Medical conditions and sexual health

Any condition that affects your general health and well-being may also affect your sexual health. Illnesses that involve the cardiovascular system, such as high blood pressure, diabetes, hormonal problems, depression or anxiety — and the medications used to treat these conditions — can pose challenges to being sexually active. High blood pressure, for instance, can affect your ability to become aroused, as can certain medications used to treat high blood pressure.

In addition, any surgical procedure that affects your pelvis and your central nervous system may have significant impact on your sexual response. The body, however, is resilient. Given time to heal and some loving attention, most people can often become sexually responsive again.

Medications and sexual health

Certain medications can inhibit your sexual response, including your desire for sex and your body's ability to become aroused or have an orgasm. If you think you are experiencing sexual side effects from a medication, consult your doctor. It may be possible to switch to a different medication with fewer sexual side effects, or to add an additional medication that reduces sexual side effects.

When one partner becomes ill

If you're ill, your sexuality may temporarily take a back seat to other needs. Pain, discomfort, medications or worry can overshadow your sexual desire. Talk with your partner about other ways to be close during this time.

If you're the caregiver, the demands of caring for your partner may take a toll on your sexual desire. Find a way to set aside the caregiver role from time to time, and be a partner instead — so that you can relax and feel nurtured by your partner. That way, you can enjoy a mutually satisfying sexual encounter.

Dealing with differences in desire

Differences in libidos are common among couples of all ages. Couples can become stuck in a pattern where one person initiates contact while the other avoids it. If you mainly avoid sex, consider taking charge of some engagement. If you usually initiate sex, try talking with your partner about what you need.

If you're worried about hurting your partner's feelings, talk about your experience using "I" statements, such as "I think my body responds better when …." In turn, try to understand your partner's needs and desires. Together you can find ways to accommodate both your needs.

Looking forward not back

Many couples want to know how to get back to the sexual arousal and activity levels they experienced in their 20s, 30s and early 40s. Instead, find ways to optimize your body's response for sexual experiences now. Ask yourselves what's satisfying and mutually acceptable.

Many books are available about how to maintain a healthy sex life as you get older. In addition, many couples find consulting with an expert helpful. Your doctor may be able to provide useful suggestions or refer you to a specialist.

Sep. 25, 2014 See more In-depth