10 Tips for Hot Solo Senior Sex

4/12/11: I just updated these tips, originally posted 12/24/10 in response to my 10 Tips for Hot Sex after Sixty, which was aimed at couples. We’re not all in sexual relationships, and self-pleasuring is so important at our age! Here are some tips for enjoying hot SOLO senior sex.  

10 Tips for Hot Solo Senior Sex

By Joan Price

Senior sex isn't just partner sex. Many of us don't have partners, yet keeping our sexual selves vibrant and health is crucial for many reasons. It's true that if we don't use it, we lose it -- and that's true for both women and men.

When we have less hormonal rush to stay sexual, especially if we're without a partner and maybe blue about that, we can fall into a pattern where we don't think as much about sexual pleasure, and we don't give it to ourselves. Arousal and orgasms may feel second-rate and inconsequential, and sometimes just too much trouble.

Instead, let's see our marvelous bodies as still capable of pleasure, and let's nurture that. We have the capacity -- and the responsibility! -- to keep ourselves fully functioning by pleasuring ourselves, discovering what feels good (it may have changed, so don't assume that of course you know) and what it takes to make our brains and body parts sing. Let's celebrate that we don't have to close down just because we're older and partnerless. Indeed, let's enjoy what we can offer ourselves.

Here are some tips for bringing the sizzle back to your sex life -- on your own!

1. Plan for solo sex. At this time of life, we need slow arousal and gradual build-up. So set aside enough private time to enjoy the journey without rushing. Set up whatever you need for comfort, such as special pillows. Shut off distractions like phone and computer, lock the door, and settle in for pleasure.

2. Enjoy solo sex during high energy times. When do you feel most sexually charged? When you first wake up? After morning coffee and a good poop? Mid-afternoon? That’s when to indulge in a solitary romp, rather than after a meal when you’re digesting or at night when your sensations are shutting down. When you feel the tingle, indulge it!

3. Create your own foreplay. Do sexy things that get you in the mood. Remember hot times with a special lover. Read erotica, play special songs, watch porn (or, if you prefer, a movie with a star who always turns you on), write sexy thoughts in your journal, take a waterproof vibrator into the bath or shower -- whatever starts your path to arousal. Appreciate, decorate, and celebrate your body with lingerie, silk, velvet, massage oil, candlelight--whatever feels good and puts you in the mood.

4. Use a silky lubricant. Don’t just settle for the drugstore variety -- there are many different varieties of lubricants for moisture and slickness that feel great and bring back the joy of friction, whether we’re using our hands or a toy. Experiment to find your favorites. Keep the lube within reach so you can reapply frequently.

5. Explore sex toys and other erotic helpers. Our hormonally challenged bodies may need extra help to reach orgasm these days, and our wrists may tire before we reach our goal. Women: try a clitoral vibrator, with or without a dildo, depending whether you like the feeling of a full vagina. (Read the many vibrator reviews on this blog to help you choose.) Men: try a sleeve, cock ring, or prostate stimulator. Lucky for us that sex toys for both genders are easy to find, fun to try, and wow, do they work!

6. Fantasize. Let yourself explore fantasy scenes and partners, no limits. Let your brain (your main sex organ!) indulge in whatever arouses you. Be open to whatever comes into your mind, even if it is something you would not do in real life or with someone you consider off limits. No fantasy is “wrong,” and no one has to know what images or scenarios turn you on. Just go with it.

7. Be physical in daily life. Walking, biking, dancing, yoga, Pilates, lifting weights, and other forms of exercise all enhance blood flow and get you in touch with your own physicality. This translates to your sexual arousal because the blood flows to your genitals as well as to your muscles, making arousal easier and faster. Plus you mentally feel “in your body.”

8. Realize that your solo practice not only gives you pleasure, it’s important for health. Experts recommend at least one orgasm a week for both men and women for genital health and for heart health as well. Weekly orgasms keep the pelvic floor strong and the nerves firing, boost the immune system, and reduce the risk of incontinence, depression, and heart disease. Men – regular orgasms are important for prostate health.

9. If you think you’re not in the mood, do it anyway. It’s too easy to put solo sex on the back burner, and once we’re out of the habit, it’s harder to get revved up again. This is especially true at our age, when our hormones are no longer screaming for release. So reread tips #1-8, and just do it. You’ll find that the physical arousal will happen, that that will trigger your emotional arousal, and that triggers more physical arousal, until it’s all working just right.

10. Don’t think of solo sex as “settling for” a substitute for partner sex. You’re celebrating your own sexuality, glorying in your body’s capability of pleasing you, and enjoying the journey. This is a gift you can give yourself whenever you want, and isn’t that wonderful?

(These tips are copyright 2010-2011 by Joan Price and may not be reprinted without permission from Joan Price. Thank you!)

Better Than I Ever Expected: Straight Talk about Sex after Sixty is available from www.joanprice.com (personally autographed) or from Amazon.

Naked at Our Age: Talking Out Loud about Senior Sex is now available! Order an autographed copy directly from me -- be sure to let me know to whom to autograph it -- by clicking the PayPal button below...

Or order from Amazon here.

Men: ED? See MD -- it can save your life

Erectile dysfunction can be a cardiovascular health alarm going off, finds a German study reported in Circulation: Journal of the American Heart Association.  ED should take you to the doctor's office and a cardiovascular workup, never ignored. It can be the first sign of atherosclerosis, which can show up in the penis several years before the onset of cardiovascular disease, because arteries in the penis are smaller.

According to an article by Thomas H. Maugh II in the LA Times,

Dr. Michael Bohm, a cardiologist at Germany's Saarland University, and his colleagues studied 1,519 men from 13 countries who were involved in a study of two drugs to treat cardiovascular disease. The men were also queried about their ED at the beginning of the study, two years into it and at the end at five years. A full 55% of the men had ED at the beginning of the trial, nearly double the normal incidence of about 30% in the population at large.


The team reported that, in the five years of follow-up, men with ED were 1.9 times as likely to die from heart disease, twice as likely to have a heart attack, 1.2 times as likely to be hospitalized for heart failure and 1.1 times more likely to have a stroke. The risks increased with the severity of the ED.

