Sex After 60: Understand the Benefits and the Changes

Casal de homem e mulher brancos, idosos, abraçados à esquerda da foto vestindo regata branca e representando a satisfação com o sexo após os 60 anos

Sex After 60: Understand the Benefits and the Changes

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Maintaining an active sex life after 60 is associated in several studies with improved aspects of physical and emotional health (sex after 60).

Sex after 60 is often underestimated due to the misconception that sexuality and pleasure belong only to youth.

Today, it is understood that sexual life can remain an important part of well-being, provided individual health conditions are respected.

However, some adaptations may be necessary. Below we share important information to help maintain sexual health in later life.

Benefits of sex at 60 for men

Sex at 60 may bring physical, emotional, and social benefits, as reported by different studies on the topic.

An active sex life may help to:

  • support cardiovascular health;
  • enhance immune responses;
  • be associated with a lower risk of developing hypertension and diabetes;
  • stimulate hormones linked to well-being, such as endorphins, promoting pleasant sensations.

Sexual activity may also help reduce feelings of loneliness or isolation, according to research on emotional health in older adults.

Sexual activity can also improve self-esteem and self-confidence.

Socially, sex contributes to maintaining intimate, meaningful relationships, favoring active aging and normalizing sexuality at this stage of life.

Does sexual desire decrease after 60?

Yes. Sex after 60 can differ from that practiced in youth, because desire tends to decline.

One reason is andropause—the gradual decrease in testosterone from around age 40—which is relevant to male sexuality.

Other factors that affect sexual life include diabetes, heart disease, or penile curvature.

Stress, anxiety, or major life changes such as retirement may also reduce sexual desire in older men.

What changes in sex after 60?

Changes in sex after 60 can have physical or emotional origins.

Physiologically, lower levels of testosterone—the main male hormone—affect desire and erection.

Diabetes, hypertension, and cardiovascular disease may also increase the risk of erectile dysfunction. When these conditions are uncontrolled, blood flow may not reach the penis adequately and an erection may not occur. The link exists because these conditions can harm circulation and nerves.

Another change in sex after 60 is the response time.

These factors lengthen the time to initial arousal or a new erection, requiring patience from one’s partner.

Finally, in maturity, emotional connection and intimacy are often more valued, which can make encounters more fulfilling.

Is it normal to have erection difficulties after 60?

Yes. A Brazilian Society of Urology survey of 1,506 men aged 40–69 found that 59% had experienced erection problems.

Of these, 12% reported persistent difficulties.

What might explain this in men over 60, according to the study?

The answer is that erectile dysfunction can be an early sign of cardiovascular problems.

How to keep an active sex life after 60?

Taking care of physical health helps make sex after 60 viable and enjoyable. Consider:

  • Adopt a healthy diet;
  • Practice regular physical exercise;
  • Keep mental health in check;
  • Communicate openly with your partner about desires and concerns;
  • Explore positions or techniques to adapt to physical changes;
  • Use condoms to prevent STIs;
  • See your doctor and get regular checkups.

Blue sky with clouds and sea in the background; an older white man in black wetsuit holds a white-and-yellow surfboard, illustrating benefits of sex after 60

Questions about sex after 60? Talk with us on WhatsApp

Taking care of physical health helps make sex after 60 viable and enjoyable.

Join our WhatsApp channel for educational updates and answers to common questions.

You can also complete our pre-assessment form to receive initial guidance.

Learn more:

Paulo Egydio, M.D.

PhD in Urology from USP, CRM 67482-SP, RQE 19514, Author of Geometric Principles (known as “Egydio Technique”), as well as other articles and scientific books in the area. Guest professor to teach classes and live surgeries at conferences in Brazil and abroad.

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