Sexual health and aging: Keep the passion aliveSexual feelings don't disappear as you age. Here's how to keep the flame burning.
By Mayo Clinic Staff
Sexual health is important at any age. And the desire for intimacy is timeless. While sex may not be the same as it was in your 20s, it can still be as fulfilling as ever. Discover which aspects of sexual health are likely to change as you age — and how you and your partner can adapt.
Communication is key
To maintain a satisfying sex life, talk with your partner. Set aside time to be sensual and sexual together. When you're spending intimate time with your partner, share your thoughts about lovemaking. Help your partner understand what you want from him or her. Be honest about what you're experiencing physically and emotionally.
Sexual health and safe sex
People of all ages should know how to practice safe sex. If you're having sex with a new or different partner, always use a condom. Also talk with your doctor about other ways to protect yourself from sexually transmitted infections.
If you're in a long-term monogamous relationship and you've both tested negative for sexually transmitted infections, you probably don't need to worry about protection. Until you know for sure, however, use a condom when you have sex.
Aging and men's sexual health
Testosterone plays a critical role in a man's sexual experience. Testosterone levels peak in the late teens and then gradually decline. Most men notice a difference in their sexual response by age 60 to 65. The penis may take longer to become erect, and erections may not be as firm. It may take longer to achieve full arousal and to have orgasmic and ejaculatory experiences. Erectile dysfunction also becomes more common. Several medications are available to help men achieve or sustain an adequate erection for sexual activity.
Aging and women's sexual health
As women approach menopause, their estrogen levels decrease, which may lead to vaginal dryness and slower sexual arousal. Women may experience emotional changes as well. While some women may enjoy sex more without worrying about pregnancy, naturally occurring changes in body shape and size may cause others to feel less sexually desirable.
Sep. 17, 2011
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- Kingsberg SA. The psychological impact of aging on sexuality and relationships. Journal of Women's Health & Gender-based Medicine. 2000;9:S33.
- Read J. Sexual problems associated with infertility, pregnancy and ageing. British Medical Journal. 2004;329:559.
- Sexuality in later life. National Institute on Aging. http://www.nia.nih.gov/HealthInformation/Publications/sexuality.htm. Accessed July 12, 2011.
- HIV, AIDS, and older people. National Institute on Aging. http://www.nia.nih.gov/NR/rdonlyres/406F1413-29E3-4944-A25C-16C98D86F097/12531/HIVpartsAPFINAL41309.pdf. Accessed July 12, 2011.
- Kaiser FE. Sexual function and the older woman. Clinics in Geriatric Medicine. 2003;19:463.
- Jung A, et al. Male sexuality and advancing age. European Journal of Obstetrics & Gynecology. 2004;113:123.
- Szwabo PA. Counseling about sexuality in the older person. Clinics in Geriatric Medicine. 2003;19:595.
- Lindau ST, et al. A study of sexuality and health among older adults in the United States. New England Journal of Medicine. 2007;357:762.
- Hartmann U, et al. Low sexual desire in midlife and older women: Personality factors, psychosocial development, present sexuality. Menopause: The Journal of the North American Menopause Society. 2004;11:726.
- Peate I. Sexuality and sexual health promotion for the older person. British Journal of Nursing. 2004;13:188.
- The menopause years. American Congress of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp047.cfm. Accessed July 12, 2011.
- Can we prevent aging? National Institute on Aging. http://www.nia.nih.gov/HealthInformation/Publications/preventaging.htm. Accessed July 12, 2011.
- Spark RF. Treatment of male sexual dysfunction. http://www.uptodate.com/home/index.html. Accessed July 12, 2011.
- Swanson JB (expert opinion). Mayo Clinic, Rochester, Minn. July 12, 2011.