This study is one more of many that point to the need not only to consult a doctor about ED but also to make sure a cardiovascular workup follows.
 
In writing Naked at Our Age, I hear from many men with ED who are justifiably concerned and exploring medical diagnoses and solutions. But I also hear--often from women whose spouses have developed ED--about men who will not go to a doctor, will not discuss it with their wives, and often withdraw from sex and intimacy altogether. Others may ask their doctor for Viagra or Cialis without ever investigating the cause of the ED.

About.com sex educator Corey Silverberg brings up another part of the problem -- doctors aren't trained to talk about sex,and it's hard to get a useful conversation going about it. True, Corey, but our lives may depend how hard we try.

Don't ignore ED and don't just treat the symptoms with drugs-- find out what's going on. Please.

I invite your comments.

Satisfying Senior Sex for Women, Too!

Older people, especially healthy ones, and especially men, are enjoying sex, finds a study published in the British Medical Journal, March 9, 2010. Ellen Barnard, MSSW -- sex educator extraordinaire and co-owner of A Woman's Touch sexuality resource center -- explains why women have been left behind and what they can do about it.

Satisfying Senior Sex for Women, Too!

by Ellen Barnard, MSSW

Older women stop having and enjoying sex sooner in their lives than men do, a study in the British Medical Journal found. That’s because the medical community has no idea how to help women maintain their sexual health and pleasure after menopause without the use of potentially dangerous hormones. Women don’t have any “little blue pill” to make things work better when their bodies have given up.

But the truth is, there are simple answers:

1. Live a “Good Sex Lifestyle” which includes daily exercise, a healthy diet full of fruits, veggies, nuts, whole grains and healthy fats and free of white sugars and flours, low-to-moderate alcohol intake, and daily doses of chocolate, Omega-3 oils and lots of Vitamin D. Healthy women enjoy good sex much longer than those in poor health.

2. At menopause and later, care for your vagina. Moisturize her daily or more with a good moisturizing lubricant (no glycerin), and massage her inner walls two to four times per week for five to ten minutes, with either a well-made vibrator or a partner’s fingers or penis. For more details, see our Vaginal Renewal™ program.

3. Have at least one orgasm per week, with yourself or a partner, it doesn’t matter. Keep those nerves functioning properly and remind them what pleasure feels like. If it’s hard to have orgasms, use a vibrator. Men use tools all the time, why shouldn’t you?

4. Get enough sleep, keep your stress under control, and keep a positive outlook. Your body will thank you for it, and your mind will be able to think sexy thoughts without distraction.

5. Think sexy thoughts, often. Fantasize, reminisce, create erotic stories in your head (or on paper), talk about sex, plan for sex, and make it a priority. Nurture your sex life, and it will love you back for many years to come.

- Ellen Barnard, MSSW is a sex educator and co-owner of A Woman's Touch Sexuality Resource Center, which offers education and products to support healthy sexuality for everyone, with a focus on older adults and those living with cancer. She can be found at http://www.sexualityresources.com/.

I think Ellen's information is vital, and I hope you'll pass this link to your friends, colleagues, lovers, wives, and mothers. If more mid-life and older-age women knew these self-help strategies for enhancing their sexuality, there would be more satisfied smiles on their faces! -- Joan Price

Daily Show's "Dirty Bird Special" poops on senior sex

About three years ago, I was contacted by a producer of The Daily Show with Jon Stewart about appearing on a segment about the rise in STDs among sexually active seniors. The segment didn't get produced at that time because they wanted to include sexually active elders, preferably unattractive and smarmy who didn't use condoms, who were willing to let a camera and interviewer follow them on their how-to-pick-up-a-sex-partner-escapades.

I knew TDS would ridicule these elders and the whole notion of older-age dating and sex, but I wanted to be a part of the show because I thought I could bring some dignity to the topic.

After months of trying to locate their wild elders (who were likely smarter than I was and wouldn't agree to be ridiculed by The Daily Show), the producer gave up on the segment -- or so I thought.

I went on to be interviewed on the topic of unsafe senior sex by ABC Nightline, which did a fabulous, educational, and respectful segment and included a long interview with me, featuring comments from readers on this blog, in fact.

You know what happened last night if you were watching Comedy Central. On April 9, 2009, The Daily Show aired "Dirty Bird Special" about unsafe senior sex and dating, which featured an 82-year-old horndog ("lookin' for it wherever I can get it") who doesn't believe his genital warts are contagious ("warts are my penis") and hasn't used a condom in 40 years, although he's getting more "tail" now than in his youth.

Although part of the segment showed vivacious Miami elders dancing, dating, and having fun, the interviewer -- who admitted that thinking of seniors having sex produced "gagging sensations" -- was intent on making even social dancing and dating seem seedy, ridiculous, and icky. And I hate to tell you what they did with the segment about safer-sex education at a Jewish community center. You'll have to view it yourself .

I thank Sue Katz for drawing my attention to this show with her superb blog post about it.

Talking about condoms with a new partner

Some of my women readers, newly in the dating game after divorce or death of a spouse, tell me that they feel uncomfortable asking a new partner to use a condom. "If I ask a man to use a condom, it sounds like I don't trust him," they say. "If I have them on hand myself, he'll think I sleep around."

My belief is that if you can't talk about safer sex with someone, you really shouldn't be inviting that person to be an intimate partner! But I know it's hard, especially if you've been in a long-term relationship and suddenly find yourself out in that scary world of dating, sex with new partners, and the risks that weren't a part of our zesty youth.

I recommend never waiting until the heat of passion to bring up the subject. Instead, when the sparks and kisses signal that sex is likely in your future, have the discussion. Then you've agreed to be prepared when you're ready for the next stage.

In my single past, these were some useful ways to approach the subject:

"I always use condoms with a new partner to protect us both."

"I'll buy the condoms -- do you prefer a special kind?

"Your condoms or mine?"

I've had occasions when a man refused, saying something like, "Sex with condoms interferes with my enjoyment."

I would reply, "Is no sex more enjoyable?"

