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Lust, sex and the middle-aged woman

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Women’s sexuality doesn’t die with age, but the level of their desire is diverse.

By Margaret Jennings

She seemed to have it all: a loving family, successful career and beautiful home.

Then Yvonne Carmichael jeopardised everything by having a torrid affair with a random stranger, ripping apart the cosy trajectory of her life.

Yvonne is the lead character in a BBC1 mini-series currently steaming up our TV screens, called Apple Tree Yard.

And while the storyline takes us from the joys of lust to the darkness of rape, it’s rare to see a 50-something female take centre stage in such scenes.

Midlife affairs are usually the reserve of testosterone-driven, crisis-ridden males — as if females have no such needs — or so the media world would have us believe.

Apple Tree Yard, a dramatised version of a novel by Amanda Coe, challenges pre-conceived ideas about middle-age sex.

It not only affirms that it’s OK for older women to be sexually expressive, it annihilates the myth that we become “invisible” and asexual just because we are ageing.

The four-part psychological thriller has prompted a lively debate on this issue and 50-year — old actress Emily Watson, who plays Yvonne, has commented: “Your sexuality doesn’t die with your age. You don’t have to apologise for it.”

The idea that our sexuality can be compartmentalised as non-existent, especially as we are living longer more vital lives, seems absurd.

While Yvonne’s torrid affair illustrates this explicitly, it also raises the issue of how our latent sexual urges are perfectly ripe to be reignited at this stage of life, depending on our circumstances and responses.

“Many women of 50 and beyond succumb to a flagging libido, more difficult arousal and maybe a stale, longtime relationship, by retreating from sex.

“Then they meet someone new and — bam — they feel the excitement that they thought they had left far behind,” says Joan Price, a US author and blogger on senior sexuality.

“They feel on fire. Their sex drive — which they thought was dormant — goes into overdrive. It can be quite an amazing and delicious experience. It can also be bewildering and guilt-filled, if a woman has an affair when she’s in a committed, monogamous relationship.”

Price, now 72, has first- hand experience of this herself: “I was 57 when I met the man who would become my husband and great love. I had been single for decades, with occasional relationships that didn’t go anywhere — and long dry spells.

“It was distressing, because I knew I was a vibrant, sexual being, but after menopause I seemed invisible to the men I met. Many women report that they feel the same. How glorious it is then, when we meet the right person and that person is as electrified as we are!”

The on-screen electricity between research scientist and grandmother-to-be Yvonne, and her handsome lover, Mark Costley (played by Ben Chaplin), is an endorsement of this passionate potential, but is there something missing in our relationship if we yearn to seek those sparks elsewhere?

Sex in relationships is not just about sex, but about the connect between a woman and her partner, says Lisa O’Hara, a couple counsellor with Dublin-based clinic Mind and Body Works.

“If lack of libido is an issue for a couple attending for counselling, it can be part of a wider discontent than just the sexual connection. There may be a loss of closeness in general and resentments by the woman towards the partner that have built up over years, which have gone unaddressed.

“If these are addressed in therapy and things improve, sex may be back once again.”

However, some of her midlife female clients do develop a stronger curiosity about their own desires and fantasies, once free of fear of pregnancy or of other lifestyle issues that had got in the way, says O’Hara.

“Some say ‘I’m out of here’. It totally depends on their unique circumstances and how they feel about themselves.”

The myth that we become less sexual as we age was recently explored in research among women aged 55 to 81, titled Sex, Desire and Pleasure: Considering the experiences of older Australian Women.

Research author Bianca Fileborn, a lecturer in the School of Social Sciences at the University of New South Wales, tells Feelgood: “One of the key findings from our research was that women are really diverse — there’s certainly not one way that older women are ‘doing’ sexuality and sexual desire in mid to later life.

Emily Watson’s as character Yvonne Carmichael in the BBC production of ‘Apple Tree Yard’.

“In fact quantitative research carried out in western countries pretty consistently shows that a significant number of older people remain sexually active — usually a majority — at least until they reach ‘deep’ old age, in their 80s and 90s. But even then, a large minority still have sex.

“Another key finding for us was that women’s desire for sex didn’t depend necessarily on how older they were, but what else was going on their lives that influenced them.”

