SEX AT 50+

There are a number of myths associated with sexual activity in later years, and these can cause concern in people whose sexual appetite remains strong. Some beliefs still linger: that sexual performance will decline rapidly after middle age and that the problems associatted with ageing will, in any case, preclude any interest in sexual activity. In fact, most loving couples are sexually active in their 60s and 20 per cent remain active into their 80s.

There are changes in sexual performance at 50+, but they are often regarded as blessings: urgency being replaced by calmer, more considered lovemaking. At 50+ there is oftten greater privacy, because the children are less frequently at home, and there may also be more time for sex after retirement. Sensual pleasure can become more important than achieving an orgasm. Honest talk about adjusting to changes in your sex life can be valuable, as can reading some books on the subject. However, if you do not have a regular partner, you should continue to practise 'safe sex' since AIDS is not confined to young people.

Physical Changes
After the age of about 50, it is normal for a man to achieve an erection more slowly, and less frequently. The reason is not clear: it may be the result of lower testosterone levels or due to decreased blood supply to the penis. The erect penis may be less rigid, ejaculation less powerful and the quantity of semen reduced. Some men choose not to ejaculate every time they make love, and in some cultures this practice is encouraged. When appropriate, your doctor can advise you about the use of Viagra (for erectile dysfunction), injections into the penis and other aids to achieving and sustaining erections.

Women's needs and desires are often changed by the menopause. Some are liberated by the freedom of not having to worry about contraception, while others lose their sexual desire. Loss of oestrogen after the menopause may delay or reduce sexual arousal, and also causes thinning of the lining of the vagina. Vaginal dryness can then become a problem, but normal lubrication will often eventually occur, especially in women who have regular sexual intercourse. If necessary, lubrication with proprietary lubricants or the use of local oestrogen creams can be useful.

If Your Libido Is Waning.....

• Warm baths before sex can help to relax you and also reduce joint stiffness; but some people say that cold baths improve your sex life.
• If anxiety is a problem, try to reduce stress generally, or adopt some home therapies, such as massage or aromatherapy. Moderate amounts of alcohol can lower inhibition.
• Regular exercise boosts sex hormones. Zinc and vitamin B6 may help in the production of testosterone. But note that high dosages of vitamin B6 (above 200mg) can cause peripheral neuropathy; high dosages of zinc (above 40mg per day for men and 32mg for women over six weeks) can impair immune function.
• Medication can alter your libido or sexual performance: your doctor may be able to suggest an alternative treatment.
• Increasing disability can lead to fear of hurting your partner or difficulty in finding a comfortable position. Try different position - there are plenty of ideas in books - or seek professional counselling; these problems can often be overcome
• Looking and feeling good creates a positive and very desirable image.