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Imagine not being able to afford one of life’s great pleasures — sex.

That’s true for many older couples, doctors say. Soaring prices for prescription medicines for impotence and other problems have put the remedies out of reach for some.

Without insurance coverage, Viagra and Cialis cost about $50 a pill, triple their 2010 list prices. The new “female Viagra,” a daily pill for low sex drive called Addyi, costs $800 per month. Older products for women also have seen huge price run-ups, Truven Health Analytics data show.

“Many of them don’t get past the pharmacy counter once they see the price,” said Sheryl Kingsberg, a University Hospitals-Cleveland Medical Center behavioral psychologist and researcher who counsels men and women.