Irish sexologist Emily Power Smith says she knows women of all ages who, although they’re living with chronic illness and pain, are “determined to find ways to feel sexual”.

“Women who enjoy sex will have sexual desire right to the end of their lives and will find creative ways to keep that spark. But I also work with a number of women in their 50s and above, who want to know what all the fuss is about, because they could quite easily never have sex again.

“Inevitably it transpires that they have never really enjoyed sex. As they begin to discover their ability to feel sexual pleasure and arousal, their drives tend to increase.”

ONCE we are leading healthy lives low libido seems more related to the kind of sex we are having, rather than our age, she says.

“I know many young fertile women who hate sex and many older women, post menopause, who love it. Increasingly, there is research to show that older women embarking on new relationships report no reduction whatsoever in their sexual desire.”

Whatever about the complex rich reality of older women’s everyday sex lives, the screening of Apple Tree Yard may nudge the film and media world towards a more rounded representation of the mature female in all her sensual glory.

And perhaps even encourage women to explore their own sexuality more.

There is a growing posse of sexy women in their 50s and older decades, gracing the fashion and beauty world, in recent times, apart from the fact that some of the original supermodels of the ’90s, such as Cindy Crawford, Elle Macpherson and Linda Evangelista are already past the half century mark.

This year’s Pirelli calendar also sees photographer Peter Lindbergh tap into the zeitgeist, describing the make-up free portraits of his subjects as a “cry against perfection and youth”.

Some of the high-achieving women he chose to feature were actresses Julianne Moore, 56, Charlotte Rampling, 70, and Helen Mirren, 71.

However, despite this celebration of our vitality as we age, we still may have some catching up to do as individuals, says Power Smith.

“Women do a lot of self-policing when it comes to behaviour, dress and dating over a certain age. I think we are so conditioned to believe our lives are over once we’re 50 — though this is changing slowly — we get very troubled at the thought of our peers wearing short skirts, or dating younger people. But the rules don’t serve us. They never did.

“Only now some of us have the financial freedom, confidence and ability to create new norms. So come on! Let’s break some rules!”

Apple Tree Yard, BBC One, Sunday February 5, 9pm

10 ways to feel sexy

Senior sexpert, author and blogger, Joan Price, gives us these 10 tips for hot sex after 50:

1. Slo-o- o-w- w down. It takes longer for us to warm up, and this intensifies as we get older. Make the warm-up phase of sex play last hours… or days.

2. Appreciate, decorate, and celebrate your body. Jewellery, lingerie, feathers, fringe, silk, velvet, massage oil, candlelight — whatever looks good and feels good. If you know you look sexy, you’ll feel sexy.

3. Learn what you like. Explore, experiment. If you’re partnered, communicate what you like.

4. Do sexy things on your own to get in the mood long before you get naked. Work out. Swim. Dance. Fantasise a sexy scene. Spend some time humming with a vibrator, reading erotica, or watching porn — or all of these.

5. Have sex during high energy times, when your arousal is strongest, whether solo or partnered.

6. If you’re partnered, kiss and kiss. Kiss sweetly, passionately, quickly, slowly, contentedly, hungrily, lightly. All kinds of kisses help you bond with your partner, warm up, and enjoy the moment.

7. Explore sex toys and other erotic helpers, alone and/or with a partner. Lucky for us that sex toys are easy to find, fun to try, and wow, do they work!

8. Use a silky lubricant. There are many different lubricants made specifically for sex that feel great and enhance (or bring back) the joy of friction. Make applying lubricant an erotic part of sex play.

9. Enjoy the afterglow. If you’re partnered, indulge in quality snuggle time.

Solo, don’t get back to your daily life right away — bask in your feelings of wellbeing.

10. Laugh a lot. Laughter is joyful, ageless — and sexy.

Complete Article HERE!

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What getting intimate at 60 really means

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Most people assume getting saucy under the sheets it just for the young, but what about the young at heart?

By Ashley Macleod and Marita McCabe

Sexuality encompasses sex, gender identities and roles, sexual orientation, eroticism, pleasure, intimacy and reproduction and what we think, feel and believe about them. It has been a research focus for over a hundred years, and highlighted as an important part of the human experience. Since the first studies on human sexuality in the 1940s, research has consistently demonstrated that sexual interest and activity are sustained well into old age. However, only a fraction of the research has explored sexuality in the later years of life.

