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Making Love for a Lifetime: Seniors and Sexuality

We are sexual beings, throughout theshort-changes both partners' pleasure and
lifespan. This includes the later years ofplaces  enormous
life, which are often overlooked in
discussions of sexuality. In this article Iperformance expectations and demands - which
want to address some misconceptions aboutcan  turn  sex  from
aging and sexuality; report some survey
information on sexual behavior among seniors;playful, spontaneous, pleasurable sensual
describe physical, psychological and medicalintimacy  between  two
changes that may accompany aging; and suggest
positive and affirming ways for seniors topeople who care about each other into
continue to enjoy their sexuality to thesomething like a chore.I highly recommend
fullest.I. Some Myths about Aging andMarty  Klein's  book  Let  Me Count the Ways:
SexualityMany cultural "truths" convey the
message  that  sexuality  is  forGreat Sex Without Intercourse as an
excellent  guide  and
the young. If seniors are interested in sex
there is something wrong with that. How manyencouragement in your creativity. (For more
of the following myths and stereotypes haveinformation  about
you heard?- Older people don't have sex,
don't want sex, don't think about sex.- It'sMarty  Klien's  book  look  on:
perverted for an older person to have sexual
thoughts; perhaps he is a "dirty old man".-)Passionate kissing, oral sex, mutual
Women don't want sex, aren't interested inmasturbation, telling erotic stories to each
sex, and are only going along with what menother, massage, hugging, touching, cuddling
want.- When you get "old", you can't have-- all of this can be great sex!What is most
sex.- Sex is for younger adults. (I saw aimportant  is pleasure - giving and receiving
cross-stitched sampler once which said
"Kissing don't last - cooking do".)- If youphysical and emotional pleasure. We are all
can't have sex like a porn star, you have nohungry  to  be
business trying it at all.These are all
misleading  and incorrect stereotypes. It istouched. We need touch. Without touch,
babies  do  not  thrive,
important to recognize that sexuality is a
central part of healthy living - all ourand may even die. Grownups need to be
lives!II. Survey Information: What'stouched  too. (If  you're
Happening Out There?Three recent national
surveys  of  older  Americans have focused onreading this and do not have a partner in
your  life,  remember
sexuality and sexual behavior. "Healthy
Sexuality  and  Vitalthat self-pleasure can be a very important
aspect  of  self-care
Aging" (1998) was funded by Pfizer and
sponsored  by  the  Nationaland nurture. It is always possible to
choose  pleasure  for
Council on the Aging (NCOA) and surveyed
over  1300  people. Theoneself!)B. Psychological ChangesThe aging
process may have psychological and emotional
American Association of Retired Personseffects  -
(AARP) sponsored national surveys in 1999 and
again in 2004. "Sexuality at Midlife andparticularly as we live in a culture that
Beyond" looked at a nationally representativeglorifies  youth  and
group of 1700 adults aged 45 and older.The
NCOA survey found that almost half of seniorsextols youthfulness as the epitome of
over  sixty  arephysical  beauty. (I  would
sexually active; 39% want sex more often.remind us all that this is market-driven:
The  majority  ofmarketers  learned  long
respondents reported having sex less oftenago that younger people are more likely to
now  than  when  theyspend  disposable
were in their forties - 82% of men and 63%income, and are more influenceable by
of women.61% of men and 62% of women find sexadvertising.)- We may be embarrassed or
equal  to  or  more  physicallyashamed of our sexual needs as an older
adult.What to do: Get over it! Join the
satisfying than it was in their forties.party. You deserve pleasure in your life,
With  regard  tofrom birth until the day you die.- Changes in
appearance affect how we feel about
emotional satisfaction, 76% of men and 69%ourselves. Bodies no longer match the
of  women  found  sex  toidealized body images we see in advertising
and the media.What to do: Realize that media
be at least as emotionally satisfying as inhas created the youthful ideal of beauty.
their forties.72% of men and 47% of womenCelebrate and love the body you have! Every
consider  sex  important  to  theirwrinkle, stretch mark, gray hair, rounded
contour, ache and pain is a mark of your
relationship with their partner. Men,ever-increasing maturity and wisdom! Bette
however,  were  more  thanMidler once said that if you are a woman and
consider yourself unattractive -- visit
twice as likely as women to report wantinganother culture for a wake-up call. American
sex  more  frequently.stereothypes of physical attractiveness are
insane dreams invented by marketers who are
This was true in all age segments - even inplaying on our anxieties and insecurities in
men 80 and older.The AARP study found thatorder to sell us more products.- Worrying
the  proportion  of  men  who've  triedabout sexual performance may actually reduce
the body's ability to perform sexually; men
potency-enhancing medicines, hormones, ormay experience erectile dysfunction, women an
other  treatments  hasinability to lubricate.What to do: Relax!
