Sex can change with age, but comfort, communication and a broader view of intimacy can help keep it satisfying. Persistent pain merits a clinician’s input.

Sex after 60 can involve more planning and communication, yet it can also become more satisfying as people get clearer about what they enjoy. The experiences shared here by sex therapists and adults in their 60s and 70s challenge the idea that intimacy must fade with age. They’re personal accounts and expert perspectives, not findings from a clinical trial, so they can offer ideas without predicting what will work for everyone.
Age related changes can affect comfort and desire. Menopause may bring vaginal dryness or pain during sex, while hormonal shifts and changing energy levels can affect libido across sexes. These changes can make intimacy less spontaneous, but they don’t rule out a pleasurable sex life. For many people, adapting means allowing more time, talking openly and shifting expectations.
Make comfort part of the plan
Lubricant can reduce friction and make sexual activity more comfortable for people experiencing vaginal dryness. Karen Bigman, a 62 year old certified sex educator, recommends keeping it within reach and applying it before sex begins. It can be used on the body and any object involved in penetration, as well as during foreplay. The right product is a personal choice; people unsure where to start can consult a beginner’s guide to lubricant options.
Dryness or pain doesn’t have to be treated as an inevitable part of aging. If discomfort persists, is new or is interfering with intimacy, a conversation with a health care professional can help clarify possible causes and options. A pharmacist or clinician can also answer questions about whether a product is appropriate alongside other treatments or health conditions.
Say what feels good
Sometimes the main obstacle is not a physical change but sex that feels unsatisfying. Sex therapist Tammy Nelson, PhD, who is 63, says desire can be hard to sustain when intimacy isn’t enjoyable. Her comparison is simple: people are less likely to return to a party that wasn’t fun.
Several women interviewed described feeling less constrained by worries about appearance, sounds or being judged for their preferences. One 64 year old woman said she had once felt ashamed to bring up BDSM, including spanking and choking. After years of sex she described as vanilla, she spoke up about what interested her and experienced her first genuine orgasm at 61. Her story isn’t a guarantee of a particular outcome, but it shows how honest conversation can change what partners try together.
Talking about preferences can feel vulnerable at any age. It may help to raise the subject outside the moment, when there’s time to listen and discuss boundaries. Partners can be specific about what feels comfortable, what they’re curious about and what they don’t want. If a preference involves unfamiliar activities, clear agreement and communication matter throughout.
Explore your own sources of pleasure
Masturbation can help people learn what kinds of touch, pressure or stimulation they enjoy. Shay Martin, 63, who owns Vibratex, says she feels freer to explore her body now than when she was younger. She describes using a range of tools, including vibrators, anal toys, penis rings and nipple clamps. People have different interests, and no particular device is necessary to explore solo pleasure.
Research discussed in the source article links masturbation with sexual confidence and possible relief from some menopause related symptoms, including dryness, lower sex drive and mood changes. Those points shouldn’t be taken to mean masturbation treats an underlying medical condition. Learning what feels good may, however, make it easier to explain preferences to a partner. Nelson says that clearer communication can also make it less likely someone will settle for sex they don’t enjoy.
Adapt positions to your body
Joint, back or other physical discomfort can make familiar positions harder to manage. Isma, 68, says standard missionary position can be difficult with an aching back and weak knees. She and her husband often choose side lying, with him behind her. She also uses a wedge shaped foam pillow under her hips for support.
Comfort varies, so a position that works for one couple may not suit another. Pillows can provide support, and changing angles or pace may make movement more comfortable. Some people may prefer positions that give them more control over depth of penetration. Persistent pain is a reason to speak with a clinician, who can help assess it and discuss suitable care.
Let intimacy include more than penetration
Sex doesn’t have to involve penetration or end with an orgasm to feel worthwhile. Nelson encourages broadening the definition of good sex while staying attentive to what each person wants. That might mean slower touch, sensual massage, kissing or other forms of closeness, with less focus on reaching a particular outcome.
Isma describes a regular bedtime ritual in which her husband gives her oral sex. She says she doesn’t usually climax and neither does he, but they both enjoy the experience and look forward to it. Martin, meanwhile, says erotic massage has become something she anticipates, after initially worrying that low libido, pain or a lack of novelty might make intimacy difficult.
These accounts point to a practical idea: satisfying intimacy can change shape over time. Comfort, communication and curiosity can help partners find what works for them, whether that involves sex, solo exploration or forms of touch that don’t include penetration.### Sources and related reading
- Ideas for improving sex
- Exploring kink
- Menopause and its timing
- Pain during sex
- Taboo to Truth: Life & Sex After 50 podcast
- Tammy Nelson, PhD
- Shay Martin and Vibratex
- Magic Wand
- Masturbation and sexual wellbeing
- Masturbation and menopause symptoms
- Positions and lower back comfort
- Sex pillows
- Sensual massage
- Dating after divorce
- GLP-1 medicines and sex lives
- Women in their 70s and relationship status
- SELF Daily newsletter