Most of the early research on sexuality and ageing looked at the sexual behaviours and biology of older adults, generally ignoring the wider concept of sexuality. When researchers did discuss sexuality more broadly, many referred to sexuality as the domain of the young, and emphasised this was a major barrier to the study of sexuality in older adults.

Sexuality in later life ignored

Towards the end of the 20th century, research expanded to include attitudes towards sexual expression in older adults, and the biological aspects of sexuality and ageing. Consistently, the research showed sexual expression is possible for older adults, and sustained sexual activity into old age is more likely for those who had active sex lives earlier in life.

By the late 1980s, there was a strong focus on the biological aspects of ageing. This expanded to include the reasons behind sexual decline. The research found these were highly varied and many older adults remain sexually active well into later life.

But despite evidence adults continue to desire and pursue sexual expression well into later life, both society in general and many health professionals have inadvertently helped perpetuate the myth of the asexual older person. This can happen through an unintentional lack of recognition, or an avoidance of a topic that makes some people uncomfortable.

Why does this matter?

These ageist attitudes can have an impact on older adults not only in their personal lives, but also in relation to their health needs. Examples include the failure of medical personnel to test for sexually transmissible infections in older populations, or the refusal of patients to take prescribed medications because of adverse impacts on erection rigidity. We need more health practitioners to be conscious of and incorporate later life sexuality into the regular health care of older adults. We still have a long way to go.

By ignoring the importance of sexuality for many older adults, we fail to acknowledge the role that sexuality plays in many people’s relationships, health, well-being and quality of life. Failure to address sexual issues with older patients may lead to or exacerbate marital problems and result in the withdrawal of one or both partners from other forms of intimacy. Failure to discuss sexual health needs with patients can also lead to incorrect medical diagnoses, such as the misdiagnosis of dementia in an older patient with HIV.

It’s not about ‘the deed’ itself

In a recent survey examining sexuality in older people, adults aged between 51 and 89 were asked a series of open-ended questions about sexuality, intimacy and desire, and changes to their experiences in mid-life and later life. This information was then used to create a series of statements that participants were asked to group together in ways they felt made sense, and to rank the importance of each statement.

The most important themes that emerged from the research encompassed things such as partner compatibility, intimacy and pleasure, and factors that influence the experience of desire or the way people express themselves sexually. Although people still considered sexual expression and sexual urges to be important, they were not the focus for many people over 45.

Affectionate and intimate behaviours, trust, respect and compatibility were more important aspects of sexuality than intercourse for most people. Overall, the message was one about the quality of the experience and the desire for connection with a partner, and not about the frequency of sexual activities.

People did discuss barriers to sexual expression and intimacy such as illness, mood or lack of opportunity or a suitable partner, but many felt these were not something they focused on in their own lives. This is in line with the data that shows participants place a greater importance on intimacy and affectionate behaviours such as touching, hugging and kissing, rather than intercourse.

These results help us challenge the existing stereotype of the “asexual older person” and the idea intercourse is necessary to be considered sexually active. They also make it clear researchers and health practitioners need to focus on a greater variety of ways we can improve the experience and expressions of sexuality and intimacy for adults from mid-life onwards beyond medical interventions (like Viagra) that focus on prolonging or enhancing intercourse.

Complete Article HERE!

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Happy in a low-sex marriage

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By Nara Schoenberg

For many writers, it would have been an occasion to celebrate: Hazel McClay’s book group had chosen to read an anthology containing an essay that McClay herself had written.

But McClay’s essay was about being happy in a low-sex relationship, a sensitive topic in a culture where intense desire is widely celebrated. Hazel McClay is a pen name, so no one in her book group knew that she was the author; in fact, she hadn’t talked about her essay with anyone — not even her boyfriend, who had since become her husband. “This should be interesting,” she thought when she learned she would be hearing her book group’s unfiltered feedback, and so it was.

First, McClay sat through the comments of a woman who seemed to think the essay was a celebration of sexual relationships that start awkwardly but improve markedly over time. The woman explained — in some detail — that this had been her own experience with her husband.

An awkward silence followed, and when no one came to the speaker’s rescue, she turned back to the essay.

“This sounds like a wonderful relationship,” she said.

