How to Have Safe Sex After 60 Years Old: A Guide for Seniors

Being over age 60 should not stop you from having a happy, fun, and active sex life. However, adults over the age of 60 who have sex should be cautious to avoid catching a sexually transmitted disease.

Age does not protect you from sexually transmitted diseases. Men and women over 60 and not monogamous who are very sexually active have a high risk of contracting STDs such as syphilis, gonorrhea, chlamydial infection, genital herpes, hepatitis B, genital warts, and trichomoniasis. In addition, people over the age of 60 are more likely to experience erectile dysfunction and vaginal dryness, which can make sex less enjoyable and cause difficulty reaching an orgasm.

Almost anyone who is sexually active is also at risk of being infected with HIV, the virus that causes AIDS. The number of people in their 60s with HIV/AIDS is growing. According to a study published in the New England Journal of Medicine, sexually active people over the age of 60 who have unprotected sex are just as likely to contract HIV as people in their 20s. You are at risk if you have more than one sexual partner or are recently divorced or widowed and have started dating and having unprotected sex. Always use a condom during sex, and talk to your doctor about ways to protect yourself from all sexually transmitted diseases. Older age does not decrease your risk.

Emotional attachment when having sex after 60 years old

Sexuality is a delicate balance of emotional and physical desire. How you feel may affect what you are able to do. For example, men may fear that impotence will become a more common problem as they age. If men are too concerned with sexual function, they can cause enough stress to trigger impotence. A woman who is worried about how her looks are changing as she ages may think her partner will no longer find her attractive. Issues with physical beauty may cause a decrease in sex drive and enjoyment of sex.

Older couples face the same daily stresses that affect younger couples. But they may also have the added concerns of age (menopause), illness (cancer or heart disease), and retirement. These worries can cause sexual difficulties. Talk with your doctor, or see a counselor for help.

Don’t blame yourself for any sexual difficulties you and your partner are having. You might want to talk with a therapist about them. If your male partner is troubled by impotence or your female partner has a low libido, don’t assume they don’t find you attractive. There can be many physical causes for their problems. For example, medicines taken to treat depression could cause difficulty sustaining an erection. Diffulty sustaining an erection is also a symptom of heart disease.

I’m older than 60, what can I do to keep an active sex life?

There are several things you can do on your own to keep an active sexual life. Remember that sex does not have to include intercourse. Make your partner a high priority. Pay attention to his or her needs and wants. Take time to understand the changes you both are facing. Try different positions and new times, like having sex in the morning when you both may have more energy. Don’t hurry or your partner may need to spend more time touching to become fully aroused. Masturbation is a sexual activity that some older people, especially unmarried, widowed, or divorced people and those whose partners are ill or away, may find satisfying.

Some older people, especially women, may have trouble finding a partner with whom they can share any type of intimacy. Women live longer than men, so there are more of them. In 2020 women over age 65 outnumbered older men by 100 to 70. Doing activities that other seniors enjoy or going places, where older people gather, are ways to meet new people. Some ideas include mall walking, senior centers, adult education classes at a community college, or day trips sponsored by your city or county recreation department.

If you do seem to have a problem that affects your sex life, talk to your doctor. He or she can suggest a treatment depending on the type of problem and its cause. For example, the most common sexual difficulty of older women is dyspareunia, painful intercourse caused by poor vaginal lubrication. Your doctor or a pharmacist can suggest over-the-counter, water-based vaginal lubricants to use. Or, your doctor might suggest estrogen supplements or an estrogen vaginal insert.

Impotence and sex after 60

If impotence or erectile dysfunction is the problem, it can often be managed and perhaps even reversed. Ask your doctor about medications to improve sexual functions. Other available treatments include vacuum devices, self-injection of a drug (either papaverine or prostaglandin E1), or penile implants.


Sexually active older adults and senior citizens should be cautious to avoid catching a sexually transmitted disease. However, age should not stop you from having a happy, fun, and active sex life. Open communication about libido, sexual drive, and sex drive issues will keep your relationships solid and your connection strong. Using condoms and other contraception will help you avoid STDs like HPV and syphilis.