Sexual activity linked to higher cognitive function in older age

A joint study by two England universities explores the link between sex and cognitive function with some surprising differences in male and female outcomes in old age.

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  • A joint study by the universities of Coventry and Oxford in England has linked sexual activity with higher cognitive abilities in older age.
  • The results of this study suggest there are significant associations between sexual activity and number sequencing/word recall in men. In women, however, there was a significant association between sexual activity in word recall alone – number sequencing was not impacted.
  • The differences in testosterone (the male sex hormone) and oxytocin (a predominantly female hormone) may factor into why the male cognitive level changes much more during sexual activity in older age.

Countless studies have been done on the health benefits of sex – from an orgasm giving you clearer skin and a boosted immune system, to the physical activity keeping your blood pressure at a healthy level. A lowered risk of heart disease, the ability to block pain, a lowered risk of prostate cancer, less stress which leads to improved sleeping patterns…all of these are proven benefits of sexual activity.

The health benefits of sex have been studied again and again, and yet, there are still new things we’re learning about the benefits on the human body and brain.

Study links sexual activity to higher cognitive function in old age

The results of this study suggest there are significant associations between sexual activity and number sequencing/word recall in men and a significant association between sexual activity in word recall in women.

Cognitive function has been associated with various physical, psychological, and emotional patterns in older adults – from lifestyle to quality of life, loneliness, and mood changes as well as physical activity levels.

A 2016 joint study by the universities of Coventry and Oxford in England has linked sexual activity with higher/better cognitive abilities in older age.

This longitudinal study used a newly available wave of data from the English Longitudinal Study of Ageing to explore the connections between sexual activity in the older population (50+) with cognitive function.

The study consisted of 6,833 participants between the ages of 50-89 years old.

Two different cognitive function tests were analyzed:

  • Number sequencing, which broadly relates to the brain’s executive functions.
  • Word recall, which relates to the brain’s memory functions.

The results of these tests were then adjusted to account for each person’s gender, age, education level, wealth, physical activity, and mental health. The reason for this is that the researchers noticed there are often biases in other studies that examine the links between sexual activity and overall health.

For example, in this scenario, without taking those things into account, healthy older Italian men with a continued interest in sex would score higher on these tests. Women, who are more likely to become widowed and lose their sexual partner, would score lower.

The results…

While studying the impact of sexual activity on overall health, there are not many studies that focus on the link between sexual activity and cognitive function, and no other study that focuses on sexual activity and cognitive function in older adults.

The results of this one-of-a-kind study suggest there are significant associations between sexual activity and number sequencing/word recall in men. In women, however, there was a significant association between sexual activity in word recall alone – number sequencing was not impacted.

You can see the breakdown of this information here.

Why were the results for males and females so different?

One of the highlights of this study was exploring the differences sexual activity has in cognitive function in older males and older females.

Exploring the differences when it comes to the improved cognitive ability between the older males and the older females in this study was one of the highlights of the research.

Testosterone versus oxytocin

Testosterone, which is the male sex hormone, reacts very differently to the brain than oxytocin, which is released in females during sexual activity.

Testosterone plays a key role in many different areas such as muscle mass, facial and pubic hair development, and mood changes. It also impacts your sex drive and your verbal memory and thinking ability.

Testosterone belongs to a class of male hormones, and although the ovaries of a woman do produce minimal amounts of testosterone, it’s not enough to compare the impacts on the male and female bodies.

Oxytocin, on the other hand, is produced in the male and female bodies quite similarly, but ultimately the hormone reacts differently in the female body, triggering the portion of the brain responsible for emotion, motivation, and reward.

These differences in testosterone and oxytocin may factor into why the male cognitive level changes much more during sexual activity in older age.

Women’s ability for memory recall remains a mystery…

Another study, this time back in 1997, looked at the relationship between gender and episodic memory. The results of this study proved that women have a higher level of performance on episodic memory tasks (for example, recalling childhood memories) than men. The reason for this was not further explored in this study and has remained something of a mystery, even now.

The female brain deteriorates during menopause.

Women very commonly struggle with memory-related problems during and post-menopause. This could be the reason why the original study proved older men had a higher cognitive ability in number sequencing than older women.

Along with menopause-related cognitive decline, women are also at a higher risk for memory impairment and dementia compared to men.

Lead researcher of the original 2016 study, Dr. Hayley Wright, from Coventry University, explains:

“Every time we do another piece of research we are getting a little bit closer to understanding why this association exists at all, what the underlying mechanisms are and whether there is a ’cause and effect’ relationship between sexual activity and cognitive function in older people.”

Complete Article HERE!

Do Women Really Become Less Interested In Sex Over Time?

Debunking The Myths

by Deborah J. Fox, MSW

A couple in their 30s, married for 10 years, sit across from each other in my office with tension and despair written on their faces. When I hear their story of sexual disconnection, it sounds all too familiar. Ben’s story is one of frustration that they only occasionally have sex. Sara’s story is also one of frustration because she’s at a loss as to how to fix this between them. They both agree that when they do engage in sex, the encounter itself goes well enough. Yet that doesn’t lead to another roll in the hay for quite some time.

Another familiar scene is the group of men meeting for happy hour, bemoaning their lot as married men who’ve accepted the “fact” that women lose interest in sex after they’ve been married for a few years.

Anecdotes abound, yet the mainstream understanding of why sex in long-term relationships diminishes suffers from an astounding lack of information about female sexuality—and it doesn’t have to be this way.

Yes, some women do say, “I don’t care if I ever have sex again as long as I live.” I think the truth is more likely, “I don’t care if I ever have the kind of sex, or the circumstances under which I’m having sex, again.”

In sexuality, knowledge is truly powerful. So let’s unpack the real sources of all this distress.

The power of negative messages.

First of all, we need to name the thing many people don’t want to name: The negative messages that girls are bombarded with since they found out they were girls have created enormous barriers to feeling sexually comfortable. Even today, there is still a staggering number of “Good girls don’t _____” messages, all designed to modulate what might come naturally:

Have you ever heard a cliché of “Girls will be girls” the way you hear “Boys will be boys?” Never. Yet the truth is, all people are products of their culture. Even women who feel like they know better than to buy into these negative messages they heard growing up can still nonetheless be affected by them.

The good news is, the lingering impact of negative messages can be softened. The first step is to identify the messages you got as a child from your parents and peers, including social media. How did those messages affect how you feel about sex? About your body? The next step is to reflect on how these messages might still be affecting you and find a way to minimize their continuing influence. That can look like talking to your partner or friend about these experiences, reading books on female sexuality, or seeking the help of a therapist.

Additionally, so many women have been exposed to inappropriate sexual comments and touch, sexual abuse, and sexual assault. The impact of these experiences is enormous and long-lasting, usually interfering with the ability to enjoy sex. There are effective strategies to release trauma’s hold on you (the best first step here would be to see a therapist), but this context cannot be ignored in any conversation about the idea that “Women just aren’t interested in sex.”

Likewise, a crucial misunderstanding when it comes to female sexuality—and a major source of sexual frustration in couples—is the idea that sexual desire just pops up for everyone in the same way. When it doesn’t happen this way in a relationship, there’s usually a lot of confusion and blame.

There are actually two basic types of sexual desire: spontaneous and responsive. We’re very familiar with the spontaneous type. You know, those who walk down the street on an average day regularly struck with a desire for sex. They seem to be up for sex most anytime. Sexuality researcher Emily Nagoski, Ph.D., tells us that about 75% of men are members of this group but only about 15% of women.

Because women often aren’t exposed to what is more typical of female sexual desire, they often end up saying, “What’s wrong with me?” or falsely concluding, “I’m just not a sexual person.”

Many women have what’s known as responsive sexual desire. For people with this type of desire, the context of the moment is critical to your openness to the idea of sex. If you’re tired, preoccupied with a work project or a troubled family member, stressed, or feeling blah, interest in sex is going to be hard to come by. These are not just factors affecting your interest in sex; they are central. There’s nothing wrong with you for not being interested. You just need a change in context.

A common experience for responsive people is that desire shows up after arousal. This is normal. It’s just not advertised. What this means is that you have to change the question from, “Am I feeling frisky?” to “Am I open to engaging in touch?” With physical touch, arousal may well show up, followed by, “Oh, now I feel very glad to be here, doing this!”

Most people don’t even know responsive sexual desire exists—even the very people whose desire works like this. I was once describing responsive sexual desire to my husband, and he said, “That’s interesting. That’s not what you see in the movies.” Exactly. The media, a major provider of sex education, only depicts spontaneous sexual desire.

As it turns out, spontaneous people often find themselves in relationships with responsive people. I’ve found this often to be true in same-gender couples as well. So these groups need to get to know each other.

When I explain responsive desire to Ben, his jaw drops and doesn’t close for a while. Whereas Sara is nodding vigorously, “That’s me. That’s me—I’ve just never known how to explain it.” Likewise, when I explain that Ben likely walks down the street with every sixth thought being a sexual one, her eyes pop out of her head.

A consequence for many women growing up today is that sexuality wasn’t about them and their pleasure. With inadequate information about sex, many young women are often left to apply to themselves what they learn from their experiences with men—or the movies. If men just dive into erogenous zones at the outset of a physical encounter, then that’s what must be the way to have sex. However, when desire tends to follow arousal, a direct focus on erogenous zones can feel like an unwanted advance. Their bodies aren’t yet ready to be stimulated sexually.

What to do? Change the context. If you’re like Sara and have responsive sexual desire rather than spontaneous, what is the context that makes you feel open to physical touch? Instead of saying, “I’m not in the mood,” try asking yourself, “What could put me in the mood?”

Perhaps a conversation that would help you feel less stressed, a shared glass of wine or cup of tea, a foot massage, a hot bath, reading some erotica, having your partner wash the dishes and put the kids to bed. There’s a bridge between where your head is at the moment and where it could be—you just have to build it.

This is also a couple’s project. If you’re a spontaneous guy in a relationship with a responsive woman, find out what turns her on—and off. Do you approach her in a way that’s enticing to her? Do you send her affectionate or sexy text messages? Think of your early days of flirting—you showed interest and enthusiasm for everything about her. You paid attention to her. If she’s tired, do you offer to take on tasks to give her a break?

What about unresolved conflict or repetitive bickering? For those like Sara, this is a huge buzzkill. Many a time, a Ben type approaches his partner for sex several hours after they’ve quarreled, and she looks at him as if he’s sprouted a horn and gives him a look that says, “Are you [insert your favorite four-letter word] kidding me? I’m still furious with you!” Try finding a better way to resolve conflict so there’s not simmering resentment in the air.

When we understand responsive desire and the way it works, it exposes the myth that women lose interest in sex. Sure, most women probably do lose interest in the kind of sex they’ve been expected to enjoy—late at night when they’re ready to go to sleep, regardless of what else is going on for her.

Enjoyable sex happens in a context that takes you into account.

Getting back on that track of having a pleasurable sex life isn’t about the stars aligning just right. It’s about educating yourself, understanding what negative messages and experiences may be affecting your relationship, and understanding exactly how you and your partner’s sexual desire works. Equipped with that knowledge, you can work together with your partner to create a context in which you can both enjoy sex more fully.

Complete Article HERE!

Losing sense of smell can impact seniors’ sex life

Now anosmia — losing the sense of smell, which is a symptom of COVID-19 — can put seniors off their sex life, a new study shows.

By Kevin Connor

Aging can affect the quality of life for older people in many ways.Now anosmia — losing the sense of smell, which is a symptom of COVID-19 — can put seniors off their sex life, a new study shows.