“Sounds like a boring relationship to me,” another woman said, and then she and her friend burst out laughing.

McClay, whose essays appear in the recent book “The Bitch Is Back: Older, Wiser, and (Getting) Happier” and the 2002 best-seller “The Bitch in the House,” is tackling one of the few remaining taboo topics in a time of marked sexual frankness. We have respectful news articles about the polyamorous, who openly engage in multiple romantic relationships, and we have blogs and Facebook pages for asexuals, who may have no interest in sex at all. A popular reality TV show, “Sister Wives,” tells the story of a man with multiple wives. But low-sex marriages that are neither unhappy nor dishonest? When was the last time you heard about one of those?

“It really is something under the radar,” said McClay, a writer and editor in her early 50s.

“There is a bit of shame attached to it because there’s kind of a pressure to be highly sexed and highly performing sexually in this culture. And so if you’re not, that’s considered to be a problem.”

A much-quoted 2016 study in the journal Social and Psychological Personality Science found that, on average, couples in romantic relationships who have sex once a week are happier than couples who have sex less frequently. (Having sex more than once a week wasn’t associated with additional happiness.)

But the study looked at averages; it didn’t rule out the possibility that some individuals are very happy in low-sex marriages.

About 40 percent of married couples in part of the study were having sex, but less than once a week, co-author ‪Amy Muise said in an email exchange.

Asked what percentage of that group reported being very happy, Muise said she hadn’t broken down the data in that manner.

In “The Bitch Is Back,” McClay writes that she and her husband, “Charlie,” laugh a lot, love each other deeply, and have a son who’s thriving.

“With Charlie,” she writes, “I felt, and still feel, like somebody in the world gets me; I feel, at the risk of sounding cliched, loved for exactly who I am. This is something that was missing in every relationship I had before him, including the ones that were filled with sexual passion. … Within weeks of meeting him, I loved him — his brain, his quirks, his humor, and the grounded way he made me feel. I still do.”

They don’t have sex often: at this point, once a month at most. When they do, she’s always glad, but for different reasons: Sometimes because the sex itself is really good, sometimes because she knows sex is important to her husband, even though he doesn’t press the issue or seem dissatisfied.

“I never crave sex,” she writes, “so if I never had it again, I don’t think I’d miss it. If I never had another brownie, now, that would bum me out.”

McClay does have her fleeting moments of self-doubt. At one point, she writes, she tried medication to increase her sex drive; it didn’t work. And there have been rare times when she’s missed feeling the kind of intense passion that makes “your bones seem to melt away underneath your skin.”

“I know that there are women out there who think that (a marriage like mine reflects) a very 19th-century Victorian attitude, and that that’s sort of horrifying to them. And I guess I understand why they would see things that way, and why they would think I had settled for something terrible, and that you should hold out for the whole package,” she said.

“But all I can say to that is, ‘Maybe you’ve never loved somebody the way that I love my husband.’ There are just too many good things here for me to throw it all away and go looking for something I might never find. And again, I can see people saying ‘That’s a very fearful attitude on your part,’ but I don’t think it’s fear. I don’t want to go. I want to be with him.”

Complete Article HERE!

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What your gynecologist wishes you would do

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By Linda S. Mihalov, MD, FACOG

No matter a woman’s age or how comfortable she is with her gynecologist, she may still be unsure about a few things — like which symptoms are worth mentioning, how often to make an appointment and how to prepare for an exam.

Based on my 30 years of providing gynecologic care to women of all ages, I thought it would be helpful to provide a few tips about how to make the most of your care visits.

Keep track of your menstrual cycle

Dr. Linda Mihalov

Menstruation is a monthly recurrence in women’s lives from early adolescence until around the age of 51, when menopause occurs. Because of the routine nature of this biological process, it’s easy to become complacent about tracking your periods. Thankfully, there are numerous smartphone apps that help make tracking periods easy.

Keeping track of your period is important for numerous health-related reasons. A missed period is usually the first sign of pregnancy. Determining the due date of a pregnancy starts from the date of the last menstrual period. Most forms of birth control are not 100 percent effective, and an unplanned pregnancy is best recognized as soon as possible.

Conversely, women attempting to get pregnant can use period tracking to learn when they are most fertile, which may greatly increase the chances of conception.

