovery restores the anabolic–catabolic balance, supporting libido and function.
Lay explanation: If your body isn’t getting enough rest, fuel, and balance, it pulls resources away from sex to focus on survival and repair.
Vascular Health and Female Sexual Experience
Sexual arousal in women depends heavily on increased genital blood flow, which enhances clitoral sensitivity, vaginal lubrication, and overall sexual response. Optimized vascular function is therefore a cornerstone of female sexual health.

- Nitric oxide (NO) signaling: NO plays a crucial role in smooth muscle relaxation and vasodilation during arousal. Impaired NO pathways lead to reduced genital engorgement and lubrication (Park et al., 1997).
- Impact of vascular dysfunction: Conditions like diabetes, metabolic syndrome, and endothelial dysfunction are strongly linked with female sexual arousal disorder (FSAD). Women with these conditions often report blunted arousal and decreased satisfaction (Enzlin et al., 2002).
- Pharmacological evidence: PDE-5 inhibitors (e.g., sildenafil) increase genital blood flow in women, with some trials showing improved sexual response in those with FSAD (Basson et al., 2002).
Lay explanation: For women, good blood flow makes sex feel more intense and pleasurable. Poor vascular health can blunt arousal, reduce lubrication, and make orgasm harder to achieve.
Peptides That Support Energy and Sexual Health
Several peptides can indirectly or directly enhance sexual energy by improving recovery, mitochondrial function, and vascular health:

- BPC-157: Accelerates healing of gut, muscle, tendon, and ligament tissue; reduces systemic inflammation (Pevec et al., 2020). Less inflammation = more energy available for sexual health.
- Thymosin Beta-4 (TB-500): Supports angiogenesis (blood vessel growth) and tissue repair (Goldstein et al., 2012). Better blood flow aids both recovery and sexual function.
- Ipamorelin: Stimulates pulsatile GH release without raising cortisol, enhancing sleep quality and repair capacity (Kojima & Kangawa, 2005).
- CJC-1295: Works synergistically with Ipamorelin to amplify GH pulses, improving recovery and anabolic balance (Teichman et al., 2006).
- MOTS-c: A mitochondrial peptide that increases fatty acid oxidation and insulin sensitivity, improving endurance and energy (Lee et al., 2015). This extra cellular energy translates to vitality in sexual function.
- NAD+: A coenzyme critical to mitochondrial efficiency. NAD+ supplementation improves vascular tone through nitric oxide pathways and enhances cellular energy production (Rajman et al., 2018).
- PT-141 (Bremelanotide): Activates melanocortin receptors in the brain, producing heightened arousal and libido in both sexes (Wessells et al., 2000).
Lay explanation: These compounds don’t all work the same way—some restore energy by healing tissues, others by supporting mitochondria or hormones, and some (like PT-141) directly spark arousal in the brain.

Testosterone Replacement Therapy (TRT) and Sexual Function
For men, TRT can be a pivotal intervention when natural testosterone levels decline with age. Restoring testosterone improves energy, recovery capacity, libido, and erectile function. Clinical studies show testosterone therapy significantly improves sexual desire and erectile quality in hypogonadal men (Corona et al., 2014).
However, TRT should be managed carefully:
- Excess testosterone without monitoring can increase hematocrit, raise cardiovascular risks, and cause mood changes.
- Synergistically combining TRT with recovery-focused peptides may optimize both sexual and athletic health.
Lay explanation: TRT can feel like flipping the switch back on for energy and libido, but it needs medical oversight to avoid risks.
Athletes as “Sexual Athletes”
The idea that athletes with supraphysiological recovery capacity become better “sexual athletes” has scientific and experiential support. In essence:
- Enhanced mitochondrial function = more energy for both sport and sex.
- Faster tissue repair = less fatigue accumulation, better arousal.
- Balanced hormones = improved desire and performance.
- Optimized vascular function = stronger arousal, lubrication, erections, and greater sexual endurance.
Athletes who invest in recovery—whether through optimized training load, TRT, or targeted peptides—tend to experience heightened libido and improved sexual performance, alongside their athletic gains.
✅ Key Takeaway: Sexual function is not separate from athletic function. Both are driven by energy availability, recovery, vascular health, and hormone balance. By addressing these underlying systems, athletes over 35 can improve both their performance in competition and in the bedroom.
References
- Hackney AC. Hypogonadism in Exercising Males: Dysfunction or Adaptive-Regulatory Adjustment? Front Endocrinol (Lausanne). 2017;8:106.
- Meeusen R, Duclos M, Foster C, et al. Prevention, diagnosis and treatment of the Overtraining Syndrome. Eur J Sport Sci. 2010;10(5):293-301.
- Whirledge S, Cidlowski JA. Glucocorticoids, stress, and fertility. Minerva Endocrinol. 2010;35(2):109-125.
- Van Cauter E, Leproult R, Kupfer DJ. Effects of gender and age on the levels and circadian rhythmicity of plasma cortisol. J Clin Endocrinol Metab. 2000;85(10):3568-3578.
- Prasad AS. Zinc in human health: effect of zinc on immune cells. Mol Med. 2013;14(5-6):353-357.
- Park K, Goldstein I, Andry C, Siroky MB, Krane RJ, Azadzoi KM. Vasculogenic female sexual dysfunction: the hemodynamic basis for vaginal engorgement insufficiency and clitoral erectile insufficiency. Int J Impot Res. 1997;9(1):27-37.
- Enzlin P, Mathieu C, Van Den Bruel A, Bosteels J, Vanderschueren D, Demyttenaere K. Sexual dysfunction in women with type 1 diabetes: a controlled study. Diabetes Care. 2002;25(4):672-677.
- Basson R, McInnes R, Smith MD, Hodgson G, Koppiker N. Efficacy and safety of sildenafil citrate in women with sexual arousal disorder: a randomized controlled trial. J Urol. 2002;168(6):2335-2340.
- Pevec D, Sikiric P, Zivanovic-Posilovic G, et al. Stable gastric pentadecapeptide BPC 157 heals Achilles tendon transection in rats. Cell Tissue Res. 2020;381(1):189-199.
- Goldstein AL, Hannappel E, Sosne G, Kleinman HK. Thymosin β4: a multi-functional regenerative peptide. Basic Transl Sci. 2012;2(1):1-10
- Kojima M, Kangawa K. Ghrelin: structure and function. Physiol Rev. 2005;85(2):495-522.
- Teichman SL, Neale A, Lawrence B, Gagnon C, Castaigne J. Prolonged stimulation of GH and IGF-I secretion by CJC-1295. J Clin Endocrinol Metab. 2006;91(3):799-805.
- Lee C, Zeng J, Drew BG, et al. The mitochondrial-derived peptide MOTS-c promotes metabolic homeostasis and reduces obesity and insulin resistance. Cell Metab. 2015;21(3):443-454.
- Rajman L, Chwalek K, Sinclair DA. Therapeutic potential of NAD-boosting molecules: the in vivo evidence. Cell Metab. 2018;27(3):529-547.
- Wessells H, Fuciarelli K, Hansen J, et al. Melanocortin receptor agonists: pharmacology, physiology and therapeutic potential. World J Urol. 2000;18(6):456-461.
- Corona G, Maseroli E, Rastrelli G, et al. Is late-onset hypogonadism a risk factor for sexual dysfunction? J Sex Med. 2014;11(10):2463-2471.