A group of researchers, along with an expert from Brigham and Women’s Hospital in Boston, came up with the findings after testing a sample of 2,084 seniors over the age of 65.

They found a sense of smell plays a pivotal role in sexual motivation, the U.K. Daily Mail reported.

Other research concluded smell disorder in older patients impairs their sexual life.

“Decreased olfactory function in older U.S. adults was associated with decreased sexual motivation and less emotional satisfaction with sex, but not decreased frequency of sexual activity or physical pleasure,” the researchers said in their paper published in the Journal of Sexual Medicine.

The group of researchers suggests a decrease in smell didn’t necessarily decrease the frequency of sexual activity in all.

“Our research shows a decline in olfactory function may affect sexual pleasure in older adults,” said study author Jesse K. Siegel at the University of Chicago.

“Therefore, treatable causes of sensory loss should be addressed by clinicians to improve sexual health.”

Researchers say this is possibly because of ‘evolutionarily-conserved’ neurological links between olfaction and sexuality.

“Olfaction has a strong, evolutionary-conserved connection to the limbic system, which plays a critical role in processing emotions and sexual motivation,” Siegel and her team say in their paper.

“Neurons in the olfactory bulb also project directly to the hypothalamus, another key mediator of sexual motivation.”

Complete Article HERE!

Aging and Sex

By Korin Miller

Sex advice is often geared toward people who are having it for the first time, but it’s understandable that you might still have questions, even when you’re a sex veteran. After all, your body changes as you get older, and you’re not born knowing how to navigate all of this.

>“Our bodies change over time, so it’s very normal to have questions about sex and sexual health at any age, no matter how experienced you are,” women’s health expert Dr. Jennifer Wider, tells Yahoo Life.

But figuring out your “new normal” in your sex life can be “even even more sexually satisfying once you learn how to navigate the hormonal and physical changes that occur with age,” Dr. Lauren Streicher, an associate professor of clinical obstetrics and gynecology at Northwestern University Feinberg School of Medicine and author of Sex Rx: Hormones, Health, and Your Best Sex Ever, tells Yahoo Life.

Whether you’re in a steady relationship or are single, experts say these are important things to consider to keep your sex life—and sexual health—in top shape, no matter what your age.

Don’t shy away from lubrication

“As women get older, the ovaries make less estrogen,” Dr. Mary Jane Minkin, a clinical professor of obstetrics and gynecology and reproductive sciences at Yale Medical School, tells Yahoo Life. “That can cause [a woman] to be drier.” That’s why Minkin says that lubrication “is key” to having comfortable sex.

Lubrication is also important for lowering your risk of contracting sexually transmitted infections (STIs), Wider says. If you’re not well lubricated during sex, you can be vulnerable to experiencing micro-tears that can open you up to contracting an STI, she explains. “It’s important to be aware of this and to use personal lubrication products,” Wider says.

Use protection with a new partner

Yes, protection is still important when you’re older. And yes, you can get pregnant, which is why birth control is still important in your late 30s and early 40s. “While pregnancy is a lot less likely after 40, it can, and does, happen,” Streicher says. She points to data published in the New England Journal of Medicine that found that 45% of pregnancies in the U.S. are unintended. “Not surprisingly, the highest rate of unintended pregnancy is among women aged 24 and younger,” she says. “Surprisingly, the second-highest rate is among women over 40. In fact, unplanned pregnancies in women over 40 have recently increased because so many women in that group assume they are no longer fertile.”

STIs are still a risk, too, Streicher says. “You shouldn’t be lulled into safety, even if someone tells you they’re low risk because they just got a divorce or something,” she says. “Who knows who else they’ve been with?”

The Centers for Disease Control and Prevention (CDC) recommends using condoms to protect against the spread of STIS, nothing that “consistent and correct” use of latex condoms reduces the risk of contracting STIs and HIV. However, the CDC says, condoms, “cannot provide absolute protection.”

Minkin agrees that condoms are not perfect. “They don’t cover everything down there,” she says. “People can still transmit herpes with a condom, for example.” Still, she says, “they’re a good option.”

Keep up your Kegel exercises

Kegel exercises, which can help make the muscles under the uterus, bladder, and bowel stronger, can make sex more enjoyable, Wider says. “Strong pelvic floor muscles are important during sex,” she says. “Doing daily exercises can help strengthen and improve the tone of this muscle group.”

To do the exercises, Medline Plus recommends pretending you have to pee and then holding it. Relax and tighten the muscles that control urine flow—these are your Kegel exercises.

“The pelvic floor is challenged by pregnancy and age,” Minkin says. “It’s good to do these exercises any time, and it’s never too early to start.”

Take your time during sex

This is important at any age, Minkin says. “Most women need time to get things going, and many women and their partners are unaware of that,” she says. She recommends that couples start slowly and incorporate elements of touch and relaxation in foreplay, like giving a gentle massage.

Wider says patience during sex is also crucial. “Many women take longer to reach [climax] when compared with a male partner,” she says. “Giving yourself time to climax is important to sexual satisfaction.”

Get your HPV vaccine

The vaccine against human papillomavirus (HPV), an STI that’s linked to certain forms of cancer, is largely recommended for people under the age of 26, per the CDC. However, people up to age 45 who are not vaccinated may decide to have the vaccine to lower their risk of contracting HPV. “I advise women to get the vaccine, particularly if they’re newly single and not in a monogamous relationship,” Streicher says.

While the HPV vaccine has been tested in and approved by the Food and Drug Administration (FDA) for use in people up to age 45, Streicher says she will sometimes give it to patients who are older than that if they’re at a higher risk of contracting HPV. If you’re unsure if you need this, she recommends talking to your doctor.

Get tested for STIs

If you have multiple sexual partners, Minkin recommends that both you and your partners get tested regularly. “There is no absolutely safe hookup,” she says. The CDC recommends that all adults up to age 64 get tested at least once for HIV, and that sexually active women with risk factors like new or multiple sex partners get tested for gonorrhea and chlamydia every year.

Have open communication with your partner</strong

This is a big one, per Minkin. “One of the problems with satisfying sex is boredom,” she says. Minkin recommends having regular conversations with your partner about what you do and don’t like in bed. “If there’s no communication, there’s not going to be good sex,” she says. “Talking and working to liven things up is a good thing.”

Complete Article HERE!

6 Ways To Have Better Sex In Your 40s, 50s & Beyond

by Susan Hardwick-Smith, MD

As a practicing gynecologist for over 20 years, I’m all too familiar with the struggles that women face in midlife, especially when it comes to decreased (or nonexistent) libidos and disconnected, unsatisfying relationships. In fact, this issue is one of the core focuses of my medical practice, which is dedicated to women in midlife.

When you look at the perfect storm that we face beginning in our 40s and 50s—disappearing fertility, hormonal changes, children leaving the nest, aging or dying parents—it’s no wonder that our relationships and our sex drive get put on the back burner and begin to wilt. After a while, we feel as if we have completely lost our sexual being, which is a depressing conclusion to come to, and one that I sought to challenge.

I’ve been there personally, and I’m here to tell you with confidence that your life does have the potential to grow richer over the years, and that includes having the best sex of your life after 40, 50, 60, and beyond! No matter how you might feel right now, know that your sexual being has not died. It is just “taking a nap,” as I say to my patients.

I know this to be true from my own personal transformation as well as through the extensive research study I conducted for my book Sexually Woke. I studied a group of over 1,000 women between the ages of 45 and 65 and discovered that 7% of women in midlife have fulfilling sex lives and relationships. (Other studies have found up to 1 in 5 women saying the same!) While this percentage might seem small, the fact that this is true for some women—whom I call the “sexually woke”—means that it is possible for all of us.

Here are six ways you can begin to reawaken your sexual being and enjoy pleasure in your 50s and beyond:

1. Shift your mindset about what “sex” means.

We typically think of sex as vaginal intercourse. However, we should shift our mindset to define it as “intimate physical contact.” Physical intimacy is key in healthy relationships, and vaginal intercourse is not always a pleasurable way to express this. In fact, only 4 out of 10 women regularly have an orgasm through vaginal intercourse.

As we experience hormonal and physical changes in midlife, vaginal intercourse becomes increasingly difficult, if not agonizingly impossible. There are countless other ways to express intimate physical contact—the only criteria is that it creates pleasure for both parties. This could include cuddling, touching, and rubbing the genitalia together. Focus on whatever expression of sexual intimacy conveys a feeling of connection equally to you both.

2. Prioritize connection.

As we age, orgasm becomes increasingly difficult to achieve, and when it is our final goal, this can cause stress and disconnection that prevents physical intimacy. Instead of fixating on the climax itself, focus on connecting with your partner. The process of connection can be as enjoyable as orgasm itself as you and your partner grow closer together in your physical intimacy.

Research shows that the most reliable way for a woman to achieve orgasm after 50 is with a vibrator or toy, so it’s time to try this out if you haven’t already—partner or not!

Not only do we require more stimulation as we age, but we also can benefit from new types of stimulation. This can be a fun new experience and way to reawaken your sexual being—with or without a partner—as you explore your body in a different and exciting way.

4. Love yourself as you are.

One of my key findings about women in midlife with vibrant sex lives is that they are comfortable in their own skin and familiar with their bodies and what they like and don’t like when it comes to sex. Changes to our bodies and to our sexual anatomy are inevitable as we age, especially if we have children. It’s important that we accept these changes and feel content and deeply connected to ourselves; otherwise, a deep connection with our partner is impossible.

While I believe in loving yourself as you are, I also believe in the power of taking the initiative to address the changes in our sexual bodies that happen due to aging—like vaginal dryness and decreased sensitivity. There are a number of products available to improve sexual desire and functioning, both topically in the form of lubes and creams as well as more in-depth surgical and nonsurgical treatments. Talk to your doctor about what the procedures, products, or other options might be helpful for you.

5. Tune in to your spirituality.

My research affirmed a connection between spiritual wellness and sexual satisfaction. Spirituality looks different for everyone—it can be God, yoga, meditation, nature, or conscious generosity practices. The essential common thread is a deep understanding of connection to something bigger than yourself based in love, connection, and compassion.

While our 30s and 40s are often devoted to work, raising kids, or both, giving us little time for self-reflection, our midlife years offer an opportunity to start relieving ourselves of those burdens, hardships, and resentments. Journaling and meditation can help with this process. Resentment is the No. 1 libido crusher for women, so forgiveness and restoring our relationships are key for healthy, satisfying sex lives in our 50s and beyond.

6. Communicate and be intentional.

Being intentional with your partner is sexy. Small, daily moments of presence, attention, and recognition keep the fire of love alive. Something as small as how you greet each other and say goodbye can make a huge difference in your passion levels. Giving your partner your full attention, even if for a minute, acknowledges that you care about their happiness, and this communication will increase desire in your physical relationship as well.

Complete Article HERE!

What Women Over 40 With Amazing Sex Lives Have In Common

by Susan Hardwick-Smith, MD

When it comes to midlife and sexuality, what are the stories that need to be challenged if we want to be among the sexually woke? Inasmuch as these stories are causing harm or are not true, what might be a healthier way to view the same situation?

As an example, let me tell you how this worked for me. In my early-40s, life felt like I was on a conveyor belt going in one direction and largely out of my control. I was driven by a list of things I was supposed to do. Financial planners told me how much money I needed to earn and save to live to 95, to send my kids to an average of six years of private college, and to keep my invented life looking perfect from the outside. We predicted the rise and fall of the stock market for the next 50 years. Every morning, I got up and did what I was supposed to do. I made lots of money, won lots of awards, and made things seem amazing on Facebook.