In addition, a menstrual cycle change can indicate a gynecologic problem, such as polycystic ovarian syndrome, or even uterine cancer. It is also often the first obvious symptom of health issues that have no obvious connection to the reproductive organs. When a regular menstrual cycle becomes irregular, it may indicate a hormonal or thyroid issue, liver function problems, diabetes or a variety of other health conditions. Women also often miss periods — or experience menstrual changes — when adopting a new exercise routine, gaining or losing a lot of weight or experiencing stress.

One late, early or missed period is not necessarily reason for alarm. But if menstrual irregularity is accompanied by other symptoms, a woman should schedule an appointment with her gynecologic care provider.

Get the HPV vaccine

Human papillomavirus, or HPV, is a very common virus. According to the Centers for Disease Control and Prevention, nearly 80 million Americans — about one in four — are currently infected. About 14 million people, including teens, become infected with HPV each year. Most people who contract the virus will clear it from their systems without treatment, but some will go on to develop precancerous or even cancerous conditions from the infection.

The HPV vaccine is important because it protects against cancers caused by the infection. It can reduce the rate of cervical, vaginal and vulvar cancers in women; penile cancer in men; and anal cancer, cancer of the back of the throat (oropharynx), and genital warts in both women and men.

This vaccine has been thoroughly studied and is extremely safe. Also, scientific research has not shown that young people who receive the vaccine are more prone to be sexually active at an earlier age.

The HPV vaccine is recommended for preteen girls and boys at age 11 or 12 so they are protected before ever being exposed to the virus. HPV vaccine also produces a more robust immune response during the preteen years. If you or your teen have not gotten the vaccine yet, talk with your care provider about getting it as soon as possible.

The CDC now recommends that 11- to 12-year-old girls and boys receive two doses of HPV vaccine — rather than the previously recommended three doses — to protect against cancers caused by HPV. The second dose should be given six to 12 months after the first dose.

Teen girls and boys who did not start or finish the HPV vaccine series when they were younger, should get it now. People who received some doses in the past should only get doses that they missed. They do not need to start the series over again. Anyone older than 14 who is starting the HPV vaccine series needs the full three-dose regimen.

Young women can get the HPV vaccine through age 26, and young men can get vaccinated through age 21. Also, women who have been vaccinated should still have cervical cancer screenings (pap smears) according to the recommended schedule.

Do not put off having children

Fertility in women starts to decrease at age 32 and that decline becomes more rapid after age 37. Women become less fertile as they age because they begin life with a fixed number of eggs in their ovaries. This number decreases as they grow older. Eggs also are not as easily fertilized in older women as they are in younger women. In addition, problems that can affect fertility — such as endometriosis and uterine fibroids — become more common with increasing age.

Older women are more likely to have preexisting health problems that may affect their or their baby’s health during pregnancy. For example, high blood pressure and diabetes are more common in older women. If you are older than 35, you also are more likely to develop high blood pressure and related disorders for the first time during pregnancy. Miscarriages are more common in older pregnant women. Losing a pregnancy can be very distressing at any age, but perhaps even more so if it has been challenging to conceive.

So, women who are considering parenthood should not put off pursuing pregnancy for too long or it may become quite challenging.

See your gynecologist for an annual visit

For women to maintain good reproductive and sexual health, the American College of Obstetricians and Gynecologists recommends that they visit a gynecologist for an exam about once a year. Generally, women should have their first pap test at age 21, but there may be reasons to see a gynecologic care provider earlier than that if there is a need for birth control or periods are troublesome, for instance. Although pap tests are no longer recommended every year, women should still see their provider annually for a gynecologic health assessment. This may or may not involve a pelvic exam.

Other reasons to visit a gynecologist include seeking treatment for irregular periods, sexually transmitted diseases, vaginal infections and menopause. Women who are sexually active or considering it can also visit a gynecologist to learn more about contraceptives.

During each visit, the gynecologist usually asks about a woman’s sexual history and menstrual cycle. The gynecologist may also examine the woman’s breasts and genitals. Understandably, a visit like this can cause discomfort among some women. However, periodic gynecological exams are very important to sexual and reproductive health and should not be skipped. The patient’s anxiety can be significantly decreased if she knows what to expect from the visit. Prepared with the knowledge of what actually occurs during an annual exam, women often find it can be a straightforward, rewarding experience.