At this point, of course, I knew the date was over, and I was glad to know in advance that he didn't value my sexual health or his own. If he was willing to go to bed with me without protection, then he did that with his last partners, and they did it with their last partners, and so on.

I don't claim that I used a condom with everyone all the time when I was single. In my younger days, the STDs we were likely to contract were either visible or could be cured with a prescription drug. But I got smarter with age, and became more demanding of barrier protection. If I knew someone well already, someone who had become a good friend, and I knew about his relationships and his sexual health status, we would get blood tests, and then feel comfortable about condomless sex. But that took deep discussions and friendship.

Let me hear from you -- what do/would you say to bring up the subject of condom use?

(photo of Miriam Schuler, known as "Condom Grandma" in Fort Lauderdale, Florida, where she volunteers in the Senior HIV Intervention Project.)

Tips for reclaiming sexuality after a health event

Many readers have reported concerns about how to reclaim their sexuality after a heart attack, cancer, or other health event. I asked licensed psychologist and sex therapist Stephanie Buehler, Psy.D., to provide some tips for the new book I'm writing. Her information was so valuable that I didn't want you to have to wait for the book:

1. Speak to your physician about when you can resume sex and what kinds of limitations you might expect or need to work around. If you are uncomfortable talking about it with the physician, perhaps you can bring it up to the nurse. Nurses are often interested in helping patients achieve an optimal quality of life, and are trained to educate patients as well.

2. If neither your physician nor the nurse is sexually savvy, then contact whatever organization is associated with your disease. For example, both the American Heart Association and the American Cancer Society publish booklets on sexuality and illness.

3. Broaden your ideas about what constitutes “sex” after an illness event. Sex is more than intercourse. Count holding hands and cuddling as sex, and you and your partner might feel less disappointed or glum.

4. If you are the person affected with a health problem, don’t conclude that if your partner isn’t bringing up sex, it is no longer important. Your partner may not want to intrude or make demands and is waiting for a sign of readiness from you.

5. If you are the partner of the person with a health problem, accompany your partner to a physician’s visit to discuss sexual effects of any surgery or treatment. Educate yourself so that you can be a support to your partner, and so that you and your partner can discuss how to go forward.

6. If you had sexual problems before the illness event, now might be a good opportunity to address them. It may be that your health problem contributed to your sexual problem. Again, discuss this with your physician or nurse.

7. If you are having trouble resuming satisfying sexual activity, consider seeing a sex therapist. A sex therapist can help you identify obstacles and give you information and suggestions. Sometimes there can be deeper problems, like facing the fact that you are not invincible, that can also be addressed with a therapist.

Stephanie Buehler, Psy.D. is a licensed psychologist and sex therapist, and Director of The Buehler Institute in Irvine, California. Visit her blog about sex and intimacy.

Note: You can locate a sex therapist in your area through AASECT, American Association of Sexuality Educators Counselors & Therapists.)

Seniors: Please Just Say Yes to Condoms

The media blast continues over the Big News that seniors are still having sex. (At what age were we supposed to stop,and why?) I'm happy to see this media coverage help raise awareness, even though I marvel that it's also raising eyebrows.

A very interesting story appears in the August 13, 2007 print edition of U.S. News & World Report about a subject I've harped on all year -- the fact that seniors in the dating world are often in denial about their risk for contracting STDs. "Sex Ed for Seniors: You Still Need Those Condoms: Sexually transmitted diseases stalk older singles, too" by Deborah Kotz makes this point:

With Viagra and Internet dating sites at their fingertips, a growing number of seniors are enjoying a renaissance between the sheets, but some are paying the piper, contracting sexually transmitted diseases. As HIV carriers live longer, the majority will be over age 50 by 2015, and even now about 15 percent of new infections occur in this age group, according to the Centers for Disease Control and Prevention. Other STDs, including herpes, chlamydia, and human papillomavirus, which is linked to cervical cancer, are also making the rounds. "While it's a good thing that older people are more sexually active, they need to connect the dots, see that they're at increased risk, and make sure they use condoms," says Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases.

Kotz discusses a University of Chicago study revealing that nearly 60 percent of unmarried women ages 58 to 93 said they didn't use a condom the last time they had sex. An Ohio University study found that about 27 percent of HIV-infected men and 35 percent of HIV-infected women over 50 sometimes have sex without using condoms.

Kotz makes the excellent point that postmenopausal women may be particularly prone to getting infected with blood-borne diseases like HIV or chlamydia.

That's because their thinner and more fragile vaginal lining can easily tear during penetration, allowing pathogens to enter the bloodstream. And new research indicates that older women are at risk of getting infected with HPV, which can give rise to genital warts or cervical cancer.

The message is this: If you're dating and sexually active, please use condoms, whatever your age. Men complain to me that it makes sex less pleasurable, especially when erections are less reliable. Women insist that they're not at risk and they would be embarrassed to insist on condoms. Haven't we heard variations on these objections from youth? Isn't this one area where we can learn from experience and our own good sense?

Sexual adventurer, age 58, has "every time/ everyone" condom rule

Many thanks to the people who are responding to my request for interviews for my next book! I am getting such interesting stories! For example...

When I asked Tinggi, age 58, how active his sex life was, he said, “Depends on what you mean by ‘sex’!” His erotic activity includes self-pleasuring to orgasm one to three times a day, and intercourse with one to three or more partners (male and female) per week, one to two orgasms per partner. “I tend to have several partners at the same time," says Tinggi. "I’ve been with two of my partners for five years, another for two years. All of the relationships are open and all my partners regularly have sex with others.” His sexual adventures in the past few years have included multiple partner scenes at sex parties, masturbating for four hours while riding an anal plug while being videocast globally, and nude theater performances.

Tinggi is diligent about practicing safer sex, and has not indulged in partner sex without a condom in 30 years. “My barrier policy is standard, long fixed, and known by all who have shared erotic times with me: Barriers are always used, for everyone, every time, for any genital contact,” he explained in a comment on my blog. “This ‘every time/everyone’ policy makes life simpler -- no need for elaborate calculations as to number of partners, who they were, days since last std check-up, partners since our last date, etc. When sex is likely, or probably, or possible, or even a wisp of my imagination, I bring my own supply of barriers. Should the opportunity arise, and both having shed clothes, I simply say, ‘Ok, now time to get Charles (not my name) dressed,’ and put on a condom."