My then-husband and I had complex wills, life insurance policies, disability policies, and every other imaginable tool to create the illusion that we had this life figured out and under control. I knew the precise date I was going to retire, as well as the date we were going to sell our home. I knew the dates our kids would get married, how much their weddings would cost, when I would become a grandparent, and the date each of us would probably die. Nothing was unknown.

If the goal of all this planning and attempting to manipulate the future was to provide a sense of safety and security, why did the idea of getting old fill me with dread? Why did following this nicely mapped-out path feel like I was being buried in an early grave? The fact was I had nothing to look forward to. There was nothing exciting or surprising to anticipate. Life had been wrapped carefully and stuffed into a box. Looking into the future felt like looking down a long, dark, narrowing tunnel. It was a death march.

At that same time, I was struggling with getting older. I was getting crow’s feet. Gray hairs became too many to pluck out. My sex drive was nonexistent. Women much younger than me were enjoying leadership roles and accolades and were prominently featured in the media. I could feel myself slowly being pushed out of the picture of what matters.

The real reason women’s sex lives decline over time.

After hearing Ben Zander talk about his book The Art of Possibility in 2010, the wall of that tunnel started to be a little more opaque. A little light started to come in. If there was light on the other side of those tunnel walls, what was out there? I read Zander’s book, and my curiosity started to rise. Within a few months, I was devouring a book every week and attending every seminar I could find on the subject of personal growth and spirituality. As my self-invented tunnel started to crumble, the future began to look quite different: an open field of possibility, openness, emptiness—a blank canvas ready for me to paint.

The degree to which this changed my life cannot be overstated, and all I did was change my perspective. Nothing “out there” changed. The only thing that changed was my ability to see it. I woke up.

Here’s an observation from 20 years as a gynecologist and 52 years as a woman. When you feel trapped in a box, you don’t want to have sex. Truly making love is generative, free, expressive, and creative. It’s a dance that takes place in an open field, not a dark tunnel. Love cannot be confined within walls. Trying to do so makes it die.

This observation points to one of the key findings of my research and perhaps the most important “secret.” It’s not aging that causes our sex lives to decline. It’s the feeling, conscious or subconscious, that we are trapped.

This is why women of all ages invariably have a spike in libido when they start a new relationship and why having a deep spiritual understanding (of something bigger than ourselves) is associated with a better sex life. The truth is we are not and never were trapped. We put ourselves in a prison but forget we hold the key. Outside those walls is a world of infinite possibility.

The sexual freedom that can come with age.

As I talked with the sexually woke, this theme came up over and over again. These women did not complain about aging; rather, they appreciated their newfound wisdom and freedom and universally described this as the best time of their lives. Surprisingly to me, many women shared similar images and metaphors to describe their own awakening. In Robin’s words:

“The idea of the fullness in life when we are younger is paradoxical because we tend to think of fullness related to success, achievement, money, and status. Then we find the futility when we get to menopause—the futility of trying to hold it all together. The first half of my life, I felt like I was building a very solid structure. That gave me some comfort. But then we literally start to see our bodies fall apart and realize that it’s all falling apart really. That solid structure was not based on anything real. My new house got old, my perfect kids grew up and didn’t do what the plan dictated, and my marriage fell apart. For me, the acceptance of that and letting go of the fantasy of solidity really let me enter the fullness of life. With the solidity of the walls I had created, I had no access to other possibilities. I was pretty delusional that life was solid. After my divorce, I was free—finally free to have that fullness of life and be available to meet someone I could be my full self with as my full sexual being. I’m 55, and life has never been better. As for sex, I’m only just beginning to find out where I can go with that. There’s no road map, no walls. I can go wherever I want. It’s beautiful.”

All of a sudden you have some space. You can finally ask those questions like, “What am I really here to do?” With that space to reflect, you can integrate yourself, pull all those pieces together, and really show up. People might call it a midlife crisis, saying, “Oh, she went nuts, left her husband, and moved to France.” But I don’t think that’s what it is. It’s an awakening. More like, “Oh, I’ve only been half here all this time.” When you’ve cut off your sexual being and then find it, it’s like you’ve been walking around without one arm then realizing that you have both. “Wow! Look at all these things I can do now with two arms!” Alexa shares another beautiful metaphor:

“I think of my sexuality as a sea snail, the kind with the coiled shell. For most of my life, my sexuality had lived inside a shell. For one thing, it’s not safe to be gay, so I hid. But now when I feel safe and happy, the snail will venture out of her shell and start to venture across the ocean floor and explore this unknown new world. I used to think the shell was a prison, but it’s really just a place to be safe if there’s real harm around. When I feel safe, there’s a door that I can venture out of and go as far as I want.

I’m 61, and I was thinking about women my age whose sexuality has gone out like the tide or at least they think it has. Then I started thinking about spaciousness, to live in the spaciousness of the unknown, of possibility. Inside the shell can feel safer, but I think an existence with spaciousness is what we are hopefully evolving into. There’s this ‘letting go of certainty’ aspect in sexuality that mirrors letting go into the spiritual life. For me, I think that’s how those two come together. There’s a huge element of letting go around the time of menopause. The reality of our finite life can be very freeing. There’s a letting go of needing to be a certain way, the way that conforms to being young. Instead of framing that as loss, to me it’s letting go of a whole lot of baggage and realizing your shell has a door. It’s freedom.”

I was amazed at how frequently words like freedom and liberation were used by the sexually woke in relation to midlife. This certainly wasn’t what I was taught! Freedom came in many forms: freedom from limiting beliefs, freedom from fear of pregnancy, and even freedom to make more noise or be more spontaneous without family in the house. Christine adds:

“Sex is so liberating now. I am past the baby stage. There’s no more waiting for a period to either get here or not and no more worrying about getting pregnant. I know what I like, and we are comfortable with each other. His body knows my body; it ‘listens,’ and it’s learned when to move left or right, keep going, stop, or try something else. Although we talk openly about sex, sometimes he just knows exactly what to do by the way my body is responding. It’s like we are in our 20s again but better because we’ve both learned so much and look forward to just being together.”

“It seems to me there are two possibilities. One is that you are still in a fog of years of youthful, idiotic, and delusional thinking, not really understanding things. On the other hand, now with some years and experience under your belt, you have a certain strength, clarity, and wisdom. I am starting to understand things. In the old days, they would have called me a crone. The wise old woman that the village would go to for advice. But maybe I can be a sexy crone. I feel better than ever. I don’t care so much what other people think. I am free to be myself. I can make love with my husband, and I am all here.”

Complete Article HERE!

Having an Amazing Sex Life During and After Menopause

By

When cartoonist Sharon Rosenzweig was 45 and going through a divorce, she felt the pressure to meet someone new right away. “By the time I’m in my fifties,” she remembers thinking, “I’m going to be so old, I won’t even be interested in sex anymore.” She had this idea that menopause would eradicate her sex drive.

Turns out, she was wrong. She met the man who would become her second husband in the middle of menopause and was surprised to find her sex drive was still quite active. But she did have things to figure out, namely vaginal dryness, a common issue of menopausal and post-menopausal individuals.

Her doctor prescribed her estriol cream and it has made all the difference. For Sharon, sex is now better post-menopause. “I’m surprised how [my body] keeps getting more responsive. Orgasms are longer and more powerful than they used to be. I don’t know if that is me being more comfortable, like being older actually helps, or if it’s this cream or it’s just having figured out a little bit more.”

By the way, estriol cream can be expensive. Sharon recommend looking into https://www.womensinternational.com/contact/ — an affordable pharmacy that does mail order.

Sharon tells her story in the new comic collection Menopause: A Comic Treatment. The embedded video is a promotion for the collection and tells Sharon’s story.

Sharon’s story is not uncommon. MaryJane Lewitt, PhD, RN, CNM, FACNM, is a nurse, midwife, and qualitative researcher who studies the sexuality of post-menopausal individuals. She is finding that, like Sharon has discovered, post-menopause is a time of life where many folks are able to prioritize their own sexuality and overall quality of life.

I interviewed MaryJane about her research. Below, you’ll find tips on navigating sex, relationships, and a holistic sexual self during and post-menopause from MaryJane and Sharon.

But first, a note on the gendered terms used in this article. Since MaryJane’s research has focused primarily on cisgender individuals born with vulvas, for this article, when I quote MaryJane, that’s who we are referring to; however, I hope anyone experiencing menopause can feel included.`

And actually, much of the advice is applicable to anyone in their later years regardless of gender, because much of the changes related to aging aren’t just about menopause. This is really about embracing your whole self through all of life’s changes.

1. Redefine Your Sexual Self

Many aspects of aging can impact one’s sexual desires and goals. You may experience changes in your relationships and your lifestyle, along with physical changes. Menopause (and aging in general) will bring changes to the texture, tone and sensitivity of your skin, including your erogenous zones. You’ll also experience changes to your body hair and natural lubrication.

Combined, these changes can impact what you find pleasurable, as well as how you view yourself as a sexual being. “Women have to deal with the way their body is now versus their expectation of who they were sexually before,” MaryJane said.

What’s important to remember is that these changes do not have to stop you from being a satisfied sexual being, they may just change what that means. And it does not need to be the same as what it was before or what it means to your neighbor.

“Every woman defines what her ideal sexual state is and what her own personal sexuality can be,” MaryJane explained. “It’s not the same for every single individual. Some people want to make sure that they continue sexual intimacy in their lives. Other women don’t necessarily need sexual intimacy in their lives for them to be sexual creatures.”

2. Schedule Time To Talk to Your Healthcare Provider About Sex

“One thing I’m hearing over and over again is that conversations about sexuality with healthcare providers — even OBGYNs, nurse practitioners and midwives — are not happening at the frequency that most patients’ desire.”

These conversations can be uncomfortable for both parties involved, and often, neither the provider nor the patient wants to initiate.

Another reason these conversations aren’t happening is that people assume that the problems they’re facing with their sex life can’t be helped. MaryJane explained this isn’t necessarily true: “A lot of things are starting to become available to women for addressing different elements of their sexuality.”

For instance, during menopause, the body produces less natural lubrication and some over-the-counter lubricants can dry out the skin even more and can aggravate the skin. Physicians can prescribe or offer suggestions for lubricants that will work better.

This is what Sharon experienced. She assumed her doctor would just suggest using generic OTC lubricant, but he was actually well-versed in this issue and had something better for Sharon to try (the estriol cream).

“You have to get past the embarrassment of saying what it is that you are having trouble with. I’ve known my doctor for 25 years, and it was really hard to bring up this topic of vaginal dryness and say those words to my doctor, even though he’s delivered babies,” she explained.

MaryJane recommends scheduling a specific appointment to talk about sex. “These take longer conversations with their healthcare providers to almost give women permission to explore different toys and really figure out what works best for them.”

To prepare for these appointments, she also recommends taking an inventory about what you want and what you’re experiencing. Here are examples of questions to ask yourself from MaryJane:

  • What are the things that you’ve tried to help improve your own personal satisfaction?
  • What are some of the things that have not worked?
  • When have you wanted to experience something different?
  • Was it related to desire? Was it related to something physical?
  • Were you having issues with urine leakage during intercourse which made you feel uncomfortable so you could not reach orgasm? Or was it a lack of that sensation?
  • Are you comfortable with masturbation?”

3. It’s Time to Play

If traditional sexual intimacy (penetrative sex and masturbation) is important to you, but you’re experiencing changes in what’s pleasurable, it’s time to play.

