Aging Sexfully
If you’ve found your way here, you likely have questions
—and this site is here to provide answers.
Welcome to Aging Sexfully
This website is a compendium of information about the many changes women and men experience as we age.
For women, this often begins with an awareness of a changing body after childbirth. For others, it starts during perimenopause, a confusing time when symptoms can be overlooked or dismissed. Few women reach menopause without feeling, at least occasionally, that they are no longer fully in control of their bodies.
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Core Beliefs Behind This Website
The goal of this site is to make it easier to access science- and research-based information. Knowledge evolves over time, and staying informed helps empower you to make better decisions about your health, body, and relationships. For those reasons, this site is built on a few key principles:
Accessible Information
We live in an age saturated with information: social media posts, glossy magazines, advice from friends. What’s difficult is finding information that goes beyond opinions or sales pitches. Reliable, evidence-based information should be easy to find.
Perimenopause and Menopause Are Not the End
While these phases bring challenges, they are also opportunities to make informed choices that improve health and well-being.
Meaningful Sexual Relationships Are Possible at Any Age
Loss of intimacy is not inevitable; solutions exist.
Knowledge Is Power
Being informed gives you greater control over your body, health, and happiness.
What Does It Mean to Age Sexfully?
Aging sexfully is about embracing the changes in your body while maintaining a healthy, satisfying intimate life. Weight gain, stress, vaginal dryness, and other challenges can feel like obstacles, but they don’t have to define your experience.
Through my work, I’ve met many women navigating a new era of intimacy, often complicated by issues such as hip replacements, incontinence, painful sex, or a partner’s erectile or ejaculation difficulties. These challenges are common, but they’re also surmountable.
This website was created with those women—and men—in mind. It’s a space to explore what it means to enjoy healthy, mutually satisfying intimacy while addressing the factors that help, hinder, or inform that goal.
Topics We’ll Explore
Here, you’ll find in-depth discussions on
All aspects of perimenopause and menopause
Arousal, orgasm, and sexual health
The critical role of pelvic floor health
Hormones and their impact on your body and mind
Challenges to intimacy, such as pain or lack of desire
This is a place for honest conversations and evidence-based guidance to help you age gracefully—and sexfully.
Why Aging Sexfully Matters
Healthy, pleasurable, and satisfying intimacy with a partner is not just a desire—it’s a birthright. In occupational therapy, intimacy is recognized as a core Activity of Daily Living (ADL), fundamental to our well-being.
As we age, our sexual journeys evolve. They may progress through phases: clumsy and exploratory, intense and frequent, sidelined by fatigue or life responsibilities (see “Things That F**K Up Your Sex Life”), or diminished due to health challenges or natural changes in the body.
That last stage often gets overlooked, yet it is just as important. Many women, and some men, navigate a new era of intimacy complicated by issues such as hip replacements, vaginal dryness, incontinence, erectile dysfunction, decreased desire, or difficulty achieving orgasm. These are common hurdles, but they don’t have to be roadblocks to a fulfilling sex life in later years.
Facing the Challenges
I’ve met countless women who, while not ready to give up on intimacy, feel as though they’ve had no choice. It’s hard to feel desire when you don’t feel desirable. It’s difficult to get “in the mood” when sex becomes painful. And it’s challenging to find pleasure when your partner struggles to do the same.
When I presented on pelvic floor health at an event predominantly attended by those over 60, one critique I received stood out: I didn’t talk enough about senior sex. It was a reminder of how vital this topic is. So let’s have that conversation. Let’s explore how to enjoy a healthy, mutually satisfying intimate life as we age—and how to overcome the physical and emotional obstacles that can get in the way.
Embracing Aging Sexfully
Aging is inevitable, but how we approach it is a choice. We can see it as a decline, or we can embrace it as an opportunity to age gracefully, beautifully, hopefully, and gratefully. Or better yet—aging sexfully.
By addressing the barriers to intimacy with openness and seeking solutions (whether through therapy, communication, or medical interventions), we can reclaim our birthright to pleasurable and meaningful connection. Let’s normalize talking about senior sex and recognize it as an integral part of living fully, no matter our age.
Aging sexfully is about more than intimacy; it’s about self-acceptance, confidence, and the courage to continue enjoying life’s pleasures—inside and outside the bedroom.
