Table of ContentsView AllTable of ContentsTeens20s30s40s50sOver 60When Does Sexual Activity End?Increasing Sex Drive

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Over 60

When Does Sexual Activity End?

Increasing Sex Drive

Sex drive can change throughout a person’s life. For some, sexual activity may begin in the teenage years or 20s. Males' sex drive (libido) is thought to peak in their 20s, while females' sexual desire often peaks in their 30s. There’s no specific age for when people stop being sexually active, although age and sex drive are closely related.

There’s no universal “normal” when it comes to sex drive. Libido exists on a spectrum, so what’s normal for an individual can vary widely.If you’ve noticed a change in your libido, especially a dramatic one, bring it up with your healthcare provider.

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A senior couple holds each other in bed.

A Note on Gender and Sex TerminologyVerywell Health acknowledges thatsex and gender are related concepts, but they are not the same.Sex refers to biology: chromosomal makeup, hormones, and anatomy. People are most often assigned male or female at birth based on their external anatomy; some people do not fit into that sex binary and are intersex.Gender describes a person’s internal sense of self as a woman, man, nonbinary person, or another gender, and the associated social and cultural ideas about roles, behaviors, expressions, and characteristics.Research studies sometimes don’t use the terminology in this way. For example, terms that describe gender (“woman,” “man”) may be used when terms for sex (“female,” “male”) are more appropriate.To reflect our sources accurately, this article uses terms like “female,” “male,” “woman,” and “man” as the sources use them.

A Note on Gender and Sex Terminology

Verywell Health acknowledges thatsex and gender are related concepts, but they are not the same.Sex refers to biology: chromosomal makeup, hormones, and anatomy. People are most often assigned male or female at birth based on their external anatomy; some people do not fit into that sex binary and are intersex.Gender describes a person’s internal sense of self as a woman, man, nonbinary person, or another gender, and the associated social and cultural ideas about roles, behaviors, expressions, and characteristics.Research studies sometimes don’t use the terminology in this way. For example, terms that describe gender (“woman,” “man”) may be used when terms for sex (“female,” “male”) are more appropriate.To reflect our sources accurately, this article uses terms like “female,” “male,” “woman,” and “man” as the sources use them.

Verywell Health acknowledges thatsex and gender are related concepts, but they are not the same.

Research studies sometimes don’t use the terminology in this way. For example, terms that describe gender (“woman,” “man”) may be used when terms for sex (“female,” “male”) are more appropriate.

To reflect our sources accurately, this article uses terms like “female,” “male,” “woman,” and “man” as the sources use them.

Regardless of biological sex,testosteronelevels are high in your 20s. Sex drive generally is, as well.

In males, testosterone levels peak at 18. They start a slow decline after that.But they’re generally high enough through this decade to support a healthy libido.

Female fertility starts to decline in the late 20s even as sexual desire increases, though experts don’t fully understand why. On the other hand, many females report lower sex drive in their 20s, often attributed to using hormonal birth control or medication to treat depression.Birth control pills may have an impact on female sexual drive, but the research on hormonal contraceptives and their effect on libido is mixed.

Pregnancy can also cause hormone fluctuations that influence sex drive. Sexual desire typically decreases in the first trimester, increases in the second trimester, and decreases again in the third trimester.

A Word From VerywellOur libido will naturally change with age, but the most important thing to remember is that libido is a reflection of your own personal desire for sex. Two people of the same age and background can have different desires for sex, and that’s okay.—RENITA WHITE, MD, MEDICAL EXPERT BOARD

A Word From Verywell

Our libido will naturally change with age, but the most important thing to remember is that libido is a reflection of your own personal desire for sex. Two people of the same age and background can have different desires for sex, and that’s okay.—RENITA WHITE, MD, MEDICAL EXPERT BOARD

Our libido will naturally change with age, but the most important thing to remember is that libido is a reflection of your own personal desire for sex. Two people of the same age and background can have different desires for sex, and that’s okay.

—RENITA WHITE, MD, MEDICAL EXPERT BOARD

Renita White, MD

Testosterone continues to decline through the 30s. In males, some studies suggest the decline may speed up to about 1% per year until about age 40. The drop in libido may become more noticeable.

For many females, this is when sex drive peaks. Sexual fantasies may increase. You may find yourself having more frequent sex and having it earlier in your relationships.

While these biological functions can cause an increase in sex drive, it can also be normal to experience a decrease in libido. In this decade, as well as in your 20s, hormonal birth control may be the reason.In addition, pregnancy, childbirth, and adjusting to life with kids can cause new parents to be less interested in sex.Talk to your healthcare provider if you have concerns about reduced sex drive.

Males' Sex Drive Decreases SoonerAccording to a British study, men experience a dip in libido between ages 35 and 44. Women have a similar dip later—between 55 and 64.