As you age, what feels good changes more quickly. “You’ve got to shift and adapt on a regular basis in order to continuously create those moments of pleasure and intimacy,” Maryjane explained.

To learn to shift and adapt, try new strategies in bed when alone and with partners, which will allow you to rediscover new avenues for pleasure and navigate your body’s changes.

As an example, let’s talk about orgasms. Per MaryJane, post-menopause, it can take people with vulvas longer to achieve orgasm, and the nature of the orgasms can change. “They have to either pregame with a lot more foreplay or different lubricants or, for the first time, they have to try more specific forms of external stimulation from the variety of toys out there.”

And play does not need to involve a partner. Want to really understand your body’s changes and get a sense of your sexual self? You’ll learn new things on your own and it’s good for you.

“Masturbation gives both short term and long term health benefits for women moving through the menopausal period,” MaryJane explained. “The act of masturbation itself increases circulation and lubrication and can maintain elasticity.”

4. Find Companions

Find folks you can open up to about changes to your body, your sex life, and your relationships. You might find that it’s a relief for them to open up as well. And if you’re dating and exploring, you might also find some partners-in-crime.

“Other women are your best allies,” Sharon explained. “They’re not your competitors, they’re your allies because they’re going to be out there dating and meeting people that they wind up not wanting to stick with, and they can pass them along. That’s what happened to me.” (Sharon was introduced to her second husband through a friend who’d dated him first.)

There’s no age limit on meeting new friends and lovers. There are rich opportunities through activity groups, alternative living communities, and more where older individuals are finding friendship and companionship. And people perimenopause are enjoying short-term or casual relationships perhaps more than they have in the past.

One dilemma, according to MaryJane, is that many older individuals were raised in cultures that did not encourage them to ask for what they need or be comfortable talking about sex or sexuality. This becomes a battle of habit and conditioning.

5. Consider The Opinion of Those Around You, But Live Your Own Life

After Sharon got divorced, she had to navigate dating with her teenage daughter in the house. She made the mistake of talking about moving for one potential partner without considering how it would affect her daughter. Here’s her advice for others navigating kids and dating: “I think it’s about being sensitive to what is going on with them. I missed it because my own needs were so central.”

It’s okay for your needs to be central; just be sensitive about how your own life changes affect those closest to you.

6. Be Proud

If you’ve gotten this far in the article, this issue is important to you, so let me leave you with one more thought. However you embrace this stage of life, you can set the example for future generations. You get to be a role model for younger folks like me on what it means to be vibrant and beautiful in the midst of life’s inevitable changes.

Here’s MaryJane: “There is a renaissance in terms of the sexuality of older women in the media right now. We’re seeing a lot of the women with dark gray or white hair — classic beauties — reassert themselves as very strong women at the end of their life. And they’re doing it from a sense of being alone or not having a partner, but their sexuality is very clear and very consistent in the images and in what they’re saying and what is coming forward from them.”

Case in point: about life at 59, author Gail Konop writes, “Contrary to the menopause myth, I am experiencing the sexiest, most vibrant, most intellectually and professionally fertile time of my life. Liberated from waiting for the next stage or event or person to define or save me, I am the leader of my own pod.”

Complete Article HERE!

50 Shades of Confusing:

When Older Adults Date

When seniors find love, their kids don’t always respond well.

By Anthony Cirillo

The divorce rate for people age 50 and up has doubled since the 1990s, in a time when divorce rates overall have fallen 18%. It appears that younger generations are contributing to that decline, marrying later when their career and finances warrant the commitment and being more selective in whom they marry. Of course, many millennials cohabit without the legalities of marriage, so the jury is out in terms of the stability of their overall relationships.

That said, boomers have given their kids one more thing to be infuriated about when mom and dad decide to divorce, start dating and – the horrors! – even have sex in their 50s and 60s. Living longer has caused many of these boomers to re-evaluate their lives. They’ve raised their kids, and now it’s their turn to have some fun … and “their” doesn’t necessarily include their partner. Plus, let’s face it: Women outlive men, so there are a lot of older women alone – and senior isolation is a real and dangerous thing.

Is Senior Dating Different Than Dating When You Were Younger?

The first two lines of the song “The Second Time Around” by Sammy Cahn and Jimmy Van Heusen state: “Love is lovelier the second time around, Just as wonderful with both feet on the ground.”

Perhaps the “both feet on the ground” is the key piece here. You’re older and supposedly wiser. Where you meet could change. I admit I met my wife at a nightclub. Caveat – I was in the band, and a friend brought her to see us play. Still, seniors returning to the dating scene probably won’t be hitting the nightclub. A different kind of club might be in order.

Joining groups where your interest matches others is a good place to start. These include: dance classes, art cafes, group theater excursions, senior gyms, special interest and hobby groups, senior trips and excursions. The point of any of these is to meet in a safe, public place. And perhaps it’s a sign of the times for anyone, but let others know where you’re going to be. (We’ll get to the kids in a second!) As for the first kiss and who picks up the check? Opinions differ. Follow your intuition.

So, What About Sex?

Well first, it’s a health issue. The earliest boomers came from the “free love” generation, the 60s. At a stage in life when many would expect sexually transmitted diseases to be waning, STD rates for those 55 and older have increased by 43%. Over the past several years, some 2.2 million Medicare recipients received free tests for sexually transmitted diseases, about the same as the number who received colonoscopies.

Many older adults didn’t get the safe-sex messages that younger generations received, so their condom use is lower. More seniors are living in retirement communities where there’s more socializing. As you age and your immune system weakens, fighting these diseases becomes harder. Add to that the availability and marketing of sex-enhancing drugs, and – well, you can see the issue.

Sex in the Nursing Home

Make no mistake, people are having sex in senior living. A survey of 250 residents in 15 Texas nursing homes found that 8% had sexual intercourse in the preceding month. And according to a study in Clinical Geriatrics, of 63 physically dependent nursing home residents, 90% said they had sexual thoughts, fantasies and dreams.

There are all kinds of implications with this, of course. Then add granny cams to the mix, and you can really complicate things. If someone is in a home, you have to pointedly ask how they handle relationships and sex.

Many nursing-home workers simply don’t look at the elderly as mature adults, but as children who must be policed out of fear of legal or medical repercussion. Most facilities do not train their staff to see residents as sexual beings.

Providers walk a fine line balancing person-centered care with risk management. Yet risk can be minimized with sensitivity and empathy toward resident needs. The Hebrew Home for the Aged in Riverdale, New York, is a national model, so I encourage you to see how they handle these issues.

But consider this true story: A son walked in on his 95-year-old father in bed with his 82-year-old girlfriend in an assisted living facility. Both had dementia. He went ballistic and removed his father from the home. After that, the woman stopped eating. She lost 21 pounds, was treated for depression and was hospitalized for dehydration. Clearly, for them, the relationship was real.

OK Boomer, What Will the Kids Think?

The knee-jerk response from me, a boomer, would be “get over it.” But it’s not that simple.

Understand where adult children are coming from first. The thought of mom or dad in a new relationship can be frightening – and maybe hurtful. Subliminally, kids might want to sabotage the relationship. And even when the children acknowledge their mom or dad’s right to date, they draw a mental line at marriage, which, in their mind, eliminates one parent from the equation entirely.

So as with most things, ease into a conversation. It’s natural to be curious about a parent’s partner. So ask. Maybe mom or dad has a history of being abused or taken advantage of, and the children want to protect them from heartache. In that case, intrusion is necessary.

Older adults are much more forthcoming than you might think. Keep in mind that the love of children and grandchildren can’t satisfy a person’s needs for love, romance and companionship.

A national poll reveals more than 3 out of 4 (79%) of adult children say telling their parents they’re taking away their car keys because they’re no longer fit to drive is the most uncomfortable conversation they could have. Talking to their parents about sex actually ranked third.

In a New York Times piece, Jake Maynard put things in perspective. At first appalled that his grandmother was marrying her former brother-in-law, he wrote, he eventually came to this realization: “I saw my grandmother and Bill not as old people seeking each other’s comfort or as old people at all, really. I saw them as newlyweds, love-struck and hopeful. I thought about how they both had lost love twice before and how they entered into this new love, at 80, knowing they would lose it again. And all at once, they seemed brave.”

Complete Article HERE!

Having Regular Sex Can Delay Menopause

Women who have sex more than once a month go into menopause later. We asked ob-gyns to explain why this might be.

By Korin Miller

Having sex more often might cause you to reach menopause at a later age, according to an intriguing new study.

The new study, which was published in Royal Society Open Science, analyzed data from 2,936 women drawn from 11 waves of the Study of Women’s Health Across the Nation (a longitudinal study conducted in the US). Researchers discovered that women who said they had sex weekly were 28% less likely to go through menopause than women who had sex less than once a month.

“We noticed that in existing menopause literature, there was a trend of married women experiencing menopause later—which seemed weird to us,” Megan Arnot, the lead study author and a PhD candidate in evolutionary anthropology at University College London, tells Health. “Not many people had tried to explain this association, and I thought that perhaps it was adaptive in response to sexual frequency, so we decided to test that.”

Wait—what is menopause, exactly?

Menopause is a normal part of getting older. It specifically defines a point in time 12 months after a woman has her last period, according to the National Institute on Aging (NIA).  During the menopausal transition (aka perimenopause), which is the years leading up to menopause, a woman might experience changes in her period, hot flashes, moodiness, and other symptoms, as her body produces less estrogen. The average age a woman in the U.S. reaches menopause is 51.

Why might having more sex cause you to go through menopause at a later age?

The study didn’t explore this, but Arnot has some theories. “It might be that women who are perimenopausal don’t feel like having sex,” she says. But, she adds, “It might be that there’s a trade-off between continued ovulation and stopping.” In other words, if you’re not having sex, then you’re not going to get pregnant, Arnot points out, “so there’d be little point in maintaining ovulatory function.”

Ovulation also requires a lot of energy from the body, and that can lower immune function, says Arnot. “So there may be a point in life where it’s better off to stop ovulating and invest your energy elsewhere if you’re not going to have a baby (because you’re not having sex),” she says. 

RELATED: Can You Get Pregnant After Menopause? The Answer May Surprise You

So, can having more sex stave off menopause?

Not necessarily. Study co-author Ruth Mace, a professor of evolutionary anthropology at University College London, is quick to point out that this is a link—not proof that having sex in your forties and fifties will push back menopause. “We controlled for a wide range of variables, including estrogen hormone levels, smoking, and BMI, and the association remains, but that does not mean that sexual behavior necessarily delays menopause,” she tells Health.

Given that sex can change hormone levels, it’s possible that this is the case, she says. Or, she adds, “it could be a third variable, like other hormone levels that we did not have data on.”

But Mary Jane Minkin, MD, a clinical professor of obstetrics and gynecology and reproductive sciences at Yale University Medical School (who was not involved in the new study), says she has “great doubts biologically” that having sex regularly would push back menopause. “The best correlation I know is family history—if mom and sisters went through menopause later, you will likely go through menopause later,” she tells Health.

However, Dr. Minkin says, it may simply be that women who go into menopause later feel more comfortable having sex in the time leading up to menopause. “Certainly the later one goes into menopause would imply there is more estrogen around to keep the vagina comfortable, and I unfortunately certainly see plenty of postmenopausal women unable to have sex because of vaginal dryness and pain,” she says.

There’s more to menopause than genetics, points out Christine Greves, MD, an ob-gyn at the Winnie Palmer Hospital for Women and Babies in Orlando, Florida (who was not involved in the study). “Just because your mother may have undergone menopause at a certain age, that doesn’t necessarily mean that you’ll follow in those footsteps,” she tells Health. “There’s a lot we’re still trying to figure out about menopause and I think anything is possible.”

