Health Article # 1 - Intimacy and aging

Today's older adults are active, on the go and still doing many of the things they enjoyed in their younger years. That includes enjoying sex and intimate relationships.

Like adults of all ages, you probably want to continue intimacy with your partner and share your life in a fulfilling relationship. A healthy sexual relationship can positively affect all aspects of your life, including your physical health and self-esteem.

Physical changes

Testosterone regulates your sex drive whether you're a man or a woman. And most aging men and women produce enough testosterone to maintain their interest in sex. Although your body will go through changes that may make some aspects of sex more difficult as you age, these changes give you reason to try new positions and techniques. Men and women experience different changes in their bodies as they age:

Women

Most physical changes in your body are linked to menopause and reduced estrogen levels. As you age, it takes longer for your vagina to swell and lubricate when you're sexually aroused. Your vagina also loses elasticity. Together these can make intercourse less comfortable or even painful. You might also feel a burning sensation during vaginal penetration or discover vaginal bleeding afterward. Longer foreplay sometimes helps stimulate your natural lubrication. You can try a water-based lubricant, such as K-Y jelly, or talk to your doctor about estrogen cream or estrogen replacement therapy. Vaginal penetration helps maintain lubrication and elasticity if done regularly. If you haven't had sex for a while, talk to your partner about taking it slowly to minimize your pain or opt for other ways to be intimate.

Men

As you age, it might take you longer to achieve an erection. Your erections may be less firm and may not last as long. Aging also increases the time between possible ejaculations. Trying different positions may make inserting your penis easier for you and your partner. Talk to your doctor if you're having problems maintaining an erection or reaching orgasm. He or she can help you adapt to these changes. Your doctor can discuss medications that can help you achieve and maintain an erection. In some cases, your doctor might suggest other ways, such as penile vacuum pumps or vascular surgery.