Males' Sex Drive Decreases Sooner

According to a British study, men experience a dip in libido between ages 35 and 44. Women have a similar dip later—between 55 and 64.

Both males and females experience physical changes in their 40s that have impacts on sexual behavior.

In males, their erections become less rigid and they start desiring sex less often.Erectile dysfunction(ED) starts becoming more prevalent.In general, themale refractory period(time after orgasm during which a person is not sexually responsive) lengthens with age.

For females,perimenopause(the lead-up to menopause) typically starts somewhere in the 40s. That means declines inestrogen(female hormone) levels.

Lower estrogen can meanvaginal dryness, which can lead topainful intercourse. Testosterone tends to decline, too. This can all lead to a lower sex drive.

In the 50s, both males and females report declines in sexual interest and in how much sex they have. Many of the changes are physical, like ED in males. It affects half of all people with a penis between the ages of 50 and 59.

Other health and lifestyle issues that emerge during your 50s can affect male sex drive and performance, too. They include:

Females may experience reduced vaginal lubrication, fewer orgasms, and other changes due to age and menopause. They also may begin to feel the effects of underlying health conditions.

In their 50s, people may be takingmedicationsthat change their sex drive. For example, high blood pressure medications like Lopressor (metoprolol) or thiazide diuretics may contribute to ED in males.On the other hand, drugs like Vyleesi (bremelanotide) may be used to boost libido in females.

Some research notes that sexual desire, activity, and function remain strong during your 50s. Some studies suggest that your sexual satisfaction isn’t related to your age at all, but it does correlate with your overall health and relationship status.

Sexual dysfunction, chronic illness, and the death of a partner all become more common after age 60. And they all contribute to a continued decline in sexual drive and activity.

However, that doesn’t mean you should expect to stophaving sex as you get older. Research suggests that people in their 60s and beyond report active, fulfilling sex lives.

A Dutch study published in 2017 surveyed rates of sexual activity in older community-dwelling people.Nearly half of those with partners reported sexual activity in the past six months. Rates were far lower in those without partners.

Another study reported that up to 40% of women over 60 had low sex drive. Still, the women said sex was an important part of their lives.

A 2020 study reported several factors that contribute to a declining libido after age 60. In addition to ED and menopause-related vaginal changes, they include:

While some consequences ofagingare unavoidable, many of them can be medically managed.

Many people can continue sexual activity for as long as they would like. Both males and females report being sexually active in their 70s and 80s, and even into their 90s.

Age-related changes like erectile dysfunction mean these sexual encounters may not be the same as they were in younger years, though. Older adults often report that they prefer adaptive styles of sex that go beyond penetration.

While sex continues to be important at this stage of life, people may face more health challenges, mobility issues, and physical barriers to sex. For example, a study of older people with sensory changes (hearing, sight, touch, smell, and taste) found they were less likely to be sexually active, though this didn’t affect the frequency or type of sexual activity among older adults who are sexually active.

Couples living withAlzheimer’s diseaseor other dementia disorders may find new challenges with sexual expression.That said, more than 40% of people ages 80 to 91 who have partners reported they are still sexually active, though the rate decreases with cognitive declines.

With people living longer, it’s not unusual for older people to use dating websites or smartphone apps to seek out new partners, even when marriage has ended through death or divorce.Since sex with new partners can raise the risk ofsexually transmitted infections(STIs) that you may not have thought about before, it’s a good reason to talk to your healthcare provider about sex.

How to Increase Sex Drive

While sex drive naturally changes over time, that doesn’t mean you have to live with alower libido. You can do several things to boost it.

First, talk to your healthcare provider to see if it’s a natural change or diagnosable sexual dysfunction. Depending on what they find, they may prescribe medication or help you find ways to correct it.

If it is just an age-related drop, you may have success with lifestyle changes.

A Word From VerywellTo maintain or improve your baseline libido as you age, focus on taking care of your overall health, both physically and mentally. Improving chronic conditions that can impact libido is important, as is limiting stress and increasing natural endorphins with exercise. Focusing on exploring your personal desires, both with and without a partner, is also important.—RENITA WHITE, MD, MEDICAL EXPERT BOARD

To maintain or improve your baseline libido as you age, focus on taking care of your overall health, both physically and mentally. Improving chronic conditions that can impact libido is important, as is limiting stress and increasing natural endorphins with exercise. Focusing on exploring your personal desires, both with and without a partner, is also important.—RENITA WHITE, MD, MEDICAL EXPERT BOARD

To maintain or improve your baseline libido as you age, focus on taking care of your overall health, both physically and mentally. Improving chronic conditions that can impact libido is important, as is limiting stress and increasing natural endorphins with exercise. Focusing on exploring your personal desires, both with and without a partner, is also important.

