Sexuality in Midlife and Beyond

LThe physical transformations your body undergoes as you age have a major influence on your sexuality. Declining hormone levels and changes in neurological and circulatory functioning may lead to sexual problems such as erectile dysfunction or vaginal pain. Such physical changes often mean that the intensity of youthful sex may give way to more subdued responses during middle and later life. But the emotional byproducts of maturity — increased confidence, better communication skills, and lessened inhibitions — can help create a richer, more nuanced, and ultimately satisfying sexual experience. By understanding the crucial physical and emotional elements that underlie satisfying sex, you can better navigate problems if they arise. The advice in this report applies broadly to people of all sexual orientations. It will take you through the stages of sexual response and explain how aging affects each. You’ll also learn how chronic illnesses, common medications, and emotional issues can influence your sexual capabilities. Finally, you’ll find a detailed discussion of various medical treatments, counseling, and self-help techniques to address the most common types of sexual problems.

Prepared by the editors of Harvard Health Publications in consultation with Jan Leslie Shifren, M.D., Associate Professor of Obstetrics, Gynecology, and Reproductive Biology, Massachusetts General Hospital, Harvard Medical School and Suki Hanfling, MSW, LICSW, AASECT Certified Sex Therapist, Founder and Director of The Institute for Sexuality and Intimacy in Belmont, Mass. 48 pages. (2013)

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