Sexuality in Older Adults

Last Updated April 2022 | This article was created by editorial staff and reviewed by Deepak S. Patel, MD, FAAFP, FACSM

As you age, it doesn’t mean that you suddenly lose interest in sex. It’s common for people to remain sexually active throughout their lives.

How your sex life changes as you age is largely up to you. Your body will change as you get older, and your sexual health will change, too. These changes may require you to adapt. But you can have a healthy, enjoyable sex life — at any age.

Path to improved health

Sex is an important part of emotional and physical health. In a relationship, sexual activity allows you to establish intimacy (closeness) and express your feelings for your partner. It also benefits your physical health by reducing stress and making you feel good about yourself.

As your body and your sexual performance change, you may worry about how your partner will react. You may feel embarrassed or nervous. You might even avoid sexual activity. But don’t give up. There are many things you can do to make up for the changes that aging brings to your sex life.

  • Talk to your doctor. Although many adults have sexual problems as they age, few of them talk to their doctors about their symptoms. Your doctor can help you improve your sexual health by treating medical conditions, including erectile dysfunction (inability of a man to maintain an erection) or vaginal dryness. Your doctor may be able to find medicines that don’t affect your sexual activity. Also, they can suggest ways for you and your partner to enjoy sex.
  • Talk to your partner. At first, it may be uncomfortable to talk openly with your partner about sex. But it’s important to communicate with each other. Tell your partner about your feelings and concerns. Talk about what you want from your shared sexual experiences.
  • Change your routine. If you and your partner are having sexual problems, change your routine. Allow more time for arousal. Try new positions. Be creative. You may find you don’t have intercourse as often as you used to, but you can find new ways to be intimate. Spend time touching, kissing, and enjoying each other’s company.
  • Practice safe sex. Older adults are still at risk for sexually transmitted infections (STIs). Ask your partner about their sexual history, and share yours. Consider getting tested for STIs together before you become intimate. To prevent STIs, always use a condom when having sex.
  • Stay healthy. To stay in shape and help prevent disease, be sure to exercise, eat right, and see your doctor for regular preventive care.

 Things to consider

As we age, our bodies change. We may not always welcome these changes. The best way to deal with them is to be honest about them. Be honest with yourself, your doctor, and your partner.

Changes for women

As a woman approaches menopause, her estrogen levels begin to decrease. This may lead to vaginal dryness and thinning, which can make sex uncomfortable. In addition, she may have less sex drive. It may take longer to become sexually aroused. Her body may change in size or shape, which may affect her self-esteem.

Changes for men

As a man gets older, his testosterone levels begin to decrease. It may take longer for him to become sexually aroused. It may take longer for his penis to become erect. Erections may not be as firm or last as long. It may also take longer to ejaculate. Erectile dysfunction is more common the older a man gets. However, this condition doesn’t happen to everyone.

Medical conditions

Your overall health affects your sexual health. As you grow older, your risk for health problems increases. Conditions such as arthritis, heart disease, high blood pressure, diabetes, obesity, and depression can make having sex more challenging. Health problems also can decrease sex drive or affect your ability to become aroused or have an orgasm. If your partner has had surgery or is sick (for example, if they have cancer or has had a heart attack), you may be afraid to initiate sexual activity because you are worried that sex might harm your partner.


Many older adults take one or more prescription medicines. All medicines have side effects, and some may affect your sexual activity. For example, certain medicines may decrease your sex drive, or affect your ability to become aroused or have an orgasm.

A note for caregivers

If you care for an older adult, be sensitive about their sex life. You may feel uncomfortable addressing a new romance or talking about sexual health with the person you care for. But these are important parts of an older adult’s emotional and physical well being. Try to answer questions, address concerns, and acknowledge new relationships with respect.

Questions for your doctor

  • Should I get tested for STIs?
  • How often can I take medicine to help with erectile dysfunction?
  • Could I be allergic to lubricant?
  • Is it too late in life to increase my desire for sex (libido)?
  • Could any of my medications be affecting my sex life?


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