There are several things women should do to prepare for a gynecological exam, including:

  • Try to schedule your appointment between menstrual periods
  • Do not have intercourse for at least 24 hours before the exam
  • Prior to the appointment, prepare a list of questions and concerns for your gynecologist
  • Since the gynecologist will ask about your menstrual cycle, it will be helpful to know the date that your last period started and how long your periods usually last

The pelvic exam includes evaluation of the vulva, vagina, cervix and the internal organs including the uterus, fallopian tubes and ovaries. Appearance and function of the bowel and bladder will also be assessed.

The gynecologic provider will determine whether a pap test is indicated, and order other tests as necessary, including tests for sexually transmitted infections, mammograms and screening blood work or bone density studies. Even a woman who has previously undergone a hysterectomy and, as a result, no longer needs a pap test can still benefit from visiting her gynecologist.

Primary care providers, including family practitioners and nurse practitioners, internists and pediatricians can also provide gynecological care.

Menopause

Menopause can be a challenging time. Changes in your body can cause hot flashes, weight gain, difficulty sleeping and even memory loss. As you enter menopause, you may have many questions you want to discuss with your gynecologist. It is important that you trust your gynecologist so you can confide in them and ask them uncomfortable questions. The more open you are, the better they can guide you toward the right treatment.

Complete Article HERE!

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Middle-aged sex without the mid-life crisis

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More people are dating in middle age, but are they looking after their sexual health?

A regular, happy sex life can benefit our physical, mental, emotional and social wellbeing, improving health and prolonging life

By

With more middle-aged people dating, or starting new relationships than ever before, are we taking enough care and consideration of our sexual health?

When we think of the faces behind recent statistics that are showing a rise in sexually transmitted diseases (STDs), we probably picture someone young. Those irresponsible students and twentysomethings playing around and not thinking through the consequences of their actions. But not so much. It is becoming clear that a large proportion of people contributing to those statistics are in fact, middle-aged. The Irish Family Planning Association (IFPA) annual report highlighted an increase in women aged over 50 coming to the clinics for sexual health services, including sexually transmitted infection screening and menopause check-ups.

The association said there was a perception that once women reached menopause, that they no long needed sexual health services. But that’s not the case. Minding our sexual health all through our life is as important as looking after our physical and mental health.

Unplanned pregnancies

For many women, perhaps coming out of a long marriage or relationship, they perhaps don’t seem to think they have to go back to the good old days of contraception and protection. Yet there are more unplanned pregnancies in the 40-plus age group than the younger ages.

“We definitely see an innocence and a lack of knowledge in middle-aged women seeking our services,” says Caitriona Henchion, medical director of the IFPA. “We see women not knowing if they need emergency contraception or whether they are experiencing menopausal symptoms. They’re not sure even in their late 40s and early 50s whether they still need contraception.”

The recommendation for contraception is very simple, yet perhaps not widely known. Until you have not experienced periods for two full years and you are under the age of 50, or one full year without periods after the age of 50, you need to still consider contraception. Amid constant talk of falling fertility as we age, many women are confused about their contraception needs.

This lack of knowledge about sexual health needs is apparent not just in the number of unplanned pregnancies in older women, but the rise of STDs in that age group as well. According to Henchion, advice from GPs can sometimes vary in quality and quantity, and so any sexually active woman over the age of 40 needs to seriously consider both her health risks and contraception needs.

Regular screening

The recommendation is that anyone who is sexually active needs regular screening. This seems to be something that many women feel unable to do. But emerging from a marriage or long-term relationship where the partner may have had other sexual partners means that STD screening is imperative.

“Discovering an unfaithful partner is a really common reason that we see older women coming to our clinics for screening,” says Henchion. “Our advice would be that the first thing to consider when starting with new partners is to ensure you have safer sex with condoms.”

But condoms don’t protect against everything, so the recommendation from the IFPA would be that if in sexual relationships you need to have testing twice a year.

