sexual health

Enjoyable Again
Q: My husband is 50. For some years he has been unable to have an orgasm during intercourse. He can get and maintain an erection for a reasonable amount of time, however. Neither of us get much pleasure from sex as a result, and avoid it because it ends with disappointment. Is there anything we can do to facilitate the orgasm?
Over 50
Q: I'm a 68-year-old widower and have decided to start dating again. I use a vacuum pump to achieve an erection since I have erectile dysfunction caused by long-term diabetes. When do I tell a prospective partner about this? Surprising her with this when things are about to get "hot and heavy" doesn't seem like a very good idea. My deceased wife was my only partner using this device. She was fine with it, but I have no idea how other women would react.
If  your joints hurt when you move, it's no surprise that your sex life suffers as well. But as more boomers get hip- or knee-replacement surgery, they're finding an added benefit: a better love life.
It's a common problem among postmenopausal women - painful sexual intercourse due to thinner, drier, more fragile vaginal tissues. To help the roughly 32 million women with this condition, the Food and Drug Administration (FDA) has approved a new drug called Osphena.
Dr. Pepper Schwartz
Q: What does it mean when a guy goes mentally numb and has an "out-of-body" experience of sorts during sex? In the few times we have had sex, the guy I'm trying to be with has mentioned this happening. He says it is the best feeling in the world but also kind of scary, and that he has had this feeling only one other time out of all the relationships he has had. He told me not to worry about the issue.
I'll admit I've not thought much about the sex lives of nursing home residents. But several Australian researchers have, with particular concern for patients with dementia. In a new paper in the Journal of Medical Ethics, they charge residential care facilities with denying residents "a basic human right" by discouraging or prohibiting consensual sexual activities. Consent, of course, is part of the issue when it comes to people with cognitive impairment such as dementia. But the start of dementia doesn't mean the end of desire.
Dr. Pepper Schwartz
Q: My doctor asked me during an annual exam if I climax during intercourse. I thought it was a strange question but I couldn't answer because I haven't had sex in more than 25 years. I don't recall any problems before unless I never have climaxed and didn't know it. So why would she think I might not? If I choose to have a relationship at that level, should I see a doctor first? -S.C.
Dr. Pepper Schwartz
Q: I'm a 58-year-old widow who has been dating a man for nine months. He's a wonderful person, affectionate and caring. He's in extremely good health, has a dynamite body at 60. The problem is I feel we don't have sex often enough, only twice a month.
In their younger days, boomers oft-accused the older generations of having a bad attitude toward sex. Try telling that now to the 80-year-old women who are more sexually satisfied than their 55-year-old counterparts.
As far as STDs go, most of us know the popular kids in the crowd: Chlamydia, Gonorrhea, Herpes. And HPV? SO in right now. But one less well-known and generally under-screened STD is actually pretty common among women over 50: Trichomoniasis.
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