A growing body of research is challenging the stereotype that sexual health is no longer relevant in later life. A new study published in Menopause, the journal of The Menopause Society, shows that women aged 65 and older experience sexual problems at similar rates to women aged 50 to 64. However, they are less likely to report distress over them.
While sexual activity naturally declines with age, studies consistently show that intimacy remains important for many women well into their later years.
For example, the Study of Women’s Health Across the Nation (SWAN) found that over 75% of middle-aged women consider sex important. Research suggests that 37% of women over 65 remain sexually active. Even 10% of those over 85 are still sexually active.
Similar Rates of Sexual Dysfunction, Less Distress in Older Women
The latest study analysed data from nearly 3,500 sexually active women, comparing those aged 65 and older with women aged 50 to 64.
Key findings include:
- Similar rates of female sexual dysfunction (FSD) between the two age groups.
- Older women were less likely to report loss of sexual desire or reduced genital sensation.
- When sexual dysfunction occurred, older women reported lower levels of sexual distress than midlife women.
Possible Reasons for Lower Distress
Researchers suggest several explanations for the reduced distress among older women.
Some may feel uncomfortable discussing sexual concerns, while others might not be aware of effective treatments.
It’s also possible that emotional resilience and greater acceptance of age-related changes contribute to lower concern. Additionally, shifting expectations about sexual function over time may have an impact.
Why This Matters for Women’s Health
Globally, sexual problems affect between 22% and 43% of women. Female sexual dysfunction is defined as a clinically significant disturbance in sexual response or pleasure lasting at least six months and causing personal distress. Despite these high numbers, there is still limited research focused specifically on women aged 65 and older.
The study’s authors stress that sexual health should be addressed at every stage of life, especially as the population of older women grows. Dr. Stephanie Faubion, medical director for The Menopause Society and study co-author, emphasised:
“It is important to address sexual health concerns at any age, and this study highlights the need to continue screening for and managing them throughout a woman’s entire lifespan.”
Continuing the Conversation on Ageing and Intimacy
The findings highlight a clear need for healthcare providers to initiate open, judgment-free discussions about sexual wellbeing with older patients.
Doing so could help identify treatable issues, reduce stigma, and ensure that women of all ages receive comprehensive, respectful care for their intimate health.
Sexual problems may be just as common for older women as for midlife women — but they’re less likely to cause distress. Addressing these concerns openly, without age-based assumptions, could improve quality of life for millions of women worldwide.
