1. It is no longer fulfilling to be ambitious (i.e., a quiet home-centric, narrowing life can be fulfillment enough)
2. Ambitions are no longer fulfilled (i.e., there's not enough energy or time in the day to meet ambitious goals)
You are missing a key apostrophe there, "'", which grammatically means that ambition belongs to fulfillment.
The author is saying that as he ages, the fulfillment he once felt by being ambitious (e.g. writing books, starting a company, learning new things) goes away.
Does that make sense?
I think it's important to keep in mind that this isn't a "factual" piece as much as it is his reflection on aging. It might be true to him but not true to others.
The author likens this state of affairs to that of an aging athlete who can no longer play the sport they loved playing in their youth. For an ambitious person, settling for a slower pace can be a difficult transition.
I needed the whole sentence to parse that phrase. Here is what I understood: Ambitious persons who live to be old will struggle with the realization that although they remain ambitious (a certain type of stretching into the future this characteristic of _youth_), they lose the ability (energy, focus, commitment) to fulfil those ambitions. Matching those two conditions found inside one's self as the reality of one's self is a terrible struggle and out of that follows an inevitable sense of loss.
Or, put otherwise, the further you are in time from an achievement, the less fulfilling it is.