Sexual Senescence: How Sexuality Changes with Age and What to Do About It

The only constant in life is change and sexuality is no exception. Over the course of a lifetime, a litany of factors will affect one’s sexuality and relationship with sex, including, but not limited to, age, biological sex, physical ability, hormonal changes, life circumstances, body image, and trauma. Even though it is common for one’s sexuality to evolve over a lifetime, the relationship between aging and sex, sometimes referred to as “sexual senescence,” remains shrouded in taboo and misconceptions. One such ageist misconception is that seniors do not experience sexual desire or have sex. This is an inaccurate assessment, many seniors do maintain a thriving sex life. In fact, many people feel that they have a more fulfilling sex life in older age because they know more about what they like and how to communicate it. This article is for seniors who want to have sex but are feeling limited by the effects of senescence. It will discuss the common limitations for seniors interested in having sex and how to address them.     

How does sex change with age?

Changes in sexual function are a common part of the aging process, though they are not universally experienced in the same way by all individuals. The impact of menopause and andropause is a key factor influencing sexual health and desire in later life. Medically speaking, menopause officially begins 12 months after a menstruating person’s last period. That being said, menopause is preceded by perimenopause, which can also present with symptoms that are disruptive to your sex life like lower libido. Menopausal people might experience vaginal dryness, atrophy, or a drop in estrogen levels, which can impact their enjoyment of sex. Similarly, andropausal people may experience a drop in testosterone levels and accordingly, erectile dysfunction which could impact their enjoyment of sex.

How can I improve my sexual health during aging?

Fortunately, there are some interventions to help with these hormonal changes. Lubricants, regular moisturizing, longer foreplay and estrogen therapy can help relieve vaginal dryness brought on by menopause. Andropause can cause erectile dysfunction which can be addressed with medications and healthful habits. Such medical interventions include testosterone therapy and oral medications like sildenafil or tadalafil. Consider talking to your doctor about your specific concerns and how to best address them.

Does sexual dysfunction increase with age?

Due to hormonal changes and other factors such as disability, medication, and energy levels, low libido is not uncommon among seniors. Depending on the cause of your low libido, the intervention will look different. Fortunately, you do not have to simply resign yourself to these obstacles and there are options for addressing low libido and desire discrepancy in a relationship.  

How do you maintain sexual health in older age?

Since conception is often less relevant in late adulthood, some people are tempted to take fewer precautions to practice safer sex. Unfortunately, age does not protect people from contracting sexually transmitted infections. This means it’s still important to use safer sex practices. Condoms, vaccinations, and regular testing are great ways to minimize the risk of STI transmission. 

 An active, fulfilling sex life is possible at any age. What is normal for one person or partnership varies, so it is most important to figure out how to approach sexuality as you age based on your specific needs. Remember that penetrative sex is not the only way to be intimate with someone. You could explore using sex toys, trying more solo and/or mutual masturbation, giving each other massages, oral sex, or skin to skin cuddling. As your needs, wants, and capabilities evolve, your approach to addressing them has to evolve too. If you have limitations due to aging that prevent you from engaging in specific sexual activities, that does not mean forgoing a great sex life.   

Takeaways

The most important part of navigating your evolving relationship with sexuality is to keep an open line of communication between you and your partner(s) about what you want and what works best for you in approaching your sex life. If you need emotional and logistical support figuring out how to supplement your sex life, consider working with a therapist.    

Meeting your Partner's Partner: What to expect when you meet a metamour?

Metamour is a term relating to non-monogamy that refers to your partner’s partner. Whether or not you’re interested in meeting your metamour(s) is a personal decision for each individual and each polycule. Wanting or not wanting to meet a metamour are both valid decisions. That being said, consider practicing some self-reflection either way about the motivations behind your decision. If you do want to meet a metamour is it, for instance, because you want to exert control over their relationship with your partner? If you don’t want to meet them, is that discomfort rooted in insecurity or anxiety about your relationship? Knowing your motivations will provide you more insight into where your boundaries and comfort zone lie. Additionally, familiarizing yourself with your motivations can allow you the space to share and process those feelings with your partner so everyone is on the same page. For those who are interested in meeting a metamour, this article will serve as a guide for what to expect and address common concerns about meeting a metamour. 

