Some people believe you lose the desire to have sex with older age. That’s not true! Many older adults still want to have healthy sex lives. Normal changes to your body as you age, and other issues may make it harder to enjoy sex. This handout will discuss these issues, as well as review ways to promote a healthy sex life.

Normal Changes that Occur with Age

The vagina can become narrow, shorter, and less flexible with age. Also, as women age, they lose natural lubricant. These changes can make certain types of sex more painful.

It may take longer to have an erection. It may not be as firm or as large as it was when they were younger. Men lose an erection more quickly after an orgasm. It may also take longer to have another erection after sex.

Other Changes

There are other things that can make it harder to have and enjoy sex. These include:

  • Medical conditions, such as heart disease, diabetes, arthritis, and depression

  • Surgeries that affect the breasts or genitals, for both men and women

  • Medicines, such as those for your mood or blood pressure

Your emotions can also affect your desire to have sex. You might also feel less attractive. If you are stressed, worried, or upset about something, it can make it harder to enjoy sex.

Older adults are still at risk for sexually transmitted infections (STIs). Your risk is highest if you or your partner has more than one sexual partner or you are having unprotected sex. Talk to your doctor about ways you can protect yourself.

What You Can Do

  • Talk to your doctor about any questions or concerns you may have about your sex life. They can help you address any issues that affect your sex life.

  • Take good care of yourself. This means taking care of any medical conditions that could affect your sex.

  • Share your concerns with your partner. You might find that they have the same concerns.

  • It may help to talk with a therapist, with or without your partner. Some therapists are trained in helping older adults maintain a healthy sex life.

  • Use a water-based lubricant during sex.