Normal aging brings physical changes in both men and women. These changes sometimes affect the ability to have and enjoy sex.

NORMAL CHANGES OF THE AGING FEMALE SYSTEM

• Vaginal secretions diminish; the use of an artificial water-based lubricant, lubricated condoms helps decrease discomfort.
• The vagina becomes shorter and does not expand as well to accommodate the penis. Some discomfort may be experienced, so alternative positions for intercourse may help decrease discomfort.
• Vaginal irritation and clitoral pain are common and do not signify illness
• The breast lose tone, and the areolar area does not enlarge as considerably
• Orgasmic contractions are fewer

NORMAL CHANGES OF THE AGING MALE SYSTEM

• The penis may take longer to become firm and may not be as firm as at a younger age; therefore a longer period of foreplay should be planned.
• Ejaculation may take longer to achieve, may be less expulsive, and may be shorter in duration. The man should conserve strength and not work hard at the beginning of intercourse, which could result in tiring before climax
• The erection diminishes more quickly after climax, so if condoms are being used, the client should plan to withdraw immediately after climax.
• It takes longer to achieve a second orgasm, so the client should plan to resume foreplay or use this time to touch or talk
• Some illness, disabilities, medicines and surgery can affect the ability to have and enjoy sex, so do problems in relationships.