When dates insist on sex without a barrier, which rarely happens, “the date becomes a chaste one and a last one.” Steady dates, people with whom he has sex repeatedly, get the same treatment each date: "every time/everyone."

“I do not ask my dates about STD check-ups, partners, etc. I am going to use barriers regardless of my date's answers. People can have an STD of which they show no signs detectable outside of a laboratory. I believe this ‘every time/everyone’ policy protects my dates, myself, and my community. A sad fact is that HIV is being transmitted in our retirement homes - by their residents. It is already there waiting for me. Barrier use can be eroticized to become a fun and arousing part of sexual interaction.”

No Sex for 12 Years, Now Vagina Too Tight for Penetration

Frustrated in Florida, age 61, had not had sex for nearly 12 years, until recently. She wrote in an email to me:

Apparently one's vagina does change after not using it for a long period of time. I always thought sex was like riding a bicycle, but it is not. One can't just get back on and ride! I experienced such pain during the attempted penetration that we had to stop. What a disappointing and embarrassing moment. My partner was very understanding, however I was just frustrated and disappointed.

I went to my GYN for an examination soon after and explained my circumstances. She gave me a thorough exam and said although I had many tiny lacerations and redness, my vagina seemed normal. She explained how one's vaginal lining becomes thin after menopause and her advise was to abstain from sex for two weeks, using lubrication to aid in healing.

When we engaged in sex again, very gently, I was once again disappointed with the level of pain even though using lots of lubrication. We once again had to stop.

So now I am wondering if there is some way I can stretch my vagina for it seems like it has shrunk. (Perhaps it is just my imagination running wild!)

Have you had anyone else write you with a similar problem and if so is there a solution? For your information I have never been on hormones and my partners
penis is of normal size.

No, it's not your imagination, and yes, it's true that the vagina will seem to shrink after a long period of abstinence, especially after menopause, and penetration will be painful or sometimes impossible. I did, in fact, deal briefly with this in my book, Better Than I Ever Expected: Straight Talk about Sex After Sixty. I had interviewed a 75-year-old woman who had been celibate for 38 years and was in a new relationship. She was unable to have intercourse because her vagina had dried and narrowed to the point that penetration was impossible. She sought help from her gynecologist (a wonderful woman who has bought dozens of copies of Better Than I Ever Expected to give to her patients!), who helped her with stretching exercises.

I'm disappointed that your gynecologist is not this helpful. Telling you you're "normal" while you have lacerations and pain is not helpful, is it?

Please read Step-by-step program for Vaginal Renewal by Myrtle Wilhite, M.D., at A Woman's Touch, a wonderful sexuality resource center in Madison, WI. It tells you step by step how to massage and stretch your vagina. Dr. Wilhite permitted me to quote an abridged version of these steps in Better Than I Ever Expected, and I'm repeating them here for you:

* External Moisturizing and Massage: Increase the suppleness and blood circulation of the skin of your vulva and vagina with a five- to ten-minute massage with a moisturizing sexual lubricant like Liquid Silk®, a water-based lotion that will soak in and moisturize your skin, won't get sticky, and will help you massage with very little friction.

Push in to the skin with circular strokes, and massage what's underneath the skin, rather than brushing across the skin. Include the inner lips, the hood of the clitoris, the head of the clitoris and the perineum.

To complete your external massage, massage into the opening of the vaginal canal, using the same circular strokes. The massage itself does not need to be self-sexual in any way, but if that is comfortable for you, by all means explore these sensations.

* Internal Vaginal Massage: To massage inside your vaginal canal, we suggest using a lucite dildo which is very smooth and will not cause friction or tearing. Choose your size based upon how many fingers you can comfortably insert into the opening of your vagina.

After a session of external vulva massage, apply the same massage to the inner surfaces of your vagina with your dildo with lubricant applied on both skin and dildo. Rather than pushing the dildo in and out, use a circular massage movement. You are increasing skin flexibility so that your body can adjust to comfortable sexual penetration if you choose it.

You might also choose to use a slim vibrator for massaging the vaginal walls. Coat it in Liquid Silk and then insert it gently. Turn it on and let it run for about five minutes. You don't need to move it around, just lie there and let it do its work.

* Orgasm: For women who stop having orgasms, the blood vessels literally can get out of shape, preventing future orgasms. If you are able to bring yourself to orgasm, do so at least once a week (for the rest of your life). (Seriously.) This is preventive maintenance of your body.

* Kegel Relaxation: Kegels increase both the strength and flexibility of your pelvic floor muscles. Pay attention to the relaxation and deep breath part of the exercise. Learning to relax your pelvic floor will help you to avoid tensing up before penetration. (In Better Than I Ever Expected: Straight Talk about Sex After Sixty I also give Dr. Wilhite's tips for perfect Kegels.)

I plan to go into more detail in the new book I'm writing, which goes more deeply into the challenges of staying sexually vibrant in an aging body, and how to cope with these challenges.

Best wishes for a joyful resolution to this problem -- please keep me posted.

--Joan

Erectile Dysfunction: Michael Castleman Talks to Men

So many readers--both male and female--have been asking for information about erectile dysfunction that I asked Michael Castleman, a sex educator, counselor and journalist specializing in men's sexuality to answer some questions. His interview starts here and continues here.

Q: Explain erectile dysfunction (ED) and why it happens.

MC: Only a small fraction of men from age 45-60 have true ED. A larger but still modest fraction of men over 60 have true ED. True ED is the inability to raise an erection despite vigorous extended hand massage of the penis. True ED is usually the result of a medical problem, either a problem with the nerves that control erection, or more likely, narrowing of the arteries that carry blood into the penis. Like the arteries of the heart, the arteries into the penis can become narrowed by atherosclerotic plaques. Causes of plaque formation: heart disease, diabetes, smoking, high blood pressure, high cholesterol, high-fat diet, sedentary lifestyle. In other words, all risk factors for heart disease are also risk factors for ED. In addition, ED can be caused or aggravated by stress and anxiety, which constrict the arteries and limit blood flow into the penis.