Increase Exercise and Physical Fitness

Exercise, activity levels, weight, and fitness all are related to libido. The good news is that even small increases in physical activity can boost sex drive, according to some research.

Studies have also linked obesity and inactivity with sexual dysfunction. One study concluded that sexual behavior was directly linked to body fat percentage.

Males with a higherbody mass index (BMI), an imperfect butcommonly used measureof healthy weight, were 30% more likely to have erectile dysfunction. About 40% of them had problems with desire and 50% hadperformance problems.

In females, heart health and cardiovascular fitness predicted arousal.

Exercise may:

While it’s better to be active than inactive, you may harm your libido with too much exercise. Some research suggests regular, intense endurance training may decrease male sex drive.

Eat Libido-Enhancing Foods

Be sure you discuss any dietary changes with your healthcare provider.

Avoid Libido-Lowering Foods

Some foods can reduce your sex drive and function. Several of them lower testosterone levels, while others impair circulation.

Libido-lowering foods include:

Soy and soy-based foods are sometimes said to be in this category, but recent research shows that they probably do not impact hormones or libido.

A side benefit of avoiding trans fat and saturated fat is that your overall health may improve.

Manage Stress

Stress changes a lot about how your body functions. Chronic stress increases levels of a hormone called cortisol, which can suppresssex hormonesand lower libido.

When your body stops being chronically stressed, your hormone levels should return to normal. If you need help with stress relief, talk to your healthcare provider.

Improve Sleep Quality

Some research has linked poor sleep with low sex drive.Improving your sleep quality may help.

The first step is to take a look at your sleep hygiene—your habits surrounding bedtime and sleep. To achieve better sleep:

Better sleep may improve your health in many ways besides your libido, so it pays to create better habits.

If your sleep quality doesn’t improve with these steps, ask your healthcare provider whether you may have a sleep disorder. Getting it diagnosed and treated can make a big difference in how well you sleep.

Reconnect With Your Partner

Research confirms what you may already know—feeling emotionally connected with your partner increases feelings of desire and arousal. Women tend to need more of an emotional connection than men.

To boost your desire for each other, relationship experts recommend:

If you have difficulty reconnecting with your partner, you may want to consider couples counseling. Mismatched libidos can be hard to deal with, but you can find a mutual place.

If you’ve seen a change in sex drive in either of you, talk to a healthcare provider. There could be a medical reason.

Transgender Sex DriveResearch suggests that hormone therapy and reassignment surgery can lower the sex drive of transgender people. However, it appears to be a short-term change. Some research has found that trans women appeared to end up with a higher sex drive over time than they had before treatment. Trans men, overall, returned to their previous levels of desire.

Transgender Sex Drive

Research suggests that hormone therapy and reassignment surgery can lower the sex drive of transgender people. However, it appears to be a short-term change. Some research has found that trans women appeared to end up with a higher sex drive over time than they had before treatment. Trans men, overall, returned to their previous levels of desire.

Summary

Male sex drive peaks in the 20s and then gradually declines with age. Female sex drive grows as the fertile years pass, then declines with menopause. But each stage of the life cycle offers different opportunities for intimacy and connection, with sex continuing into your 70s, 80s, and beyond.

There’s no set age when people stop being sexually active. You’ll experience individual changes in your body across the decades, so talk with your healthcare provider about your sex life and what to expect.

You can increase your libido with moderate exercise, dietary changes, stress management, getting better sleep, and staying emotionally connected to your partner.

47 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

University of Washington Medical School, UW Medicine: Right as Rain.Is your sex drive normal? Probably.

Nemours TeensHealth.Is it normal to think about sex a lot?

Kelsey TW, Li LQ, Mitchell RT, Whelan A, Anderson RA, Wallace WH.A validated age-related normative model for male total testosterone shows increasing variance but no decline after age 40 years[published correction appears in PLoS One. 2015;10(2):e0117674].PLoS One. 2014;9(10):e109346. doi:10.1371/journal.pone.0109346

Belcher RE, Sim D, Meykler M, Owens-Walton J, Hassan N, Rubin RS,et al.A qualitative analysis of female Reddit users' experiences with low libido: how do women perceive their changes in sexual desire?J Sex Med. 2023 Feb 27;20(3):287-297. doi:10.1093/jsxmed/qdac045.

Casado-Espada NM, de Alarcón R, de la Iglesia-Larrad JI, Bote-Bonaechea B, Montejo ÁL.Hormonal Contraceptives, Female Sexual Dysfunction, and Managing Strategies: A Review.J Clin Med. 2019 Jun 25;8(6):908. doi:10.3390/jcm8060908.

