Here are three mature sex tips you can use today

When I began to train health professionals in human sexuality, there was little available to them. Few physicians or nurses had the training needed to be able to provide accurate, up-to-date information about sexual health, or the comfort level to do so with their patients.

Alas, despite more than 30 years, and oodles of available training, few health care providers have adequate “time” and “comfort” to discuss sexual function, erectile dysfunction, maintaining a sexual relationship or how to increase enjoyable sex or safe sex for older adults.

Unless you insist on having a candid talk with your physician about the sexual problems you are having, it is likely that you’ll never talk about your sexual concerns.

This is a big mistake for an older woman or man as they age.

I have no medical training. I’m a senior clinical psychologist. However, I do know that there is concrete, helpful medical interventions that make a huge difference in the lives of older couples. It enables them to expand their choices of sexual activities for those who are post-menopausal.

It's even more important when issues such as heart disease, a recent heart attack or the side effects of vascular disease impact erection, sex drive, or blood flow that enables men to become firm or women to reach an orgasm.

Arthritis can make sex positions you once enjoyed now painful during senior sex. As we age, healthy sex life has to change along with many other aspects of life.

It is also not helpful to give an erectile drug (like Viagra) to a man who has been inactive sexually for years and say “go to it!” Sex is quite a bit more than genital interaction.

However, the way your genitals change as a result of aging should be understood, and these changes taken into account when you are sexual.

Sex tips for mature sex therapy

Here are a few tips to consider:

Take more time

Allow yourselves more time to become aroused. Be patient and stick with it. Recognize that physical changes might be gradual. They may also have happened in a step-wise manner. Bigger changes may have shown up in what seems like a sudden way. Begin a conversation about what’s happening between you right now, not what should be happening, based on past sexual behavior.

For example, as people age, they usually need more direct stimulation. Whereas once it took only a look, now you may need to be physically touched.

Accept no pain

Sometimes women don’t want to talk about the burning or stretching feelings that happen vaginally after menopause, so they try to “grin and bear it.” This is a mistake. This can result in tiny tearing of the vaginal walls. These tears can take a long time to heal.

There are now products on the market that can release tiny amounts of hormones directly into the vagina, and make a remarkable difference to older women in terms of vaginal lubrication, tissue flexibility, and clitoral sensitivity. They even help control other symptoms such as itching and urinary constancy.

However, as mentioned above, few physicians bring up the topic to their older female patients. And many older women assume that if their physician doesn't mention it, it isn't an appropriate product for them. This isn’t necessarily so.

Male erectile problem

It is unrealistic to expect that every sexual experience will go wonderfully, or that older men should be able to obtain and keep an erection each and every time they are sexual. However, it is not unrealistic to expect that MOST sexual situations will go PRETTY WELL, MOST OF THE TIME. In other words, if your erection wanes once in a while, or you lose your erection occasionally, this is not something to be concerned about. Like a trick knee or a tennis elbow, adjusting to growing old isn’t for the weak, and you have to allow for a certain amount of give-and-take.

However, you should seek out help if you find that out of 10 sexual experiences, 3-5 go poorly for you. Problems with erections can mean other serious health issues that should not be ignored, particularly vascular, neurological, and hormonal difficulties. Even stress, surgery, or medications can impact your erections. Or drinking alcohol or smoking.

Learn more about why you should bring these issues to your doctor. Then talk to your doctor.

Prepare to have a conversation about erectile problems by jotting down the following:

Then bring the list with you, and review it with your doctor, investigating all that can contribute to problems with erections.

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The average couple waits over 6 years before seeking help. Be proactive. Protect this valuable part of your healthy marriage.

Originally published August 13, 2013.

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Dr. K

Dr. Kathy McMahon (Dr. K) is a clinical psychologist and sex therapist. She is also the founder and president of Couples Therapy Inc. Dr. K feels passionate about couples therapy and sex therapy and holds a deep respect towards those who invest in making their relationship better. She is currently conducting online and in person private couples retreats.

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    1. The best thing to do is first to highly sexually arouse her, and see if it is the same problem. Vagina’s change with the degree of sexual arousal, and the outer 1/3 has a muscle that can be tightened, call the “PC” muscle. There are exercises she can also do, that are focused on strengthening that muscle. See here: PC Muscle Exercises

  1. My husband and I are a senior couple. He has erectile dysfunction and the only way for him to achieve orgasm is if I do oral sex with him. He usually cannot penetrate me and if he does he cannot reach a climax . Oral sex is repulsive to me. I feel like vomiting after. What I need from him he cannot give. What he needs from me is a huge turn-off to the point that I am losing interest in sex altogether. Please help us!

    1. Hi J.D.,

      This is not an unusual situation. Often a older man needs more stimulation that your genitals can provide. You can apply greater pressure orally. However, if oral sex is a turn-off for you, it is important to learn more about what exactly is the “turn off” and to figure out how to mitigate that for you. It’s a longer discussion than a blog comment reply. However, at Couples Therapy Inc, we do help couples online. That often makes difficult conversations easier, as you’re speaking from the comfort of your own home. Set up an appointment, so we can help you work on this specific issue. There is no point in allowing this particular issue from stopping an otherwise great relationship. Sex between senior adults is important. Let us help.
      Dr. K

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