Q: What about men who are capable of erections, but they're less reliable than they used to be and require more stimulation?

MC: While only a fraction of men over 45 experience true ED, just about every man experiences what sex therapists call "erection dissatisfaction" (EDis). After 45 or 50 or so, men with EDis can still raises erections, but they don't rise as quickly as they used to. They no longer rise from fantasy alone--seeing an attractive woman or some erotic scene. Men begin to need direct penis stimulation by hand or mouth. When erections rise, they may not look/feel as firm as they were in the man's 20s. They may also droop from minor distractions, anything from donning a condom to hearing a motorcycle roar up the street.

The good news is that EDis is a normal and natural part of aging. If older erections wilt a bit, hand massage and/or oral stimulation bring them back up again--IF the man remains relaxed and patient with himself. If the man gets stressed and anxious, this reduces the likelihood of a return to fullish erection.

Many (most?) older men are unclear on the distinction between true ED and EDis. Many mistakenly think they have ED when they experience the normal age-related erection changes of EDis. Now EDis can be disconcerting. I've been a sex educator for 30 years. I knew all about what happens to erections after 50. But when those changes started happening to ME, I found them unnerving. P.S. Erection medication (Viagra etc) helps treat EDis. In fact, most men who take erection drugs don't have true ED. They have EDis.

Q: Many men fear that they can't please a woman without an erection, or they give up on sex altogether. Is an erection necessary for sex?

MC: Of course not. As you know, women's pleasure organ is the clitoris. Many women prefer cunnilingus to intercourse. Surveys show that only 25% of women are reliably orgasmic from intercourse, no matter how vigorous or how long it lasts. So women know that an erection and vaginal insertion are not necessary or sufficient for sexual pleasure and orgasm. But many men DON'T know this.

Q: How did men's sexual education skip that important concept that women's orgasms are based on clitoral stimulation, and that most women don't need penis-in-vagina penetration for their pleasure?

Most men get most of their sex ed from pornography. Porn is totally penis-centered. Porn actors have monster cocks, which makes normally endowed men feel they're "too small." Mainstream porn includes a bit of massage and cunnilingus, but it's mostly about sucking and fucking, so that's what men come to believe sex is all about.

I've spent my life as a sex educator and counselor trying to persuade men that they'll have better sex and get better reviews from women if they ditch their preoccupation with their penis and focus instead on leisurely, playful, whole-body, massage-based sensuality. But compared with porn, which is viewed overwhelmingly by men and is by far men's #1 source of sex ed, the combined voices of every sex expert on earth amount to a little whisper in the hurricane of porn porn porn.

Here's where I plug my book, Great Sex. Its message to men: If you want great sex, if you want women to sing your praises as a lover, stop trying to imitate porn. In fact, do the opposite of what you see in porn. Not only will she be happier, you will be, too. You'll enjoy sex more and have fewer sex problems--more cooperative erection and better ejaculatory control.

Michael Castleman, M.A., is the author of twelve books, including Great Sex: The Man's Guide to the Secrets of Whole-Body Sensuality and Sexual Solutions: For Men and the Women Who Love Them. From 1991-95, he answered the sex questions submitted to the Playboy Advisor. Visit his website about sex after midlife, http://www.greatsexafter40.com//.

Does Your Doctor Talk to You about Older-Age Sexuality?

Have you ever consulted your doctor about your changing sexual responsiveness or about reclaiming your sexuality when you have a medical condition that makes sex more difficult?

What happened when you asked your doctor for advice about sex? How did he or she respond? Did you get the information you needed? And for the benefit of the medical professionals reading this -- how would you have liked your doctor to respond to questions about sex? What advice would you give professionals about how and when to talk to their older patients about their sexuality?

I am planning to write a magazine article about this topic, so please feel free to comment here or email me and let me know if you'd be willing to be interviewed.

As background, I wrote the post that follows in March 2006, and I'd like to revive it now that I have many more readers. I invite your comments.

[post originally dated 3/29/06:]

I've been speaking to groups in the midwest and the San Francisco Bay Area, and corresponding with readers who send me emails. Over and over, this comment comes up: older-age sexuality is a huge gap in the education of medical professionals.

I keep meeting doctors, nurses, therapists, and alternative practitioners who are hungry for information for their patients and clients -- and often for themselves. One woman's eyes got teary when she said, "I've been so lonely wishing I could talk to someone about this."

I've heard from women who have read my book and ask, "Why didn't my doctor ever tell me that I have to 'use it or lose it'?" These are usually older women who are not in relationships right now and didn't realize the importance of internal massage, regular orgasms, and Kegels to keep their vaginas tuned up and healthy, or penetation in the future might be painful. (For more information about what to do, read Vaginal Rejuvenation & Health from A Woman's Touch, a wonderful sexuality resource center which I had the pleasure of visiting in Madison and Milwaukee.)

I'm also talking to many women over sixty who didn't know that lubricants and sex toys can enhance their sexual pleasure -- solo or with a partner -- by heightening arousal and speeding up orgasm. They thought that slow arousal and difficulty reaching orgasm were a part of aging that they had to accept. I'm distressed that many doctors tell women this -- often without running tests to see whether hormone levels or other conditions which may be treated might be affecting sexual response.

I'm not dumping on doctors, just on their training. I've been thrilled by the response of medical professionals to my book. One Santa Rosa, CA gynecologist bought 14 copies of my book for her patients -- and then, after she had given them all away, she bought 10 more!

Several readers have written in about their medical challenges since this post originally appeared. To read more on this topic, check on "medical attitudes towards sex and aging" or "cancer" in the "labels" column to the right, and you'll see other related posts.

Changes after Prostate Surgery: Tina Tessina

Many of you have been reading and asking about prostate cancer, how it affects sexuality, how spouses/lovers can communicate and keep their love strong while living with it. Some of the most widely read posts on this blog have been those dealing with prostate cancer, such as "A man asks about sex after prostate cancer" and "Grace Period: a novel about living with prostate cancer."

