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Many older women are sexually active, and evidence suggests some enjoy greater satisfaction than when they were younger. Read more. What to know about sex for women over 70 and 80.

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Many females over 70 and 80 years of age continue to be sexually active and remain satisfied with their sex lives. Sexual health and intimacy are essential throughout life, and sex plays an integral role in the lives of many older adults. Older individuals experience physical and mental changes that can decrease sexual desire, but there are plenty of ways people can adapt to enjoy intimate relationships. There is strong evidence that older women are sexually active, maintain active sexual relationships, and express satisfaction with their sex lives. While various physiological changes accompanying aging may affect an older adult’s sexual desire and performance, older adults can enjoy sex. Many even have greater satisfaction than when they were younger. This article discusses female aging and sex. It also explores the changes in sexual function in older females and ways they can address it. A note about sex and gender. Sex and gender exist on spectrums. This article will use the terms “male,” “female,” or both to refer to sex assigned at birth. Learn more. Aging causes changes in the body that can have direct and indirect effects on sex. An example of this in females is a decline in sex hormones such as estrogen after menopause. This can lead to painful sex due to less vaginal lubrication. About 85% of older adults also have at least one chronic condition, while 60% have at least two conditions. People with chronic diseases are more frequently affected by sexual dysfunctions. However, this does not mean that older adults cannot enjoy active sex lives. A 2019 study surveyed people aged 55–75 on their sexual activity. Women in this group were less likely than men to be sexually active but just as likely to be satisfied with their sex life. A 2022 University of Michigan Poll on Healthy Aging focused on the effect of menopausal symptoms on older women’s sex lives. In those ages between 50–80 years, they found that: almost half — 43% — are sexually active 52% of those who were not sexually active were satisfied with their sexual activity 74% of those who are sexually active were satisfied with their sexual activity 1 in 4 had their partner’s health affect their sexual activity 28% had menopausal symptoms that interfered with their ability to be sexually active. In a similar 2021 study on older adults’ sexual activity and satisfaction, 40% of older women were sexually active compared to 55% of men, and across all age groups, women were more satisfied with their sex lives than men. The same poll found that: 84% of females were sexually satisfied compared to 69% of males 83% of females ages 72–78 were sexually satisfied compared to 68% of males 91% of females ages 81–87 were sexually satisfied compared to 69% of males. A 2017 Australian study on sexual function in older women found that at least 13.6% of those ages 65–79 had hypoactive sexual desire dysfunction (HSDD). HSDD involves the presence of low sexual desire and sexually-related personal distress. As people age, their bodies undergo various changes. In females, this can manifest in hormonal, physical, and mental changes affecting sexual functioning and desire. Hormonal changes. Between 45–55 years, a person’s ovaries produce less estrogen and progesterone, leading to menopause. This can cause a range of symptoms, including : hot flashes decreased libido insomnia anxiety vaginal issues, such as vaginal dryness urinary incontinence depression irregular periods or bleeding. A 2019 study found age and postmenopausal status were negatively associated with lubrication, arousal, and overall sexual functioning in women over 40. Menopausal symptoms also affect sexual health. In the 2022 poll mentioned above, 28% of women ages 50–80 years reported that their menopause symptoms interfered with their ability to be sexually active, and 48% of these had reduced sex drives. Physical changes. A decrease in estrogen production also causes an older person’s vagina to narrow and shorten while the vaginal walls become thinner and stiffer. A loss of estrogen also leads to muscle weakness, affecting supporting tissues in the pelvis. This may cause organs to protrude into the vagina, called a pelvic organ prolapse. Weak pelvic floor muscles can also cause urine to leak involuntarily. Many will also experience decreased lubrication, which may lead to pain during intercourse, known as dyspareunia. Age can also decrease the vagina’s acidity, making it prone to irritation and infection. Mental changes. Shifts in female hormones as they age can cause mood changes. They also have an increased risk of depression as they transition to menopause. Hormone changes may cause a person to experience the following mood changes: anger irritability anxiety forgetfulness low self-esteem low self-confidence feelings of sadness or depression low mood poor concentration and “brain fog” Certain medical conditions and their treatment may cause or worsen issues with sexual desire, arousal, and orgasm. Several medical conditions contribute to sexual dysfunction. These include : arthritis diabetes heart disease paralysis as a result of a stroke incontinence. Other medical conditions include Parkinson’s disease, chronic kidney disease, and cancer. Certain psychotropic drugs also increase a person’s risk of sexual dysfunction. These include antidepressants and antipsychotics. Other health issues that can affect sex in older adults include: Obesity: People who are obese or overweight women are more likely to have sexual dysfunction. Weight management can improve sexual function. A 2019 study found that bariatric surgery can improve sexual function in both genders. Pain: Chronic pain can cause tiredness and exhaustion, decreasing a person’s libido. Pain medications can also cause sexual dysfunction. Cancer: Studies show that up to half of women treated with cervical cancers have sexual dysfunction during recovery and as they become survivors. Similarly, elderly survivors of endometrial or ovarian cancer had the greatest deterioration in their sexual function. Depression: Sexual dysfunction is more common in females with clinical depression than those without. Many older adults are reluctant to raise concerns about their sexual health to health professionals. At the same time, doctors want individuals to raise their issues themselves. Talking with doctors and asking about sexual issues can help people gain insights into the possible ways to adapt to their conditions and receive proper treatment and evaluation when necessary. There are many ways that older females can enjoy sex and find fulfillment in their 80s. Expand the definition of sex. Sex may look different over the years, and older adults may not restrict it to intercourse. Couples can become creative and open to trying new things. touching kissing other intimate sexual contact, such as sensual touching and erotic massage. Couples may also explore the use of toys and different sexual positions pleasurable for both partners. Lubricants can help females who experience vaginal dryness. Couples can also express intimacy through nonsexual touch, including: cuddling hugging sitting beside each other holding hands backrubs and massages. Open communication. Honest communication about likes, dislikes, and issues can help increase intimacy and make sex more pleasurable. Discussing individual desires, expectations, and fears with a partner regarding sex is also essential. Talk with a healthcare professional. Underlying conditions, medications, and treatments may cause symptoms that can affect a person’s sexual function. People should consult with a healthcare professional if they are concerned about the potential sexual side effects of their condition or medications they are taking.