Sex & Ageing

We are often led to believe that sex is just for the young and beautiful. Although there is an undoubted decline in sexual activity for many men and women with advancing years, this decline varies immensely from person to person.

In both men and women sexual function and response changes with the ageing process. Such changes vary in different individuals, and not every man or woman will experience all of them. In women the vaginal lubrication response is less marked and slower, the vagina may be less sensitive and there may be some shrinkage of the tissues and labia. A woman may notice that she has fewer orgasms and the intensity may also be reduced due to muscle wasting. Men may find that it often takes longer to achieve an erection and more direct stimulation is required. The size and firmness of the erection may also be less marked. As men age, the refractory period will become longer - this means that there will an increased length of time after ejaculation before another erection is possible. For some men this may be 24 hours or more which may be misinterpreted as impotence rather than a normal physiological process. The need to ejaculate becomes less with age and can also take longer to achieve. For some men ejaculation may also feel less powerful.

Many other factors can also contribute to the sexual changes experienced with ageing. General physical changes may contribute to feeling less attractive or experiencing a loss of attraction to a partner. Impaired mobility from such conditions as arthritis and Parkinson's disease along with other physical illnesses may be contributing causes to a sexual decline. In association with increasing physical ailments, the use of medications such as anti-hypertensives (for high blood pressure) and anti-depressants can affect sexual function and desire.

Although the picture may appear gloomy, many couples still enjoy intimacy and sexual pleasure well into their later years. Sexual function may be different from that in a couples 20's or 30's, however it does not have to be any less pleasurable. For example, the changes that occur with ejaculation can be viewed in a positive light as it may mean that an older mans response may be more in tune with that of their partners, with cuddling stroking and touching becoming a more important part of the sexual experience. Myths and misconceptions relating to sex and the elderly which may be prevalent in today's society can prevent couples or individuals from seeking help if difficulties do arise. Sex is not abnormal after middle age, and for many individuals does not cease just because procreation is no longer possible. Old age is not and should not be a barrier for seeking or receiving help whether that be from a doctor or counsellor.

For further information on female sexual dysfunction, please contact the Impotence Association helpline on 020 8767 7791

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