In response to your interest, I've asked Tina Tessina, Ph.D. to comment on this subject. Besides being a psychotherapist and author, Tina writes from experience: her husband is living with prostate cancer. Here are her comments:

The changes that come after prostate surgery are, like all changes, not easy. We don't like to have to deal with changes, especially those that confront us with our mortality. But, I can happily report, with some encouragement and enthusiasm from me, my wonderful husband is quite functional sexually. His surgery was in 2002, he just got another 'undetectable' PSA test, so we are blessed.

For us, the blessing is in how heightened our love and appreciation (which was pretty good before) has been by the threat of terminal illness. Richard is lucky -- they got it early, it has not spread, the surgery went well. His second surgery to have an artificial sphincter put on his urethra, also went well.

Others, I know, have a more difficult time. But, as Gerald Haslam wrote in Grace Period, "Live for the moment, since that may be all you have." Richard and I decided to do that in 2002, and we've been making the most of our moments ever since. Every day is a gift, another cup of sweetness, and we drain it to the last drop. One of our joke lines is "I'd like another one of them there drinks," from Scrooge, referring to the Cup of Human Kindness given to him by the Ghost of Christmas Present.

For some couples, the tension of serious illness creates crabbiness and bickering. Richard and I have never wanted to waste time arguing, and we haven't for a long time. I don't believe it helps anything that's going on. In my newest book, Money, Sex and Kids: Stop Squabbling About the Three Things That Can Destroy Your Marriage out from Adams Media spring 2007, I help couples who are fighting learn new methods of getting along so they can enjoy their time together.

For more, see Tina Tessina's Dr. Romance Blog. Dr. Tessina is a psychotherapist, author of several books including It Ends With You: Grow Up and Out of Dysfunction, How To Be a Couple and Still Be Free, and The Unofficial Guide to Dating Again. She writes the "Dating Dr." column on www.CouplesCompany.com and "Dr. Romance" on Yahoo! Personals.

Grace Period: a novel about living with prostate cancer

Grace Period is a novel about living with prostate cancer by Gerald Haslam. Although fiction, the author does indeed have prostate cancer. Though the details of his protagonist's life don't match his own, Haslam gives solid medical information about treatments for the disease, and what it's like to go through daily life living with this cancer.

Grace Period's progagonist falls in love with a breast cancer survivor, and many of the highlights of this engrossing novel deal with the relationship between Marty and Miranda. Although the book's plot does not revolve around sex, Haslam treats his characters' sexual relationship with directness and sensitivity. Marty uses a pump because he cannot get "natural" erections, and his doctor encourages him to explore alternatives: "Guys tend to overestimate hard-ons. You've got a tongue, toes, fingers, and ingenuity."

Marty learns that he can have "dry orgasms": "It hadn't felt quite as good as the old fuild ejaculation -- or at least I didn't think it had -- but it sure felt better than anything else I could think of."

"Once you're in the cancer world, everything's iffy," Miranda tells Marty. "Live for the moment, since that may be all you have."

That sounds like good advice whether we're living "in the cancer world" or not. It's up to us to make the most of the cards life deals us. Near the end of the book, Marty grins and tells Miranda, "I'm standing here wearing a damp diaper; I haven't had a natural erection in years; my body is drooping and my face is sagging; I'm driving the wrong way on one-way streets. And I'm a happy guy."

Many thanks to Gerald Haslam for a novel full of truths, centered around a relationship that touched me deeply.

Update: I just heard from Gerald Haslam, who wants to contribute this to our discussion:

Joan:

Thanks for your kind words about "Grace Period."

Like Marty in the novel, I think that making love as long as one can and as well as one can represents life refusing give in to death or infirmity.

There is no proper age for it, there is only the desire, the need, the ability (along with, one hopes, a little creativity). Although my own life is rather different than his, my cancer isn't and neither is my attitude or my good fortune at enjoying the comfort of a loving relationship. I'm delighted to learn that you do, too.

All the best, Gerry

Unsafe Sex Toys & Practices

"Sex toys are an awesome gateway to an incredible sex life," says sex educator/author/blogger Violet Blue. "These silly, bizarre little (or big) things can lead to hours of orgasmic exploration, self-discovery, sexual self-reliance and even deeper intimacy between couples (or a hilarious comedy of errors, depending)."

But not all sex toys are safe, says Violet in her article, "Unsafe Sex Products," also available as a podcast. For example, some sex toys labeled "for novelty use only" are made poorly and cheaply, may break easily, and/or may contain chemical materials that you don't want in contact with your delicate parts.

Fortunately, many high-quality sex toy manufacturers and vendors take your pleasure and sexual health seriously. (The woman-friendly sex shops I recommend in Better Than I Ever Expected: Straight Talk about Sex After Sixty care about your health and your pleasure, and are careful to carry quality products.)

I've paraphrased some of Violet's tips here, with her permission, about a few products and practices to avoid:

* Nonoxynol-9: an agent that is supposed to kill HIV/AIDS, but can cause cervical abrasions and strip away rectal lining.

* Numbing lubricants and desensitizing creams such as Anal-Eze: If something you're doing hurts, you want to know it and back off, or injury or infection can occur. "When you can't feel pain, you are getting injured, period," says Violet.

* Sugar/ glycerin: Avoid lubricants with sugar, colorings and flavors in them. Glycerin/glycerol is a sugar. Sugar feeds yeast, causing vaginal irritation. (That also means no whipped cream or chocolate as "dessert" during oral sex -- keep sex and food separate!

* No Back to Front: Never go from anus to vagina with body parts or sex toys. Even if you're squeaky clean from the shower, internal fecal bacteria can transfer. If you like anal stimulation with a sex toy, cover it with a condom.

(Violet Blue is the author and editor of over a dozen books on sex and sexuality, a sex educator who lectures at UC's and community teaching institutions and writes about erotica, pornography, sexual pleasure and health. Her books include Best Women's Erotica 2007, The Adventurous Couple's Guide to Sex Toys, and Lust: Erotic Fantasies for Women. Caution: if you're not used to in-your-face, graphic sex writing and photos, tread carefully when you visit Violet's blog!)