Relax... Enjoy your partner. Look into his
doubled since 1999. The majority (68%)or her eyes. Breathe together. Cuddle,
report  the  treatmentsstroke, gently massage each other. Sexuality
is about pleasure, playfulness, and
have increased their sexual satisfaction.spontaneity.- Depression may reduce energy,
Their  wives  alsooptimism and desire.What to do: Exercise, do
pleasurable activites, get sun on your face
reported increased pleasure forevery day. Talk with your doctor about an
themselves.63% of men and women with partnersantidepressant medication. See a therapist.
described themselves as either extremelyTalk with your friends. Write your feelings
satisfied or somewhat satisfied with theirin a journal. Any positive action taken -
sex lives. 51% of men and women surveyedeven drinking a glass of water! - is a step
reported having sexual thoughts, fantasies,towards moving out of depression.C. Changes
or erotic dreams at least once a week.50% ofDue to Medications and SurgeryChronic pain or
women in the 45-49 age range reported thatsurgery and illness that cause fatigue can
theymake
masturbate; 20% of women 70 and older saidsexual activities more challenging or
they  masturbated. Apainful.What to do: Talk about it. Slow
down, focus on simple pleasureable
majority of all women - even those 70-plus -activities. Experiment with different
told AARP that self- stimulation is anpositions or activities to discover what is
important part of sexual pleasure at anymost pleasureful.Some commonly used
age.Both these surveys, based onmedications  can  interfere  with  sexual
scientifically  randomized  samples,
function. High blood pressure medications
indicate that seniors are having sex,can  reduce  desire  and
thinking  about  sex,
impair erection in men and lubrication in
enjoying sex - and taking steps to increasewomen. Some
their  enjoyment  and
antihistamines, antidepressants and
pleasure. Clearly sexuality is important toacid-blocking drugs can have side effects
older  Americans,that affect sexual function.What to do: Talk
with your doctor about how to minimize these
contrary to popular stereotypes!III.effects. It may be possible to substitute
Natural Changes Occurring With AgingMost ofalternative medications that work as well as
us reading this are not twenty years old anythe original, but without affecting sexual
more! Ourfunction.IV. Improving Sex as You AgeDavid
Schnarch, in his book Passionate Marriage
bodies are constantly changing - though manyemphasizes  that
of us are in denial. Orthopedic medicine is
one of the fastest-growing medicalpeople become better lovers as they age.
specialities, treating rotator cuff injuries,This  runs  counter  to
tennis elbow, injured backs, torn cartilage,
blown  ACLs  -  in  aging  babycultural stereotypes which hold that sex is
for the young. Older persons have learned a
boomers. We're not ready to give it up!Yourfew  things  over  time,  and  no  longer
body changes as you age, and these changes
can  affect  yourstruggle with youthful anxieties and
ignorance  about  sexuality.
sexual relationships.A. Physical
ChangesTestosterone regulates your sex drive(For more information about David Schnarch's
whether  you're  a  man  or  abook,  look  on:
woman. Most aging men and women produce)With age and maturity, it is more possible
enough  testosterone  toto  slow  down  and
maintain their interest in sex, thoughdeeply experience all the pleasure that
patches  and  creams  cansensual  sexuality  has  to
provide an alternative source of the hormoneoffer. It is possible to learn how to
to  boost  desire  ifcombine  deep  relaxation
needed.Men and women experience differentwith high states of arousal in order to have
changes  in  their  bodies  asmore  intense,
they age.-- Women --Most physical changeslonger-lasting sexual experiences.- Expand
are  linked  to  menopause  and  reducedyour definition of sex. Sex is more than
intercourse!- Communicate with your partner.
estrogen levels. As you age, it takesTalk about what you need and what you like.
longer  for  your  vagina  toDiscuss the changes you're going through. Ask
your partner about his or her needs and how
swell and lubricate when you're sexuallyto be accomodating. Communication itself can
aroused. Your  vaginabe arousing!- Make changes to your routine.