Having regular sex during the perimenopausal and menopausal period can also help make sex less painful with time because it helps keep the vagina open, she points out—so sex sessions on the regular certainly can’t hurt.

Complete Article HERE!

What It’s Like to Date After Middle Age

Newly single older people are finding a dating landscape vastly different from the one they knew in their 20s and 30s.

By

When Rhonda Lynn Way was in her 50s and on the dating scene for the first time since she was 21, she had no idea where to start. Her marriage of 33 years had recently ended, and she didn’t know any single men her age in Longview, Texas, where she lives. She tried to use dating apps, but the experience felt bizarre and daunting. “You’re thrust out into this cyberworld after the refuge of being in a marriage that—even if it wasn’t wonderful—was the norm. And it’s so difficult,” she told me.

Way is now 63 and still single. She’s in good company: More than one-third of Baby Boomers aren’t currently married. Throughout their adult life, their generation has had higher rates of separation and divorce, and lower rates of marriage in the first place, than the generations that preceded them. And as people are living longer, the divorce rate for those 50 or older is rising. But that longer lifespan also means that older adults, more than ever before, have years ahead of them to spark new relationships. “Some people [in previous cohorts] might not have thought about repartnering,” notes Linda Waite, a sociologist at the University of Chicago. “But they weren’t going to live to 95.”

Getting back out there can be difficult, though. Wendy McNeil, a 64-year-old divorcée who works in fundraising, told me that she misses the old kind of dating, when she’d happen upon cute strangers in public places or get paired up by friends and colleagues. “I went on so many blind dates,” she said, reminiscing about her 20s and 30s. “So many wonderful dates.” She met her former husband when she went to brunch by herself and saw him reading a newspaper; she asked whether she could share it. Now her friends don’t seem to have anyone to recommend for her, and she senses that it’s no longer acceptable to approach strangers.

The only way she can seem to find a date is through an app, but even then, McNeil told me, dating online later in life, and as a black woman, has been terrible. “There aren’t that many black men in my age group that are available,” she explained. “And men who aren’t people of color are not that attracted to black women.” She recently stopped using one dating site for this reason. “They were sending me all white men,” she said.

Bill Gross, a program manager at SAGE—an organization for older LGBTQ adults—told me that the spaces that used to serve the gay community as meeting places for potential partners, such as gay bars, now don’t always feel welcoming to older adults. In fact, many gay bars have become something else entirely—more of a general social space, as younger gay people have turned to Grindr and other apps for hookups and dates.

Dating apps can be overwhelming for some older adults—or just exhausting. Al Rosen, a 67-year-old computer engineer living in Long Island, described sending out so many dating-app messages that he had to start keeping notecards with details about each person (likes concerts, enjoys going to wineries) so that he didn’t mix them up on phone calls. He and others I talked with were tired of the whole process—of putting themselves out there again and again, just to find that most people are not a match. (For what it’s worth, according to survey data, people of all ages seem to agree that online dating leaves a lot to be desired.)

But apps, for all their frustrations, can also be hugely helpful: They provide a way for seniors to meet fellow singles even when their peers are all coupled up. “Social circles used to be constrained to your partner’s circles, your work, your family, and maybe neighbors,” Sue Malta, a sociologist at the University of Melbourne who studies aging, told me. “And once you became widowed or divorced, your circles shrank. If someone in your circle was also widowed, you wouldn’t know whether they were interested in dating unless you asked.” Dating apps make it clear whether someone’s interested or not.

Even with that assistance, though, many older Baby Boomers aren’t going on many dates. A 2017 study led by Michael Rosenfeld, a social demographer at Stanford University, found that the percentage of single, straight women who met at least one new person for dating or sex in the previous 12 months was about 50 percent for women at age 20, 20 percent at age 40, and only 5 percent at age 65. (The date-finding rates were more consistent over time for the men surveyed.)

Indeed, the people I spoke with noted that finding someone with whom you’re compatible can be more difficult at their age. Over the years, they told me, they’ve become more “picky,” less willing—or less able—to bend themselves to fit with someone else, as if they’ve already hardened into their permanent selves. Their schedules, habits, and likes and dislikes have all been set for so long. “If you meet in your 20s, you mold yourselves and form together,” said Amy Alexander, a 54-year-old college-admissions coach. “At this age, there’s so much life stuff that’s happened, good and bad. It’s hard to meld with someone.”

Finding a good match can be particularly hard for straight older women, who outnumber their male counterparts. Women tend to live (and stay healthier) longer, and they also tend to wind up with older men; the older they get, the smaller and older their pool of potential partners grows. “About half of men will go on to repartner,” Susan Brown, a sociologist at Bowling Green State University, told me. “For women, it’s smaller—a quarter at best.” (And divorced men and women ages 50 or older, Brown said, are more likely than widows to form new relationships, while those who never married are the least likely to settle down with someone later on.)

One possible explanation for this gender disparity is that men rely more on their partners—not just when it comes to cooking and housework, but also for emotional and social support. Women are more likely to have their own friends to lean on, and they may not be eager to take care of another man. “For many women, it’s the first time in their life they’ve had independence—they might own a home or have a pension, or something they live off every week,” Malta told me. “They don’t want to share that.”

Still, healthy men are in high demand in assisted-living homes, Brown told me. And many of the older women I spoke with said that they were desperate to find someone active, screening dating profiles for mentions of physical activity and asking sly questions about family health conditions.

Health becomes a pressing dating concern once people enter their final stage of life. One 85-year-old woman I spoke with, who asked not to be identified in order to protect her privacy, has been dating an 89-year-old man for more than 10 years. His health is significantly worse than hers, and although she loves her partner and says she’ll stay with him, the relationship is getting harder. They don’t live together—a rule that’s been important for her, as someone who values her independence, loves to travel, and doesn’t want to slow a pace she knows he can’t keep up with. When she visits him in his retirement home a few times a week, she can sense that his health is declining. “We had wonderful conversations early on, but fewer now because he’s less engaged,” she told me. “It makes me sad to watch it happen.”

For reasons like this and others, a growing number of older people are “living apart together,” meaning they’re in a relationship but don’t share a home. It’s a setup that would have been less accepted in the past but represents today’s less rigid norms for older age. Without kids to take care of or jobs to juggle, older adults are forming the kinds of relationships that work for them.

Those relationships, whether casual or serious, typically involve sex. Some researchers have found evidence of a loss of libido in older age, especially among women, but other researchers I interviewed disputed that. Meredith Kazer, a professor of nursing at Fairfield University who’s studied sexuality among older people, told me that only if and when cognitive impairment makes true consent impossible should someone stop having sex. In fact, the annual “Singles in America” survey, commissioned by the dating site Match.com, has shown that people report having the best sex of their lives in their 60s—they’ve had decades to figure out what they like, and as Kazer pointed out, they often have more time on their hands.

Of course, there are physical challenges: Starting around age 50, erections are more difficult to sustain (and less hard), and take longer to regain after orgasm. Natural vaginal lubrication dries up, the pelvic floor becomes prone to spasms, and the cervix thins out and becomes irritable. Sex can be painful, or just embarrassing or frustrating. And many of the medical conditions that are common in older adults, such as diabetes or cardiovascular disease—or the medications used to treat them—get in the way as well, impacting libido, erectile function, or response to sexual stimulation.

But there are plenty of ways to get around those limitations, from Viagra to hormone-replacement therapies to lubricants. And more than that, an assumption that older people will be incapable of sex because of erectile dysfunction or vaginal dryness presumes a narrow definition of sex, limited to penetrative intercourse. “It becomes more about exploring each other’s bodies in other ways that they find more intimate,” Malta told me.

Karen, a 69-year-old in New York City who asked to be identified by only her first name to protect her privacy, told me that sex is great at her age. She finds that men are more aware of women’s desires; if they can’t sustain erections, they’re more thoughtful and creative, and they compensate—often with oral sex. “They’re very willing to do whatever it takes,” she said. Suki Hanfling, a sex therapist and a co-author of Sexuality in Midlife and Beyond, told me that she knows lots of elderly people having great sex; she mentioned one who had her first orgasm at the age of 83.

This is a sharp contrast to what many women now in old age experienced earlier in life. “For a lot of older women, it was sex in bed with the lights off, their nightshirt pulled up, and it was about men’s pleasure,” Malta told me. Moreover, she said, older adults are freer now to explore the fluidity of attraction and gender. Some who have identified as heterosexual their whole life are trying out same-sex relationships that they previously thought of as off-limits.

Older adults who are forming new relationships, and finding new possibilities within them, don’t have all the time in the world. That reality can cast a shadow, tingeing even the best moments with an edge of sadness, but it can also clarify the beauty in each other and the world. I heard this firsthand from many older daters; they were conscious of their limited time, sometimes painfully so, but those who had found new partners felt particularly grateful that they were able to do so later in life.

And those I spoke with who were single were often happily so. Al Rosen, the sexagenarian with the dating-app flash cards, told me he was—for the first time ever—really enjoying spending time alone. Laura Iacometta, a 68-year-old director of a theater company in New York City, told me that she’s disappointed by the scarcity of hookups in her older lesbian community, but that she’s “more self-actualized than I’ve ever been in my entire life.”

So although lots of unmarried older people aren’t going on many dates, they aren’t all dissatisfied. Helen Fisher, a biological anthropologist at the Kinsey Institute who helps conduct the “Singles in America” study, told me about two questions they asked respondents in the 2012 iteration of the survey: How likely are you to pursue a committed relationship with someone who offers everything you are looking for in a relationship but whom you don’t find sexually attractive? And what about someone with whom you’re not in love? They found that the single people least likely to compromise on attractiveness and feelings were those 60 and older. Fisher’s hypothesis is that older adults are less desperate to find partners than they may have been at a younger age—because they wanted someone to raise children with, or because they felt a societal pressure to partner up.

Rhonda Lynn Way, the woman from Texas, has decided to pull back from dating for a while. “I don’t think there’s one love of your life,” she told me. “I think there’s love.” And she’s sharing love in all kinds of ways—reaching out to people in her community who seem like they need it, reminding her kids that she adores them, hosting spaghetti dinners for her Unitarian Universalist congregation. I asked her whether she was happy being single. “You come into this world by yourself, but somewhere along the line we get this idea that you’re part of a half,” she said. “You are whole all to yourself.”

Complete Article HERE!

21 Things Scientists Discovered About Sex In 2019

By Kelly Gonsalves

Given that sex has existed as long as the human race has, you’d think our scientists, doctors, and psychologists would have collectively figured out all there is to know about sex by now. But the truth is, there are still many, many aspects of human sexuality that are a big, unexplored, confusing question mark. The good news is, 2019 has been quite the year in the world of sex research. Here are a few of the most fascinating findings we’ve made this year: 

1. Women are still struggling to talk about what they want in bed.

In 2019, more than half of American women were still struggling to talk about what they want sexually. A study published in the Archives of Sexual Behavior found 55% of women in the U.S. reported experiencing situations in which they had wanted to communicate with a partner about how they wanted to be touched and what sexually turned them on but decided not to say anything. About one in five women didn’t feel comfortable talking about her sexual desires at all, and one in 10 had never experienced sex in which she felt like her partner valued her sexual pleasure.