As intimidating as the idea of meeting a partner’s partner is, the great news is that you already have something in common: caring about your partner! Furthermore, one of the most useful parts of meeting a metamour for many non-monogamous people, especially those who struggle with jealousy, meeting a metamour is one of the best ways to disrupt the idealization of them in your head that often makes them feel more threatening to you. Meeting them humanizes them.

Regardless of how secure you feel in your relationship, meeting a metamour for the first time is almost always nerve wracking. Here are some tips to make it as comfortable as possible for everyone involved:

1. Meet in a neutral location like a cafe or a park rather than someone’s home so that no one has the “home advantage.” 

2. Have an idea of how much time you’d like to spend with your metamour. Nothing has to be scheduled in stone, but having an idea of when you’ll part ways to process the meeting might help soothe your nerves and avoid awkwardness around the departure. 

3. Make plans with your partner both to talk about how the meeting went and, separately, something fun you can do together to nurture your connection.

4. Understand that your metamour is probably just as nervous as you and, if it would assuage your nerves, you can express that nervousness upfront. For example, you could say something like “Hi, I’m so glad we’re finally meeting! Full disclosure I’m feeling a bit nervous but I’m excited to sit down and get to know you better.”

5. Think about what relationship logistics you want to talk about with your metamour. You’re not obligated to do so but if you want to talk about things like safer sex practices, boundaries, and needs, you should plan what you want to express ahead of time so you can do it as reasonably and respectfully as possible.

There are a variety of possibilities for how your relationship with your metamour will develop, if at all, beyond the first meeting. You might end up best friends, or maybe just coexist peacefully and separately. The most important part is that everyone involved is communicating openly about their needs and boundaries. There is no one size fits all way to navigate this so if you’re being transparent with one another, you have the tools to tailor the experience to your specific dynamic.

Curious About Differences in Desire? Here Are 3 Tips to Address Desire Discrepancy

Desire discrepancy is when the libidos of people in a relationship do not align. The two types of libido are responsive and spontaneous which differ in how your desire for sex is initiated. People with responsive desire experience physical arousal before mental desire, whereas those with spontaneous desire experience mental desire first and then the physical arousal. Mental desire is being turned on in your mind and wanting (either hypothetically or literally) sexual stimulation, while physical arousal manifests in your body such as getting an erection.

This binary of responsive versus spontaneous is helpful for understanding how one’s personal experience of libido compares relative to others; however, that is not to say that this type of libido is fixed or exists strictly in black or white. While many people do tend towards one or the other, libido is flexible and can change with time, age, relationship status, and more. Neither type is better or worse, nor anything that needs to be fixed, but having this information about oneself can be helpful in successfully navigating a healthy sex life.

Though there is nothing inherently wrong with either type, it of course can be frustrating if your desire type doesn’t align with the person/people you’re having sex with. This is what we call desire discrepancy. If this is something you’re struggling with, consider some of these approaches:

Explore non-sexual intimacy

• Physical intimacy can take many, many forms and getting creative is a good way to feel more physically connected with your sexual partner(s). Massages, cuddling, backscratching, and hugging are all great options for non-sexual physical touch.

Consider an open relationship

• If you’re in a monogamous relationship and therefore only have sex with your partner, desire discrepancy can be a major obstacle to sexual satisfaction. Opening up your relationship is a much bigger deal than just saying you want to, but it could be a good option in instances where desire discrepancy is the root of major tension in the relationship. Here is an Embrace Sexual Wellness article that goes into detail about how to open a monogamous relationship.

Talk to a sex therapist (either as an individual or as a relationship)

• Sex therapists are an amazing resource for sorting through sexual obstacles like desire discrepancy. They have knowledge about potential root causes of someone’s libido type, how to diffuse tension related to desire discrepancy, and creative problem solving that takes everyone’s needs into account. Working with a dedicated therapist also has the capacity to increase empathy on all sides, improving communication overall. If you live in Illinois, reach out to Embrace Sexual Wellness for a consultation.

Desire discrepancy does not mean anyone is at fault and will require patience and empathy on all sides to work through. This issue, like all other relationship issues, isn’t person versus person; it’s you all against the problem.