Sexuality And Physical Changes With Aging

Overview

In most healthy adults, pleasure and interest in sex remain as they age. Age alone is no reason to change the sexual practices that you have enjoyed throughout your life. But you may have to make a few minor adjustments to accommodate any physical limitations you may have or the effects of certain illnesses or medicines.

It's never too late to start having sex. Many older people who have been celibate for years develop satisfying sex lives. And self-stimulation (masturbation) is normal, common, and healthy.

You may have sexual changes as you get older. But some changes may be the first sign of a medical problem. So talk with your doctor about any changes that concern you. Your doctor may be able to recommend treatments that will help you.

Here are some other considerations:

• Some medicines may inhibit sexual response. This includes medicines for depression, anxiety, and seizures. Ask your doctor about these side effects. Your doctor may be able to reduce your dosage or prescribe different medicines. Do not stop taking prescription medicines without talking with your doctor first.
• Colostomies, mastectomies, and other procedures that involve changes in physical appearance need not put an end to sexual pleasure. Communicating openly about your fears and expectations can bring you and your partner closer together and help you overcome barriers. If needed, a little counseling for both of you can help you adjust.
• People who have heart conditions can enjoy full, satisfying sex lives. Most doctors recommend that you abstain from sex for only a brief time following a heart attack. If you have angina, ask your doctor about taking nitroglycerin before you have sex. If you are using nitroglycerin, do not use erection-enhancing medicine such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra).
• If arthritis keeps you from enjoying sex, experiment with different positions. Try placing cushions under your hips. Also try home treatment for arthritis pain.
• Prescription medicines that can enhance the sexual response are available. Some people try herbal supplements. Both prescription drugs and herbal remedies carry the risk of side effects. Always talk to your doctor before you use any new medicines or supplements.

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