2. Just saying the word “clitoris” out loud is linked to better sex for women.

Yes, it really matters that much. As we’ve known for a while, the clitoris is the key to sexual pleasure for people who have them—but mainstream narratives and norms around sex prioritize P-in-V penetration as the main act of sex, despite the fact that the majority of clit owners can’t get off from that alone. Further proving how important the clit is, the same study cited above found that just being comfortable using the word “clitoris” is associated with greater sexual satisfaction and being less likely to fake orgasms. The researchers said their findings indicate why it’s so important for us as a society and as individuals to start talking openly about our sex lives. When you’re comfortable talking about sex—including the specific body parts where you like to get touched—you’re way more likely to convey that to your partners and then get the type of stimulation that actually feels good for you. 

3. Not all orgasms are good.

Orgasms are not the definitive marker of good sex, as it turns out. In another study published in the Archives of Sexual Behavior, researchers found 55% of people had experienced a “bad orgasm,” including orgasms that physically hurt, orgasms that didn’t feel as pleasurable as past orgasms, or orgasms that happened in sexually coercive contexts, such that having the orgasm led to intense psychological turmoil.

4. People in relationships really are having less sex.

Experts have been talking about a so-called sex recession for the last year or so, in which several different data reports have been showing people are having less sex these days than in generations prior. One multiyear study published in the BMJ this year found the majority of the dip is happening among married people and cohabiting couples. Some of their key findings: In 2001, 38% of women and 30% of men in serious relationships had no sex in the past month. In 2012, that number jumped to 51% for women and 66% for men in serious relationships. What’s more, even sexually active couples were having less sex than usual: In 2012, just 48% of women and 50% of men in serious relationships reported having sex at least four times in the last month, meaning about half of couples are having sex less than once a week.

5. But millennials don’t think they’re in a sex recession.

Cosmopolitan conducted a nationally representative survey on over 1,000 people. Their findings showed 71% of millennials feel “personally satisfied” with how much sex they’re having, and 62% of millennials think their friends are having “plenty of sex” too. So maybe it’s all relative?

6. Commitment and better sex are linked.

Researchers surveyed hundreds of couples in several weeks of couples’ therapy to ask about their commitment levels and sex lives each week. Published in the Journal of Sex and Marital Therapy, their study found commitment and good sex were definitely linked: Having good sex one week was associated with couples feeling more committed to each other the following week. The reverse was also true. Feeling more committed to each other one week was associated with the couple having better sex the following week. The two seem to feed off each other.

7. People who love casual sex are more committed to their relationships when those relationships are consensually non-monogamous.

If you think people who love casual sex are inherently less committed in their relationships, think again. A study published in the Archives of Sexual Behavior found that, in consensually non-monogamous relationships, enjoying casual sex (i.e., “sociosexuality”) was associated with being more committed to your relationship.

8. Childhood trauma is associated with less sexual satisfaction in adulthood.

People with more traumatic experiences in childhood tend to have less satisfying sex lives in adulthood, according to a study published in the Journal of Sex & Marital Therapy. Why? Experiencing trauma as a kid is associated with experiencing more daily psychological distress and with being less mindful, two qualities that may affect one’s ability to engage and feel pleasure during sex.

9. More than half of seniors are unhappy with their sex lives.

You know what you hear about people having less sex as they get older? That might be true, but it might not be because seniors want less sex. A study published in the journal PLOS ONE found 58% of men and women between ages 55 and 74 are not satisfied with their sex lives. In another study published in the journal Menopause, 78% of the more than 4,000 postmenopausal women surveyed were sexually inactive. Of these sexually inactive women, the top reasons for not having sex were not having a partner to have sex with, having a partner with a medical condition making sex out of the question, and having a partner dealing with sexual dysfunction.

10. These three key factors reliably turn women on.

A study of 662 straight women identified three factors that made women more likely to experience sexual desire for someone: intimacy (i.e., feelings of closeness and deep affection), celebrated otherness (i.e., seeing yourself as a separate entity from your partner instead of seeing yourselves together as a single unit), and object-of-desire affirmation (i.e., being told you are desirable).

This is an oft-repeated myth, but findings published in the Proceedings of the National Academy of Sciences have officially disproved the idea that men are “more visual” than women are when it comes to sex. The researchers reanalyzed over 60 studies, each of which had hooked up men and women to fMRI machines while showing them porn to try to see how their brains reacted. Gender was the least predictive factor in determining how activated a person’s brain was while viewing the erotic material.

12. One in four women experienced pain during their most recent sexual experience.

In a study of over 2,000 women published in the Journal of Sexual Medicine, researchers found nearly a quarter of women had experienced pain the last time they’d had sex. Of those who’d experienced pain, 49% didn’t tell their partner about it. Those who’d experienced little to no pleasure during the sexual experience were also three times more likely to not tell their partner about the pain.

13. Vaginal dryness and atrophy begin in perimenopause.

During and after menopause, hormonal shifts tend to cause the vaginal walls to become thinner and lubricate less. Known as vaginal atrophy, these changes tend to cause vaginal dryness, which predictably leads to more difficulties having sex. (Nothing that a little lube can’t fix, of course.) However, a new study published in the journal Menopause has found that these symptoms of vaginal atrophy, vaginal dryness, and the sexual pain that comes with them may actually begin in perimenopause—the period of time right before menopause hits, around ages 40 to 55.

14. Better sex ed improves LGBTQ kids’ mental health.

Sex ed is important for supporting people’s sexual health and helping people navigate sex safely. But it also has important mental health benefits for people in the LGBTQ community, according to new research in the American Journal of Sexuality Education. The study found kids who received sex ed that was inclusive of people with diverse genders and sexual orientations tended to have less anxiety, less depression, and fewer suicidal tendencies.

15. Open-minded people are more likely to cheat.

A study published in the Personality and Individual Differences journal found the personality trait most associated with cheating was open-mindedness. In other words, people who are more open to new experiences and people tend to be more likely to cheat as well. Seems obvious, but open-mindedness is also correlated with being more welcoming, more creative, more sexually liberated, and more extroverted. So…uh-oh?

16. There are at least some psychological components to why some people struggle with their sex drive.

Researchers interviewed about 100 couples where one partner struggles with sexual desire and about 100 couples with no such struggles. Published in the Journal of Sex & Marital Therapy, the study identified a few common traits among the partners who struggled with desire: They were more likely to pursue sex simply to avoid negative consequences (like a disappointed partner) and less likely to pursue sex to experience positive outcomes (like orgasms and connection). The findings also suggested they may “have difficulties recognizing and responding to their partners’ sexual needs due to having fewer sexual needs themselves.”

You can’t make this stuff up! A study published in the journal Sex Education found female students who had taken a sexuality class that discussed the orgasm gap tended to have more orgasms and better orgasms after they took the class than before.

18. Parents have better sex when they like each other.

Yes, researchers talked to 93 couples and found those who complimented each other more and had higher opinions of each other tended to have higher levels of sexual satisfaction in the relationship. It might seem obvious, but many long-term couples (especially parents) will readily admit that just because they’re married and in love does not mean that they always like each other. That means couples should never dismiss the importance of making sure actual feelings of affection and positivity still live on in their relationship.

19. Postcoital dysphoria affects men too.

Postcoital dysphoria refers to inexplicable feelings of sadness, frustration, or distress after having otherwise pleasurable sex. Some people assume that women are more likely to be emotional after having sex, but a study published in the Journal of Sex & Marital Therapy found 41% of men have experienced PCD, and 20% experienced it in the last four weeks.

20. How you feel about your genitalia affects your sex life.

Feeling self-conscious about your vulva or penis might actually affect how much pleasure you’re experiencing during sex. A study published in the Journal of Sex & Marital Therapy found people who felt more confident about their genitalia tend to have less stress about their “performance” during sex and better sexual functioning, which includes getting turned on easily, having more vaginal lubrication, and being able to orgasm with ease.

21. Sexual desire is buildable.

For couples, experiencing sexual desire today makes you more likely to experience sexual desire tomorrow and have sex tomorrow, according to a study published in the Archives of Sexual Desire. That means couples who want to improve their sex lives should consider starting small: Just adding a few moments of heat and turn-on daily, even without having sex, will build up sexual desire over time.

Complete Article HERE!

We’re in Our 70s. This Is What Our Sex Life Is Like

“My sex life is better than at any other time, even during the ‘free love’ era of the 60s and 70s.”

by Mark Hay

Joel Kann, 70, knew he was aging when other grey-haired men started offering him their seats on the bus. Bonnie Nilsen, 71, knew it when she looked in the mirror one day and saw her mother. Still, neither of them ever felt old—like they’d gone through some major shift in their physical, mental, or sexual selves. But both say they’ve had people look at them, or hear their ages, and clearly instantly mentally write them off as desexualized beings.

That is not surprising given the fact that, for well over a century, American culture has embraced and perpetuated the idea that, as we age, our sexualities naturally wither away. As such, we rarely depict older people as sexual. When we do, it’s usually as a joke. The image of the sexless elder is so widespread that even medical professionals often omit older people in studies on sexuality and neglect to talk about sexual health during check ups. (Is it any wonder why STI rates among older adults are so high?) Perhaps the only time most people think about the intersection of sex and old age is viagra commercials—or when we hear reports about the (sadly common) phenomenon of elder caregiver and nursing home sexual abuse. And that is far from an affirming recognition of senior citizens’ sexual lives and selves.

As people age, their bodies usually do change in ways that affect sex. Those with penises tend to lose sensitivity. Their erections often get less firm and frequent and may take more stimulation to achieve or maintain, and their ejaculations are often weaker. Those with vaginas may take longer to get aroused and produce less natural lubrication, which can make sex less comfortable. Across the board, libidos tend to decrease and orgasms may feel less intense.

Non-sexual health conditions from arthritis to depression to heart disease can compound these issues, or lead to chronic pain, fatigue, or other symptoms that make sex difficult to have. Treatments for these conditions can likewise have side effects that take a toll on sex drive or capacity. On top of all of that, changes in skin appearance, muscle tone, and weight that often accompany aging can lead to body image issues that put a crimp in many people’s sexual confidence.

A few studies suggest that people aged 60 to 82 tend to engage in physical intimacy less often than their younger peers. Yet several studies also suggest that many older adults still have and value sex—some more than they did as middle-aged adults. Most sexually active seniors say the sex they’re having is as good as, if not better than, the sex they had earlier in life. (People often report they have more confidence and fewer distractions in life in general, freeing them up to truly focus on and enjoy sex.) Many older adults believe a vibrant sex life is important to their overall wellbeing. Quite a few also wish they could have more sex, and note that their sex lives are often limited not by health issues, but because they lack a partner.

In an effort to push back on the desexualization of older people, VICE recently spoke to Bonnie and Joel, who have been having sex with each other on and off since college and became a couple eight years ago, about how they navigate sex and sexuality in their 70s. Bonnie and Joel are the first to admit that they may not be typical seniors. The polyamorous and sexually adventurous couple recently had sex on camera for porn performer and producer jessica drake and sex educator Joan Price’s Guide to Wicked Sex: Senior Sex educational adult video. Yet for all that is unique about their story, it still touches on many experiences that will resonate with older adults of all stripes.

Bonnie: [When we first had sex in college,] we had this immediate connection—I don’t know what happened there. Part of it was sexual but there was something else going on there.

We actually only had sex twice [in college]: the one time at my apartment and the one time at your apartment when your wife was away. Our sex was the typical 20-year-olds looking at each other and ripping off each other’s clothes and falling off the bed [type of sex].

We stayed in touch on and off through the early 70s, but then lost track of each other.