Joan on ABC Nightline 12/1/06: senior dating/ sex

(photo of Vicki Mabrey from ABC Nightline)

Air date update: The senior dating/sex segment ran December 1, 2006!

Tuesday, October 24, put me on a natural high that still makes me tingle. That's the day that ABC Nightline came to Sebastopol, CA to film an interview me for a segment about senior dating, sex, and sexual health.

First, the film crew met me at Coaches’ Corner, where I teach line dancing, and filmed my line dancers (who had assembled for a contemporary line dance demo) for an hour. It was both strange and exhilarating to dance with cameras literally in our faces, at our feet, everywhere we turned. I am grateful to our fabulous line dancers who kept their cool and kept on dancing and smiling.

The crew then drove to our house and settled in: moving furniture, asking Robert to move some of his paintings so the right color painting would be behind me, setting up lights in two different rooms, checking the lights and sound with me sitting, talking, typing. They filmed me typing and reading the Sex and Dating comments of my blog. (Thank you, those of you who commented!)

Next Vicki Mabrey, the 4-time Emmy award winning correspondent, and producer Talesha Reynolds arrived from New York. Fabulous women, full of spirit, they seemed to enjoy every word as they interviewed me for about 2.5 hours. We talked about many subjects related to seniors dating, loving, having sex. We discussed our culture's stereotypes of older people having sex as either ludicrous or icky. (You know how I feel about that!)

At the end of it all, Vicki and Talesha asked me to teach them a line dance, which I did with pleasure. We danced, shook our hips, and laughed together.

I’m thrilled about getting the opportunity to “speak out” on this important topic to a huge audience. I'll check in again here after the show airs.

Reclaiming Sexuality after Cancer

Lynn, age 50+, phoned to order several of my books and she told me her story of trying to reclaim her sexuality after cancer. I encouraged Lynn to share her story with you here:

I was diagnosed with cancer in my mid 30’s and was given a grim prognosis of 3-5 years to live. Thanks to medical research trials and multiple treatments, I have survived over 3 times that long. Through the years I have met other cancer survivors who are struggling to deal with their questions about sexuality after cancer.

Part of my cancer treatment was a stem cell transplant that involved both chemotherapy and radiation which put me into premature menopause. I had a medical condition which made me susceptible to blood clots, so hormone replacement in any form was not an option.

The resulting sexual problems were sudden and unexpected and left me with feelings of grief and loss that were hard to put into words. At times I felt like “You should just be thankful to be alive,” but I wasn’t ready to give up my sexuality.

I began to search for information. One cancer newsletter’s “Ask the Doctor” column confirmed that many readers had asked the same questions about sexual problems following this particular treatment. The American Cancer Society has a publication titled, “Sexuality and Cancer.” Both of these resources mentioned that there are many women who cannot take hormone replacement therapy and suggested that people should discuss “options for facilitating sexuality” with their doctors.

When I asked my oncologist for help, he was too embarrassed to talk about sexual problems and practically ran out of the exam room. He could have at least referred me to another medical resource. Although we passed the turn of the century, some medical providers are still in the “dark ages” when it comes to addressing the sexual problems of cancer survivors.

I went to a cancer survivor’s conference at a large medical center in another city. One of the sessions was about cancer and sexuality. I sat next to a woman who had been through treatment identical to mine and also had the same blood clotting disorder which ruled out HRT. We were both blessed with partners that did not walk out the door when the cancer diagnosis arrived, but we missed the giving involved in making love to our partner and meeting their needs for intimacy as much as the pleasure we had derived from it ourselves.

Some people came to the group session accompanied by their partners - the standard response from the partner without cancer was “I’m just glad my partner is alive,” but the cancer survivors were not content with that. They went on to express their deep emotions and struggles. “First I was diagnosed, then I had treatment - I’m thankful I survived, but I am still working through the loss of my sexuality.”

The oncology professional who was the group facilitator listened, and could see that this was an important subject that needed to be given more attention in the future. I left feeling like at last we were heard, but I was still lacking practical information and resources.

I am now over 50 and my cancer is in a durable remission, but I was beginning to believe that I was probably “too old” to be hopeful about ever being sexually active again. I lacked the courage to ask another Dr. or medical professional for help to address sexual problems.

I’m so glad I found your blog - I read the post “a man asks about sex after prostate cancer” and was impressed by the personal interest you took in responding to his questions.

I went to your website to order your book and read, “Joy isn’t age-bound. Neither is sexuality or fitness.” Discovering that you have also faced challenges as a result of two car accidents and refused to give up was an encouragement to me. Your statement, “I had to get back to having a life”, really sums up where I am at currently. Your story inspired me with a “spark of hope” and I also found the resources that I need to begin working on regaining physical fitness and sexual function!

Lynn, thank you for sharing your experience and your thoughts. When you told me about your oncologist bolting out of the room when you asked about sexuality, I was shocked and outraged. Sexuality and intimacy are so much a part of what binds us to our partner and makes us fully human. How can doctors not understand this or help us reclaim that vital part of our being when we ask for help?

I know doctors get very little training in sexuality, and I've written about this here. Fortunately, there are some wonderful sex therapists and sex educators who are doing a great job in this arena, and I encourage you to find one of these in your area.

I am so happy that you survived cancer, and I wish you the best success reclaiming the joy of your sexuality. Please keep us posted about what you do and what you learn.

Best,

-- Joan

Too soon to be intimate with new man after spouse dies?

Susan, age 65, sent me this email, with permission to post it and respond here:

Joan, I found your website while browsing and really enjoyed it. I was widowed 5 months ago, and a friend of mine lost his wife shortly before my husband's death. We had known each other casually for 20 years.

A social event brought us face to face about a month ago and we both have been smitten since that night. We are both young for our ages; both being 65, good physical condition and both exercise daily. I am experiencing a lot of guilt from wanting to see him after such a short span of time since my husband's death. Although he has discussed me with his family and I with mine, I still have some guilt. I also, don't hear the "approval" from other members of my family.

