With age, hormonal levels, vascular function, and the condition of mucous membranes change.
Interest and satisfaction depend not so much on frequency as on comfort, health, and contact with a partner. Scientists have figured out what happens after 60, how these changes affect intimate life, and what helps maintain closeness.
How Sexuality Changes
With age, hormonal levels, vascular function, and the condition of mucous membranes change. These processes are natural and affect the sexual lives of women and men differently.
In Women
After menopause, estrogen levels decrease. As a result, the vaginal mucosa becomes thin and dry, and its elasticity and blood supply decrease. During sex, this can cause burning, pain, or micro-tears.
Typically, the situation improves with lubricants, vaginal moisturizers, and (if indicated) local hormone therapy.
It is important to note that pain during sex is not normal. If discomfort persists, it is advisable to discuss it with a gynecologist.
In Men
After 60, testosterone levels gradually decrease. This can affect sexual desire and the speed of arousal, but rarely leads to its complete disappearance.
Most often, difficulties with erection are related not to age itself but to the condition of the blood vessels. Atherosclerosis, hypertension, and diabetes impair blood flow to the penis and affect the quality of erection.
Modern medicine offers various options for assistance—from lifestyle changes to medication therapy. Therefore, problems with erection are considered a reason to consult a doctor, not an age norm that should be accepted.
The Influence of Chronic Diseases
Cardiovascular diseases, arthritis, and chronic pain can indirectly affect intimate life. Joint diseases limit movement and make certain positions uncomfortable.
Medications also play a significant role. Some drugs for blood pressure, depression, and seizure disorders reduce libido or hinder arousal. In such cases, a doctor may adjust the dosage or find an alternative.
Emotional Factors
Sexual activity in older age is influenced not only by physiology. A study published in the journal Psychogeriatrics (Japan) showed that about 60% of older adults prefer forms of intimacy that do not emphasize sexual intercourse and associate satisfaction with feelings of closeness and acceptance rather than with the frequency of contact.
Anxiety, depressive symptoms, and chronic stress reduce interest in sex at any age, but after 60, this effect may be felt more strongly. Changes in appearance, illnesses, and negative experiences can sometimes undermine self-confidence and hinder relaxation.
At the same time, survey data show that many people over 60 rate their sexual life as satisfying, even if they have sex less frequently than before. For them, emotional connection, a sense of safety, and trust in a partner become more valuable.
How to Maintain Psychological Comfort
Open communication in a couple reduces tension and helps adapt to changes. Conversations about desires, boundaries, and fears decrease the risk of misunderstanding and the feelings of guilt that often arise with reduced interest in sex.
If anxiety, shame, or tension interfere with intimate life, support from a psychologist or sexologist can improve the situation. Research shows that working with emotional factors often increases satisfaction even without medical intervention.
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