Bonnie: In 2008 I put a couple of websites up about myself. I am a self-taught web developer. I guess he found me. [That fall I was 60 and] I went to the east coast for my father’s funeral and stayed at my brother’s house in New Jersey for a few weeks as we sorted through my parents’ house. And I invited Joel to come up. It was just immediate—I looked at him and said, “oh my god…”

Joel: I was living in North Carolina and she said, “do you want to come up and meet?” I thought really meet—go out for coffee. I showed up and she was standing outside with her overnight bag.

Bonnie: We’d already talked about getting a hotel room!

Joel: No, I don’t think so! And she jumped into my car with her bag and said, “Let’s go!”

Bonnie: We had one night together.

Joel: That was the first time that I had sex with you and you squirted. I’d never been with a women who squirted before. I was like, whoa, what’s this? I don’t know what it is, but it feels good.

Bonnie: Because Joel was still married, he backed off. He didn’t want to hurt his wife—totally understandable. He was, I think, kind of shocked that we had connected again. So for the next couple of years we stayed in touch on Facebook, writing emails to each other. Then in 2011, I was getting on with my life up in British Columbia and got a message from Joel saying, “Hey, would you be interested in going to a medical conference with me in Victoria, on Vancouver Island?”

Joel: I’d realized there was something there. I really liked her. My marriage was pretty much over. It was not an angry, terrible marriage. It had just died. I hadn’t had sex with my wife in almost 10 years. So I looked for a conference near her and Victoria was a close one. I said, let me see if she’ll come. We met up there and spent five days [together].

Bonnie: Which was amazing. We both fell in love again.

Joel: We met at the airport, went to the hotel lounge, said some nice things, then said, “okay, up to the room.” A soon as the door closed, clothes started coming off. We fucked over a chair by a window overlooking the parking lot and imagined that other people were looking at us.

We fucked twice that night, [then] once or twice a day [thereafter]. Bonnie started taking out lingerie and sex toys and rope and I said, “this is going to be interesting!” I ended up tying you to the rafters in the hotel room. [I was in my early 60s and] it was, I think, the first time I had anal sex in my life.

We both cried when we had to separate because we hadn’t really made any plans other than that. It was like: What are we going to do? This feels so good. We’re in love. Now I have to go back and decide if I’m going to leave my wife for you. And I eventually did. Then Bonnie eventually moved [to Raleigh, North Carolina] to be with me.

Bonnie: When we got back together [in 2008], our sex drive was good and the sex felt amazing. It still is. But it has changed.

I have had fibromyalgia for over 20 years and that hits you. You’re going through life in your 40s and suddenly [you feel like] you’re in your 80s. Everything hurts. If you turn or move too quickly, you’ll strain a joint. It can put me in bed for a day. But then get up the next day like, okay, here we go again.

Joel: As I’ve gotten older, I have joints that ache a bit more. I tend to ignore that. But certainly, I can’t perform on the same level as I did when I was younger. I’m not quite as acrobatic as I was.

And when you’re young, you can get several erections in a day, no problem. But as you get older, that gets to one a day, sometimes once every couple of days. If the stimulus is good, I can get them a couple times a day. But to ejaculate a couple times a day is rare. Sometimes [my erections] are a little soft, particularly if I’m using a condom or with new partners or having sex in public.

I’ve used Cialis and Viagra with new partners. But when Bonnie and I are together, I don’t have real problems [with erections]. Usually they are spontaneous, or [develop] with a little bit of stimulation.

will [sometimes] have an orgasm and no or little ejaculate will come out. [It’s called] retrograde ejaculation because of swelling in the prostate—the ejaculate goes into the bladder instead of out through the urethra. Then it slowly comes out the next couple of times you urinate. The first couple of times it happened, it was like, wow, what’s that?

Bonnie: My sexual desire is definitely lower than it was [as well]. I could have sex one time a week. But we usually wind up having sex two to three times a week. That’s usually because Joel approaches me. And that’s fine. I’m not being forced into it. I’m more like, oh, okay, this is fun.

Joel: Eight years ago, we were having sex every day, sometimes a couple of times a day. Even now that her libido has dropped a bit, Bonnie is still more sexual than any woman I’ve ever [been with], at any age.

Bonnie: I’ve been thinking lately that I hardly ever masturbate. I used to masturbate almost every day. If I reminded myself to masturbate more, it would probably get my sex drive up again.

Joel: I also enjoy when she masturbates, whether I’m there or not. Just hearing about it is a turn on.

Things are different. Sometimes it takes more planning to have sex. It’s not always spontaneous.

Bonnie: The biggest thing between us is that we communicate well and have a sense of each other.

Joel: She told me about her fibromyalgia and how when [an attack] hits you, you wouldn’t be sure whether you’d want me to touch you for a day—whether you’d want me to hold you or stay away. We talked about that a lot—how that doesn’t mean you’re rejecting me. She warned me when we got back together: “You’re starting a relationship with someone with chronic pain. Are you sure you know what you’re getting into?” As a physician, I’d dealt with people with chronic pain and chronic fatigue, but not personally—not on this level. So it was learning what to do, what works, what doesn’t work, and communicating a lot: “What position are you comfortable in? How are you feeling now compared to the last time we had sex? What are you up for? What are you not up for?”

Bonnie: For me, it’s been learning to say. “no, I’m not into it right now.” If Joel wants to have sex, I’d love to. But my body sometimes [doesn’t].

Joel: Or [she’ll say], “I need to be on my side.” Or, “I don’t know if I can be on top for long.”

I had to learn how to feel comfortable being the one who more often than not initiates sex, but [also to] not be afraid when she can’t or doesn’t want to [have sex]—to not take that personally. It helps that she has such a great libido and is so adventurous. It wasn’t like I wasn’t getting any sex.

Bonnie: We’ve basically tried everything. And we still do. Just a lot less [often than we used to]. We just recently went to a Halloween party in Durham. It was a BDSM party.

Joel: I tied her to a cross and flogged her in front of a bunch of people. And we were into swinging for a while. Then we got into polyamory—this fits us better, getting to know someone and bringing them into our lives rather than just a quick hookup and then never seeing people together again.

Bonnie: [I don’t have many sexual relationships with other people these days.] With fibromyalgia, it’s like: Here’s somebody else who’s going to have to learn what to do with my body. I don’t really want to get into that. But I’m fine with Joel having other partners.

Joel: My sex life is better than at any other time, even during the “free love” era of the 60s and 70s.

Bonnie: When you were hitchhiking and fucking everybody you met on the road.

Joel: [One thing we want to say to other older people is:] Don’t let preconceived notions define you. You don’t have to act a certain way just because you’re getting older. There are things that change. Try to understand, physiologically, what’s going on and how you can adapt to that.

If you can’t get an erection, there are many ways to please your partner. With your hands. With your mouth. You don’t have to concentrate on penis-in-vagina sex to have a good sex life.

Bonnie: People like us are out here saying, “you can still have a great sex life in spite of changes.”

Joel: In spite of aches and pains.

Complete Article HERE!

Why painful sex can plague women at any age

By Erin Blakemore

Your brain may be ready for sex. But what if your body refuses to cooperate? Women desiring intimacy with their partner sometimes experience pain instead of pleasure. Painful intercourse can happen even without other health issues — and it’s more common than you might think.

In a nationally representative 2013 survey, 1 in 5 women reported vulvar pain or discomfort during sex in the previous 30 days, and about 30 percent of women in a similar 2012 survey reported pain during their most recent sexual contact. Sometimes the pain is brief. But in others, it’s persistent.

Painful sex, known medically as dyspareunia, can have a variety of causes. Most affect women of all ages, although some women experience its onset during or after menopause. A variety of conditions, including endometriosis and a thinning of the vaginal wall, can be to blame — and sometimes, the pain has no discernible cause.

The pain can range from the discomfort of vaginal dryness to painful pelvic contractions or burning vulvar pain during penetration. Physical causes range. A lack of arousal or low estrogen can cause vaginal dryness and soreness. Infections or inflammation can lead to painful contractions of the pelvic muscles or burning pain during penetration. Birth control pills have also been linked with vulvar pain and uncomfortable intercourse.

Endometriosis, which is thought to affect up to 11 percent of American women of reproductive age, can be the culprit. In a nationally representative 2012 survey, 29.5 percent of women with endometriosis reported dyspareunia, too. The condition, which causes the cells that line the inside of the uterus to grow in other parts of the body, can cause bleeding, stabbing pain or cramping that can last for days after sex.

Other women experience vulvodynia: genital pain that burns, stings or throbs and makes sex uncomfortable or impossible. Although it’s correlated with past vaginal infections and pelvic floor weakness, the disease is still not well understood and there is no known cause. Treatments range from psychological interventions to pelvic floor therapy and vestibulectomy, a surgery that removes painful tissue along the vestibule, which surrounds the openings of the vagina and urethra.

A history of sexual trauma is also linked to painful intercourse, including genito-pelvic pain or penetration disorder. Previously known as vaginismus, the condition can involve painful vaginal spasms when something enters the vagina and is thought to be caused by a fear of penetration.

For many women, painful sex begins with menopause. During menopause, the ovaries produce less estrogen, the hormone that helps ensure vaginal lubrication and keep the lining of the vagina flexible and thick. Decreased estrogen can cause painful dryness, thin the vaginal walls and even shrink vaginal tissue. Those changes are known as vaginal atrophy. Vaginal estrogen therapy can help; so can vaginal moisturizers and the use of silicone-based lubricants during sex.

Azmia Magane, a 34-year-old social worker from Orlando, experienced painful intercourse early in her marriage. A variety of symptoms made sex challenging and, often, impossible. During and after sex, pain would shoot through her abdomen or radiate from her bladder. Sometimes, uterine polyps led to painful bloating after sex. And vaginal dryness made seemingly pleasurable acts feel more like torture.

In Magane’s case, endometriosis, polyps and other chronic health challenges were to blame. Vaginal dryness was one of the biggest obstacles between her and physical intimacy with her new husband, she says. “It just feels like shards of glass,” Magane says. “It’s very, very uncomfortable.”

Painful intercourse can affect self-esteem, body image and relationships. But despite its prevalence and importance, says Leah Millheiser, its highly personal nature means it can go unspoken and untreated. Millheiser, a clinical assistant professor at Stanford University and director of the female sexual medicine program there, says social taboos can get in the way of diagnosis and treatment.

“Some people are just uncomfortable talking about that area,” she says.

No matter the cause, self-esteem and relationships can start to hurt along with sexual intercourse. In a 2014 survey, 58 percent of postmenopausal women with vaginal discomfort said they avoid intimacy; 78 percent of their male partners agreed. Thirty percent of women surveyed said vaginal pain caused them to stop having sex entirely.

“It has caused some strain on my relationship,” Magane says. “It can really destroy your self-confidence.”

Silence in the doctor’s office can make matters worse, delaying treatment or causing women to seek out unproven treatments on their own.

“[Doctors] need to learn to step outside of our comfort zone and really address the issue of sexual function with our patients,” Millheiser says.

The conditions that can make sex painful are common — vulvovaginal atrophy, for example, affects up to 50 percent of postmenopausal women. Yet only 7 percent of women receive treatment for the condition.

Women who experience uncomfortable sex may also feel uncomfortable bringing up their complaints during a routine appointment. Doctors can share that discomfort, or not think to ask about sexual health, Millheiser says.

They can also minimize or ignore symptoms of sexual pain. It can take years for patients to receive a diagnosis of conditions that affect sexual health; with endometriosis, for example, patients wait an average of 6.7 years.

That’s what happened to Magane, who experienced excruciating pain, unsympathetic providers, and a botched laparoscopy before she was diagnosed with endometriosis. She recommends that women look for sympathetic providers — and that they insist on answers.