Change the time of day in which you have
also loses some elasticity. Together thesesexual activity. Mornings or afternoons may
can  make  intercoursebe better than at night when you are tired or
achy. Take more time to set the stage for
less comfortable or even painful.What toromance: romantic dinners or an evening of
do:- Longer foreplay increases naturaldancing or a special time or place for
lubrication.- Use water-based lubricants,lovemaking. Try a new sexual position.-
such as Astroglide, Probe or Silk.- EstrogenManage your expectations. If you didn't have
creams or hormone replacement therapy cansex very often as a younger adult, don't
rejuvenate vaginal tissue.- Regularexpect to have lots of sex as an older adult.
intercourse helps maintain lubrication andPartners who enjoy frequent sex when they
elasticity.- Do Kegel exercises to keep theare younger are more likely to continue that
pelvic floor muscles toned.- If you haven'tas they age.- Take care of yourself. Eat a
had intercourse for a while, realize it takeshealthy diet and exercise regularly, at least
time to stretch out - go slowly!- Minimize30 minutes a day. Avoid alcohol as it
any pain or discomfort. Desire usuallydecreases sexual function in both men and
returns once any discomfort is relieved.--women. Do your Kegel exercises every day.-
Men --As you age, it might take longer toPractice safe sex. If you have a new
achieve  an  erection;  it  maypartner, get tested. Use condoms. People
over 50 make up about 10% of AIDS cases in
be less firm and it may not last as long.the United StatesMost of all, simply enjoy
Aging  also  increasesthe  pleasureful  sensations  which  your
the time between possible ejaculations.Whatbody is amply equipped to experience. Take
to do:- Relax, stop worrying about it!time  to  nurture  your
Anxiety makes it worse.- Let go of
performance expectations. American media isrelationship with your partner so that you
filled with messages implying thatare  feeling
masculinity and virility is equated with
youthful performance.- Kegel exercises areemotionally connected. Approach your sexual
very helpful for men also, to tone the pelvicrelationship  with
floor musculature.- Take longer with sexual
activities. You may also need more directplayfulness, humor, patience and love.Sexual
physical stimulation.- Try differentpleasure is part of the birthright of being
positions, for comfort and extrahuman - and it is a lifelong resource for
stimulation.- Focus on pleasurablejoy, health and personal growth.For further
sensations, rather than on hurrying towardsresources on Seniors and Sexuality - books,
orgasm and ejaculation.- Viagra, Cialis ormagazine
Levitra may help intensify erections.- Other
medical devices, such as pumps, drugs andarticles, films and Internet resources - see
implants have been developed. I wouldmy  Resource  page  at
encourage a natural and relaxed exploration
of sexual possibilities before submitting toresources are listed in The Guide to
an expensive and invasive medicalSelf-Help  Books,
procedure.Intercourse is Not the Only Way to
Have Sex!Helen Gurley Brown, author of SexRelevant  sections  of  the  Guide
and  the  Single  Girl,  has  said,
include Sexuality, Men's Sexual Health,
"When people say they can't have sex becauseWomen's  Sexual  Health,
they  have  a  bad
Intimate Relationships, Gay and Lesbian
back, or arthritis, or all of the thingsConcerns and Tantra.------------Attention
that  can  affect  ourPublishers & Webmasters:(c) 2005. Permission
is  granted  to  reprint  this article in its
bodies as we get older, I think what they're
really  saying  isentirety in your ezine or on your website as
long  as  you  leave
they're looking for an excuse not to have
sex. When  you  care,all links in place, do not modify the
content  and  include  our
you find that there are all sorts of ways to
express sensuality."Sexual ignorance,resource paragraph above. If you do use the
cultural  values  and media images combine tomaterial  please  drop
"sell" the story that sex = intercourse -me a note so I can take a look. Thanks!David
and having an orgasm is the way to tell ifYarian, Ph.D. is the creator of The Guide to
you're accomplishing anything!This mindsetSelf-Help
gets everything backwards. The purpose of
havingBooks, and  co-author  of  Self-Help
huge concentrations of nerve endings andCentral, an ezine to help you build a better
pleasure  receptors  inlife  with  self-help
our genitals is to experience pleasure.resources. He is a Licensed Clinical
While  orgasms  arePsychologist  and  Certified
wonderful, when sex becomes goal-driven toSex Therapist in private practice in
"achieve"  climax,  itNashville, TN.



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