How ageing affects sexual health: Ways to maintain intimacy, desire and a fulfilling sex life

Sexual desire and emotional connection can remain strong with age, but physical changes, health issues and lower energy levels may affect libido and sexual activity.

While many people see these changes as an unavoidable part of ageing, experts say an active and satisfying sex life can continue with the right approach. Sexual intimacy remains an important part of emotional connection, and changes in the body do not necessarily mean giving it up.

Why sexual behaviour changes with age

As people get older, changes in hormones and overall health can influence sexual function.

In men, testosterone levels gradually decline with age, which can contribute to reduced libido and changes in sexual response. Some men may experience weaker erections, longer time needed for arousal, or changes in orgasm intensity.

Sex may become less frequent, and interest in sexual activity may decrease for some people. However, these changes can often be managed.

Other factors that can affect sexual health include:

• Poor diet
• Lack of quality sleep
• Obesity
• Low physical activity
• Chronic health conditions
• Heart disease
• Diabetes

Addressing underlying health concerns and maintaining honest communication with a partner can play an important role in improving intimacy.

Ways to maintain sexual health and desire

Explore different forms of intimacy

Physical closeness does not always have to involve intercourse. Couples can strengthen their connection through cuddling, kissing, massages, touching and other forms of affection.

Building emotional and physical intimacy in different ways can help maintain a healthy relationship and improve sexual satisfaction.

Try pelvic floor exercises

Kegel exercises can help strengthen pelvic floor muscles and may support sexual function, including issues related to erectile difficulties and bladder control.

To perform Kegels:

• Identify the muscles used to stop urine flow
• Tighten those muscles for about five seconds
• Relax for five seconds
• Repeat around 10 times, several times a day

Communicate openly with your partner

Talking honestly about changes in desire, comfort and expectations can reduce stress and improve closeness.

Open conversations — even with humour and patience — can help couples adapt to changes together.

Consider professional support

Couples facing ongoing difficulties may benefit from counselling or sex therapy. A therapist can help address emotional barriers, communication problems and changes in sexual confidence.

For some men experiencing hormone-related changes, doctors may discuss treatments such as testosterone replacement therapy. Other medical options, such as certain therapies aimed at improving blood flow and erectile function, may also be considered depending on individual health needs.

Maintaining sexual health as people age involves more than focusing only on performance — it also includes overall fitness, emotional connection, communication and caring for the body.