A discussion of Advanced Maturity and Sexuality By Mark Stibich, PhD. Listen to the ► podcast at How To Sex. Many people in their 70s and 80s are not only sexually active, but satisfied with their senior sex lives. University of Michigan Institute for Healthcare Policy and Innovation. Let’s talk about sex. Though the frequency or ability to perform sexually may decline with age due to physiological changes, these don't necessarily affect how a person experiences or enjoys sex. Aging-related problems like erectile dysfunction (ED), vaginal dryness, or urinary incontinence can affect sex. But their impact can also be minimized by using medication, managing chronic conditions, seeking individual or couples counseling, and changing sexual practices. This article explores the sex lives of adults 65 and over and the problems that can interfere with sex as the body ages. It also discusses the various treatment options and ways to maintain—or even jumpstart—your senior sex life. Studies su...