Joy in Later Years: When Does Sexual Activity End and How to Maintain Desire Until 100 — A Doctor Explains

Sexuality knows no age boundaries. Balanced physical activity, calcium supplementation, and proper menopause management help preserve it.

Young people often believe that passionate sex is exclusive to their age, while seniors are only watching TV shows together. However, the popularity of dance events in parks for older adults and numerous love stories from retirement homes prove otherwise. Everyone desires love, and age is not the defining factor. The key element is health status. We consulted Dr. Evgenia Pekareva, PhD in Medical Sciences, obstetrician-gynecologist, and ultrasound diagnostics specialist, to find out until what age women desire and can engage in sex, and how to extend intimate life to the fullest.

Until What Age Can Women Engage in Sexual Activity?

— Physiologically, women can have sex at any age if they experience no discomfort during intercourse and have no contraindications related to reproductive organs (such as vaginal atresia) or other health conditions (like asthma, heart failure, or osteoarthritis). I have encountered patients over 70 years old who maintain a regular sexual life (at least once or twice a week) with partners of similar age. If a woman has a vagina and the desire to be intimate, nothing should stop her, — says the expert.

How to Preserve Sexual Desire and Capability for as Long as Possible?

Evgenia explains that female libido fluctuates throughout life and depends on various factors. The main influences include genetics, anatomical features of internal organs, hormonal balance, emotional state, menstrual cycle phase, age, and the presence or absence of gynecological conditions.

— Female libido varies significantly throughout life. Regardless of age, it can be strong or low. It is not always age-dependent. At any stage of life, one can enjoy an intimate life without shame or, if not, discuss concerns with a doctor, — the obstetrician-gynecologist shared in an interview with NGS.RU.

Are There Tips to Prolong Sexual Life Over the Years?

To maintain desire and the ability to engage in intimacy, the doctor recommends hormone replacement therapy after menstruation ends to alleviate menopause symptoms, calcium and vitamin D intake to prevent osteoporosis, regular and moderate physical exercise, and timely treatment of any somatic diseases.

Why Is It Believed That Women Lose the Ability to Experience Orgasm With Age?

— After 40, women’s production of sex hormones gradually declines, but this does not negatively affect libido. On the contrary, by this age, children are usually grown, careers are stable, and life generally has fewer stresses and more personal time. Additionally, women become more familiar with their bodies and how to achieve orgasm, so problems with climax are uncommon, — explains Evgenia Pekareva. — By 50, hormone levels continue to drop, and menopause symptoms may appear, including vaginal dryness and burning during intercourse and menstrual irregularities. However, hormone replacement therapy today can effectively address these issues, preserving the ability to experience intense orgasms.

According to the expert’s observations, after 60, female desire often diminishes due to the absence of sex hormones in the bloodstream. Nevertheless, many couples continue their sexual life. There is no need to be ashamed of this. If health is good or improving, there is no reason to stop. The only obstacles might be vaginal dryness and age-related urinary issues (frequent cystitis, urethritis, incontinence), which should be addressed with a doctor.

Does Male Erectile Ability Decline With Age?

Sexologist Anna Moroz notes that erectile dysfunction (commonly known as impotence) can result from organic causes such as diabetes, vascular diseases, hormonal problems, physical injuries, neurological disorders, or certain medications. Other causes are psychological, including the myth that erection fails at a certain age.

— The focus should not be on age but on lifestyle, mindset, nutrition, and physical activity. Learning to find meaning in life, personal growth, and living fully is essential. When life feels bleak and dull, depression can develop, and decreased libido is a common symptom. Age itself is not a cause of erectile dysfunction. Hormone levels naturally decline, and sexual experiences may change. Men might require more affection, but this does not make sex any less enjoyable, — explains the expert.

Photo: Yuri Orlov / City Portal Network, Getty Images

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