However, at our ages, how long is considered appropriate? I am also experiencing whether or not this could become a moral issue with me. He is a wonderful man, who cared for his wife, who was ill for many years, as I did for my husband.

He has expressed to me that he may be impotent. He had not had sexual relations with his wife for many years before her death, nor had I with my husband. I did, however, use a vibrator from time to time. Although I am 65, I certainly have been experiencing strong sexual feelings toward him.

I guess my questions to you are:
1) what is the appropriate time frame?
2) Is sex outside of marriage a moral and/or guilt issue?
3) How do I get rid of trying to please everyone else?
4) Should we pursue sexual intercourse or just "play around"?

Thank you so much for your input and can't wait to get your book!

Susan, thank you so much for writing and for sharing these feelings.

I can't tell you what the appropriate time frame is for YOU. I'm not a therapist, but I've heard some therapists say that it's good to wait a year, because people need to grieve, then rediscover and reclaim who they are alone before they're ready to enter into a new relationship.

I've also heard from/about people who were caretakers of ill spouses and did much of their grieving while their spouses were alive. They then needed to reach out to someone who could bring joy and intimacy back into their lives.

I can't say what's "right" for you -- only you can know that. If you're questioning whether it's too soon, that maybe that's your own heart saying it is. If this relationship will be right for the two of you, it will be right if you wait a few more months, too.

Meanwhile, you can develop a friendship and enjoy each other's company. But do learn to enjoy your own company, too -- see who you are on your own in the world, what interests you'd like to pursue now.

Of course you still have sexual feelings -- glory in that wonderful gift, and let your fantasies roam. When you and your friend come together in that intimate way, if you decide to, you'll be good and ready for his tender touch.

You say your family hasn't expressed approval of your new relationship. Realize that they are still grieving your husband, too. Respect their feelings, and if/when you decide to go ahead with this new relationship, perhaps it would be best not to tell them until and unless they ask, at least for a while.

As for sex outside of marriage, that's completely your decision. I don't know your beliefs or your religion, or whether these values might be changing at this time of your life. You might find it useful to consult a counselor to get your own values and needs in perspective.

Your friend told you that he might be impotent. Please suggest that he see a urologist and find out the cause, and whether any treatment is appropriate. If he is inable to have erections, you can still have loving, intimate sex in other ways. I have more information about that in my book, in the chapter titled "when You or Your Partner Can't."

I'm sure that Susan would like to hear from others who have gone through this, and from others who have an opinion. I invite you to comment.

-- Joan

How do you handle sex and dating?

You're dating again, after years, maybe decades, away from the dating scene. How do you handle sex with a new person? Do you use/require condoms? Do you get tested for HIV and other STDs and request the same from your partner? What questions do you ask? In other words, what steps do you take to protect your sexual health?

When Robert and I started dating, we used condoms, talked openly about our previous experiences, and got tested. I don't know if most people our age do that, or if they assume that they're not at risk. I'd love to hear from you about this.

I wish I had included this topic in my book, and I may include it in a future magazine article. Please either post your comments here or email them to me, and I'll post them for you.

Thanks --

Joan

10/21 update: Some very interesting comments have begun to appear on this topic -- if they don't display automatically for you below this post, click "comments" to view them. Please keep your comments coming!

A man asks about sex after prostate cancer

Billybob, 62, has written several times, always willing to share his thoughts and experiences to help both men and women talk more freely about the special challenges of sex after 60. In his case, these challenges include recovering from divorce, re-entering the dating scene, and living with prostate cancer. I just received this question from him:

Since my cancer treatments I still want sex but I have an erection problem that Viagra seems not to work to well. What would a lady think of me if I chose to use a strap on device? Or do you know of alternatives? And If I were to use a strap on how would I break or tell such an idea to a lady?

I wrote this to Billybob:

If you read the chapter of Better Than I Ever Expected titled "When You or Your Partner Can't," you'll see that women are very happy with fingers, tongue, vibrator, and cuddling when their partner can't have an erection. I don't think many women would appreciate a strap-on device, though I suggest you talk about it ahead and let her know you're willing if she'd like it. My suggestion: level with her about your situation as soon as the intimacy gets past kissing, and see what she'd like and -- please! -- also tell her what would make you feel satisfied. Let me know how this works for you.

What do the rest of you think?

I read two good books on this topic, which I mentioned in Better Than I Ever Expected and which you can order from Amazon by clicking on the links:

Intimacy with Impotence: the Couple's Guide to Better Sex after Prostate Disease by Ralph & Barbara Alterowitz (Da Capo/ Lifelong Books, 2004). A frank, practical guidebook to satisfying, sensual intimacy whether or not the male partner can have erections. An array of self-help strategies, from communication and creativity to medical therapies.

Making Love Again: Hope for Couples Facing Loss of Sexual Intimacy by Virginia and Keith Laken (Ant Hill Press, 2002). Candid personal narrative by Keith Laken, prostate cancer survivor facing impotence, and his wife, including fears, arguments, resolutions, setbacks, and a new definition of intimacy.

-- Joan

What juicy younger women need to know about sex & aging

Thanks to NML, 29-year-old UK blogger, for reprinting my Hot Sex Tips From the Older Generation

I just left a comment for her readers, which I'm reprinting here:

What you might not realize, as juicy younger people, is that the body does indeed give us some challenges to satisfying sex after 60, but there are ways we can learn to prepare beforehand so that we don't have to "fix it" afterwards.

In my book, a woman age 75 who had been celibate for 38 years (!) tells her story. She had just fallen in love with a man age 88. They were very loving and sexual, but could not achieve penetration because it was "too much of a stretch" and her dryness -- even with lubrication -- created pain and led to infection. She was very frustrated by not being able to "complete" the act of love.

What women don't realize -- and their doctors don't think to tell them in time -- is that there are preventive measures that we can take to make sure we don't get in that situation. I'm not going to give away everything that's in my book, but I do have tips from experts on keeping our sexual parts vital, youthful, and in working order, even when we're not in a relationship.

I think that should be required reading for single women who think they might welcome sex in the future, don't you?