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How does aging affect 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. Drugs such as sildenafil (Viagra), vardenafil (Levitra) and tadalafil (Cialis) can help men achieve or sustain an adequate erection for sexual activity.
How does aging impact women's sexual health?
As a woman approaches menopause, estrogen production decreases. As a result, most women have less natural vaginal lubrication, which can affect sexual pleasure. 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.
What medical conditions can cause sexual health concerns?
Any condition that affects general health and well-being also affects sexual function. Illnesses that involve the cardiovascular system, high blood pressure, diabetes, hormonal problems, depression or anxiety — and the medications used to treat these conditions — can pose potential sexual health concerns.
High blood pressure, for instance, can affect your ability to become aroused, as can certain medications used to treat high blood pressure.
How can surgical procedures affect your sexual health?
Any surgical procedure that affects your pelvis and your central nervous system will have a temporary — but often significant — impact on your sexual response. The body, however, is resilient. Given time to heal and some loving attention, you can become sexually responsive again.
What advice do you have for partners who have different libidos?
Differences in libidos are a major concern for many couples. Couples can become polarized — one person initiates contact while the other avoids it. If you mainly avoid sex, take charge of some engagement. If you usually initiate sex, tell your partner what you need. If you're worried about hurting your partner's feelings, speak about your own experience. Use "I" statements — such as "I think my body responds better when ... " — to open up to your partner.
A healthy sex life is not only fulfilling, but it's also good for other aspects of your life, including your physical health and self-esteem. Adapting to your changing body can help you maintain a healthy and satisfying sex life. But you may have to make a few changes, such as allowing yourself more time to become aroused and talking more openly with your partner.
Senior sex: What changes as men get older?
As men age, testosterone levels decline and changes in desire and sexual function are common. These changes can include:
Your health also can have a big impact on your sex life and sexual performance. If you or your partner is in poor health or has a chronic health condition, such as heart disease or arthritis, sex and intimacy become more challenging.
Certain surgeries and many medications, such as blood pressure medications, antihistamines, antidepressants and acid-blocking drugs, can affect sexual function. Adapt to your changing body and know your limitations. Focus on ways of being sexual and intimate that work for you and your partner. Talk with your doctor about your concerns.
Tips to maintain a healthy sex life later in life:
Sex may not be the same for you or your partner as it was when you both were young. But by adapting to your changing body, sex and intimacy can continue to be a fulfilling and rewarding part of your life.