“I know my body,” she says. “I am an expert in my body. [Doctors] may have a medical degree, but I’ve lived in my body for 34 years and I know what’s normal and what is not. Painful intercourse absolutely is not normal — sex shouldn’t hurt.”

Millheiser says women shouldn’t suffer in silence. Patients may not think painful sex is worth bringing up, or worry that they’ll offend their health-care provider by discussing sex.

These days, Magane supplements her treatment with meditation and yoga. She has found some relief through pelvic floor therapy, too. It’s a form of physical therapy that can reduce pelvic pain and make physical intimacy more pleasurable.

“I actually had my husband come to one of my appointments,” she says. “It kind of gave him a visual of what I was going through.”

Although her ordeal has been painful, she says it has reminded her that “intimacy is about more than intercourse. Continuing to nourish the other intimate aspects of your life is important.”

Nonetheless, she says, women should experience everything their bodies are capable of. “Sex is a really important part of the human experience,” she says.

Millheiser agrees. “Sexual health is as important as any other part of your health. It’s about relationships. It’s about self-esteem.”

And luckily, she says, “there are effective treatments out there.”

Complete Article HERE!

Sex in 2019

Your guide to safety

By Dr. Lisa Lanning

Older adults live longer now than in previous generations. In 2019, retired adults might have 20 or 30 years of life ahead and might find they have a lot more free time and freedom than they did when younger.

In your case, perhaps you have lost a spouse or a previous relationship has ended. Perhaps you haven’t dated in a long time, but now you’ve met someone new and are considering becoming physically intimate with that person.

What should you know to keep your own health in great shape and reduce the risk of serious sexually transmitted infections (STIs)?

Use it or lose it: Health benefits of an active sex life

Many older adults crave the physical and emotional closeness of having a regular sexual partner. As we age, it’s common to lose partners to disease, death and divorce, and many older adults grieve the loss of their previously active sex lives.

It is understandable that when one loses a partner, he or she would still desire to express their sexual feelings, and it’s entirely natural to seek a new partner.

Most adults in our culture recognize that sex is an effective way to reduce stress and improve overall well-being. Baby Boomers – those born between 1946 and 1965 – reached maturity during the 1960s-1980s, a much more sexually liberated period than the formative years experienced by their parents and grandparents.

Many vibrant older adults equate better health with better (and more) sex and expect to have sex well into their golden years.

A 2007 New England Journal of Medicine survey of 3005 seniors’ sexual activity found that:

Three-fourths of seniors ages 57-64 were sexually active.
More than half of ages 65-74 were active.
More than one-fourth of those 75-85 years old remained sexually active.

So how do we navigate finding a new, healthy and safe partner later in life?

Older is not (necessarily) wiser

Although older adults are having more sex and with more partners, they are not necessarily protecting themselves from infections. The advent of drugs designed to treat erectile dysfunction and other performance-based sexual disorders has increased the opportunity to participate in sexual activity while also increased exposure for men and women to STIs.

Studies show that many older adults do not use condoms, and physiologic changes in the aging body (such as vaginal dryness and thinner vaginal tissue) increase the likelihood of injury and tear from sexual intercourse and other sex play. This can increase the risk of receiving and transmitting an STI. Men who have sex with men and women who have sex with women are also at risk of STIs and need to be aware of how to protect themselves and their partners while enjoying their sex life fully throughout their life span.

What’s the risk?

Something we don’t often discuss is that part of the natural aging process is a less robust immune system. Older adults are often prescribed medications that also suppress the immune system including many arthritis medications and other medicines for chronic conditions.

Seniors are also more likely to have diabetes, heart disease and chronic kidney disease which increases the chance of picking up an infection.

Between 2007 and 2014, diagnosed cases of syphilis increased 52 percent among older adults, cases of chlamydia increased 32 percent and new diagnoses of HIV also increased according to a global STI study on emerging challenges to senior health.

That same report found that between 2007 and 2014, 24 percent of HIV-positive persons were more than 50 years old, and more than 15 percent of new HIV/AIDS diagnoses were among adults over 50. It’s also notable that, according to an American Journal of Public Health article, the risk of STIs is higher among recently widowed men than for women ages 67-99.

It’s time to be smart. We can no longer follow “Don’t ask, don’t tell” when being sexually active as older adults. Ignorance is truly dangerous and can be lethal.

If you are concerned that you might have been exposed to an STI, please bring it up with your primary care provider. We aren’t very good mind readers, and while we SHOULD ask about your sexual health, studies show we don’t ask nearly as often as we should, and patients don’t bring it up either.

How can you decrease your risk of contracting an STI?

Condoms help – both the everyday male condom and the less well-known female condom. These barriers reduce exposure to potentially infectious body fluids and protect the delicate older tissues. Lubricants help reduce trauma to sexual organs by decreasing friction and thus tears and other injuries that can increase the likelihood of developing an infection after sex.

It’s also important to simply TALK ABOUT IT! Although these can be uncomfortable conversations, it’s critical that older adults embarking on sexual relationships have “the talk” with their partners.

Here are a few key points:

  1. Be nonjudgmental and approachable. Just ask: How is your sexual health? Let’s face it – you’re preparing to share something extremely intimate and satisfying together – it will be better if you can discuss your past experiences openly. Feel free to ask about past infections or other sexual health concerns and how you plan to manage the risk of future infections.
  2. Go get tested together. See your family doctor, internist, OB/GYN, PA or NP. Ask for advice. A little-known fact is that Medicare covers screenings for STIs, although less than 5 percent of seniors take advantage of this benefit.
  3. Laugh about it. Share freely with your partner what you do and don’t like. Don’t compromise your values. If you are both open to new experiences and trying something you haven’t tried before, go for it!
  4. Learn about sex! We are never too old to learn something we didn’t know yesterday. The internet is a fantastic resource, although it can be overwhelming. A particularly excellent website is the American Sexual Health Association, ashasexualhealth.org.
  5. Lastly, check out this entertaining and educational rap video by family doctor Shannon Dowler, “STDs Never Get Old”  You can share it with your partner to help you start a conversation.

Complete Article HERE!

Overcoming intimacy challenges after 50

By Julie Pfitzinger

Confidence: “The quality or state of being certain.” That’s the Merriam-Webster definition, but for many people who are starting to date again after 50, confidence can falter and it can be difficult to be certain about anything.

For those who have lost a spouse or partner to death, divorce or a break-up, a feeling of being vulnerable may begin to settle in, leading to concerns about finding intimacy, as well as about when and how to fully open up to another person.

In the Dating After 50 series on Next Avenue, we’ve covered several topics including online dating and dating etiquette, which have provided tips and suggestions for the “how” on ways to start dating again.

But there’s another kind of how — how to make yourself emotionally, and physically, available to someone new. Taking a risk to share yourself and everything you have to offer at this stage of your life. Accepting and acknowledging what potential partners are offering you. Being confident about what will happen next. And knowing that even though it might not be easy, you are certain that you are genuinely ready to find fulfillment and happiness with another person.

Are You Ready to Move On?

Experts like Lisa Copeland, an author, speaker and dating coach in her fifties, say the first step to tackling that feeling of vulnerability and to start building confidence is to properly grieve the end of a marriage or relationship, whether through a break-up, divorce or death, before you even think about moving on.

For those who have divorced, Copeland says the best way to tell if you are truly ready to date is to gauge if “you’re feeling fairly neutral about your former partner.” She notes, “If you don’t feel that way yet, you are going to bring that [experience] right into the new relationship.”

The situation is different for widows or widowers. “If they had a good marriage, they are wanting to repeat the same relationship with a different person,” Copeland says. The lost spouse is also often brought into a new relationship, but that person frequently becomes “like a saint,” she says, which can be counterproductive to establishing an authentic connection with another person.

Before opening yourself up to dating, start by building a new social circle. The first step, says Copeland, is “to get out of the house.”

“Make friends. Take classes. Get involved with activities. When you are involved in doing things you love, you will light up,” she explains.

Taking that first step to put yourself out there can be uncomfortable. Copeland is a big fan of Meetups, which she says are “an amazing way to connect with others.” In her view, going into a Meetup gathering with a mindset of simply making new friends is best.

“If you meet someone, that’s just a bonus,” she says.

Different Ideas About Sex

Fast forward a bit: You’ve met someone, the two of you have found common ground and the relationship is progressing well. But what comes next could produce the biggest crisis of confidence you’ve had, well, in years: the thought of a sexual relationship.

“People often approach sex with very different ideas,” says writer and speaker Walker Thornton, who is in her 60s and the author of Inviting Desire: A Guide for Women Who Want to Enhance Their Sex Life. “The basic question most everyone starts with is: ‘Am I going to get naked with this person? And then what do I do?’”

The first roadblock is often body image, which Thornton says is typically more of an issue for women than men, although men are definitely not immune to concerns.

“Women are more concerned about sags and folds,” she says. “But men are worried about getting an erection or about satisfying a woman.”

When it comes to sex, Thornton encourages women “to share the valuable information” they have about what they like and don’t like with a partner.

“What we desired at thirty is different from what we desire at fifty,” she says, adding that she understands that for many women, the conversation about likes and dislikes is uncomfortable.

“But if you can’t even ask [a partner] about sex, how are you going to do it?” Thornton wonders.

The Myth of STDs and STIs

One particular conversation that is vitally important is around the topic of STDs and STIs, explains Thornton, and it really is non-negotiable.

“Here’s the simplest way to couch that conversation: I care about your health, so I will be tested. If you care about my health, I ask you to do the same,” she says. “Offer to send him or her a copy of your test results and ask them to send theirs in return.”

The conversation shouldn’t stop there. Thornton goes on to say that if a partner is unwilling to use a condom, for example, “they aren’t showing you that they respect your health and well-being.” If that is the case, Thornton says, “be prepared to say ‘No’ to sex, and say that this refusal makes you question their commitment to being in a relationship.”

It’s a myth that older adults don’t get STDs or STIs such as syphilis and gonorrhea; condoms can protect from genital herpes, which while not life-threatening, can be very uncomfortable and more so for women than men, says Thornton.

Make a List of What You Need

Other health issues may also come into play in sexual relationships between older adults. “Sometimes, you have to broaden your definition of sex,” says Thornton. “Focusing on pleasure, in ways inclusive of orgasm or not.”

Chronic illness can be an issue, as can cancer treatment, which often results in hormonal changes; other challenges may include fatigue or muscle/movement problems. “That can lead to a discussion about a time of day that’s better for sex, or accommodations that are needed for a bed,” explains Thornton. “Again, the best way to address all of these issues is through conversation.”

Thornton, who most frequently speaks to groups of women, often suggests making a list of just what you are looking for when it comes to a sexual relationship in midlife and beyond.

“If you have sex with someone, do you anticipate that this will be an exclusive relationship? Or if your partner decides he or she doesn’t want a sexual relationship, is that okay? Maybe it is,” says Thornton. “For you, is sex merely a goal or a natural progression of becoming intimate with another person?”

‘You Have More Freedom’

Copeland, who has been divorced twice and is now in a relationship, says there is often healing to be done before people are ready to fully open themselves up to a new person. Still, she adds, it’s vital “to know your value and know that you are worthy of someone.”

“One thing that’s often overlooked when it comes to dating after fifty is that you have more choices. You have more freedom than you did when you were younger,” she says. “You can have companions or lovers, or be in a committed relationship.”

However, Thornton — also divorced and in a relationship — understands how some might not perceive this place in life as a place of freedom.

“If we think our time is limited, we can feel more vulnerable,” she says. “But it’s really all about going into dating with an open attitude. Be willing to take the risk.”