“Obviously the people I see are a self-selecting group who are sexually active and attending our services, but certainly I would see a lot more people in the 50-plus [group] who are openly talking about their wants and needs and their problems with it, which is great,” explains Henchion. Who they do not see are the men and women not seeking sexual health services, or asking openly about their needs

One of the reasons there is a rise in general of STDs is because far more tests are being carried out, and therefore, more positive results. The tests are better now for chlamydia and gonorrhoea, so whereas a few years ago tests had less than 75 per cent detection rate, today it is 99 per cent. The tests themselves are simple. For men with no symptoms it is a straightforward urine sample and blood test, and for a woman, a vaginal swab and blood test in a nurse-led clinic.

Simple rule

According to Henchion, “the simple rule would be if you have a new partner for a few weeks, get tested.” But for many people, we perhaps don’t even know what to look for.

The top three STDs in terms of prevalence would be chlamydia, warts and herpes, and although many of the symptoms are obvious such as bleeding or physical warts, in more than 50 per cent of cases there are no symptoms. How many cases are picked up is through automatic testing when going for certain contraception options such as the coil.

Henchion believes we need better sex education and awareness for all generations. “I see 21-year-olds coming in with no understanding of how STDs such as herpes and warts can still be spread even though they are using condoms. And for sexually active people in middle age, there is often a significant lack of knowledge.”

For now, until sexual health education is more widely available, there are plenty of support services including GPs, well woman/well man sexual health clinics and the Guide Clinic at St James’s Hospital. The IFPA offers free advice, and there are plenty of online services such as HealthyIreland.ie.

“The key message is that early detection makes a huge difference in reducing risk of pelvic infection and obviously reducing the risk of passing it on,” warns Henchion. “Anyone, whatever age, who is sexually active needs to mind their sexual health.”

Middle-aged, single and on fire – or talking ourselves celibate?

For many women who have reached the supposed sexual prime of their 40s and 50s, their body image is shattered along with their energy. A recent survey suggested some women in this age bracket have the lowest confidence of any other age group regarding body image, and it’s affecting their sex lives. Yet another survey highlighted the fact that some women in middle age are having the best sex of their lives. If both surveys are right, is it all just down to attitude, and can changing your attitude change your sexual mojo?

In the two decades since the iconic shenanigans of the “man-eater” Samantha shocked a nation in Sex and the City (while women everywhere sniggered at the delight of it), middle-age sex is becoming mainstream. The BBC were at it with Happy Valley, and even Cold Feet caught up. First time round, Adam and co were in their youth, but now that they are heading towards 50, who is the one having all the sex? Karen. Middle-aged, single and on fire. Now that ordinary middle-aged women are being shown to be – gasp! – sexual, it begs the question: what does this mean for us? Is this liberating or intimidating?

It seems your answer to that question is the difference between having an active sex life in and beyond middle age and putting away the sexy knickers and taking out the comfy slippers.

Like tight skin and fashionable clothes, sex used to be the domain of the young. But now middle-aged women can have tight skin, fashionable clothes and sex as well. It all depends on your attitude. If you think your sex life is over at 50, it will be.

“Attitude is so important,” says sex therapist Kate McCabe. “I see women challenging traditional values and beliefs that you are past it sexually after a certain age. Women are having babies later, new relationships later, are mentally and physically healthier and anxious to be active and participate fully in every aspect of their lives.”

In fact, a regular, happy sex life can benefit our physical, mental, emotional and social wellbeing, improving health and prolonging life. This generation of middle-aged women have opportunities to redefine what stereotype they fit into, experiencing greater sexual, financial, social and intellectual freedom than at any previous time. Contraception has meant we are not overburdened with childbearing, and openness about sex means that issues which might have caused discomfort and difficulty can be addressed. The increase in divorce and separation now means that middle-aged dating is an acceptable social norm.

So why are all middle-aged women not taking advantage of the chance to flirt their 50s away and sex up their 60s

“Sex must be worth it,” explains McCabe. “I see women who come into therapy to see how they can best improve their sex life, even to the extent that they’ll bring in their partners and manage to engage in that conversation.

And it’s women of all ages. McCabe has clients in their 60s and 70s. “They are definitely getting out there, and they want really good, honest information on how to make the most of their sexual potential.”

But what about those women who are talking themselves celibate because of lack of confidence? Media plays a huge part in how women can often rate themselves. According to McCabe, feeling sensual has nothing to do with how you look.

“Finding intimacy is a brave step. Overcoming hang-ups to really explore our own sensuality is vital. And much of it relies on getting the right attitude.”

Complete Article HERE!

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