Fernández-Carrasco FJ, Batugg-Chaves C, Ruger-Navarrete A, et al.Influence of pregnancy on sexual desire in pregnant women and their partners: systematic review.Public Health Rev. 2024;44:1606308. Published 2024 Jan 19. doi:10.3389/phrs.2023.1606308

de Castro Coelho F, Barros C.The potential of hormonal contraception to influence female sexuality.International Journal of Reproductive Medicine. 2019;2019:1-9.

Sexual Medicine Society of North America.What’s causing your low sex drive?

Takayanagi A, Kobayashi K, Fukuta F, et al.Changes of sexual function and perception in Japanese men: A 15-year cross-sectional community-based study.Int J Urol. 2016;23(11):941-945. doi:10.1111/iju.13184

Quilter M, Hodges L, von Hurst P, Borman B, Coad J.Male sexual function in New Zealand: A population-based cross-sectional survey of the prevalence of erectile dysfunction in men aged 40-70 years.J Sex Med. 2017;14(7):928-936. doi:10.1016/j.jsxm.2017.05.011

International Society of Sexual Medicine.What is the refractory period?

The North American Menopause Society.Decreased desire.

Rew KT, Heidelbaugh JJ.Erectile Dysfunction. Am Fam Physician. 2016 Nov 15;94(10):820-827. PMID: 27929275.

Kaplan-Marans E, Sandozi A, Martinez M, Lee J, Schulman A, Khurgin J.Medications most commonly associated with erectile dysfunction: Evaluation of the Food and Drug Administration National Pharmacovigilance Database.Sex Med. 2022;10(5):100543. doi:10.1016/j.esxm.2022.100543

Cipriani S, Alfaroli C, Maseroli E, Vignozzi L.An evaluation of bremelanotide injection for the treatment of hypoactive sexual desire disorder.Expert Opin Pharmacother. 2023;24(1):15-21. doi:10.1080/14656566.2022.2132144

Dekker A, Matthiesen S, Cerwenka S, Otten M, Briken P.Health, Sexual Activity, and Sexual Satisfaction.Dtsch Arztebl Int. 2020 Sep 25;117(39):645-652. doi:10.3238/arztebl.2020.0645.

Freak-Poli R, Kirkman M, De Castro Lima G, Direk N, Franco OH, Tiemeier H.Sexual activity and physical tenderness in older adults: cross-sectional prevalence and associated characteristics.J Sex Med. 2017 Jul;14(7):918-927. doi:10.1016/j.jsxm.2017.05.010

Tufts Medical Center.Aging and sex drive.

Thomas HN, Hamm M, Hess R, Borrero S, Thurston RC.“I want to feel like I used to feel”: a qualitative study of causes of low libido in postmenopausal women.Menopause. 2020;27(3):289-294. doi:10.1097/GME.0000000000001455

Scheinkman M, Iasenza S, Ludwig K, Cronin T, Lemor S, Papp P.Sexual intimacy and aging: An integrative framework to promote intimacy resilience in couple therapy.Fam Process. 2022 Jun;61(2):456-475. doi:10.1111/famp.12767.

Zhong S, Pinto JM, Wroblewski KE, McClintock MK.Sensory Dysfunction and Sexuality in the U.S. Population of Older Adults.J Sex Med. 2018 Apr;15(4):502-509. doi:10.1016/j.jsxm.2018.01.021.

Lindau ST, Dale W, Feldmeth G, Gavrilova N, Langa KM, Makelarski JA, Wroblewski K.Sexuality and Cognitive Status: A U.S. Nationally Representative Study of Home-Dwelling Older Adults.J Am Geriatr Soc. 2018 Oct;66(10):1902-1910. doi:10.1111/jgs.15511.

Malta S, Temple-Smith M, Bickerstaffe A, Bourchier L, Hocking J.‘That might be a bit sexy for somebody your age’: Older adult sexual health conversations in primary care.Australas J Ageing. 2020 Jun;39 Suppl 1:40-48. doi:10.1111/ajag.12762.

Jiannine LM.An investigation of the relationship between physical fitness, self-concept, and sexual functioning.J Educ Health Promot. 2018;7:57. doi:10.4103/jehp.jehp_157_17

National Institutes of Health, U.S. National Library of Medicine: MedlinePlus.Benefits of exercise.

Hackney AC, Lane AR, Register-Mihalik J, Oʼleary CB.Endurance exercise training and male sexual libido.Med Sci Sports Exerc. 2017;49(7):1383-1388. doi:10.1249/MSS.0000000000001235

Mollaioli D, Ciocca G, Limoncin E, Di Sante S, Gravina GL, Carosa E, Lenzi A, Jannini EAF.Lifestyles and sexuality in men and women: the gender perspective in sexual medicine.Reprod Biol Endocrinol. 2020 Feb 17;18(1):10. doi:10.1186/s12958-019-0557-9.

University of Pennsylvania, Penn Medicine.Food for your libido: A Valentine’s diet to boost your sex drive.

Maurya NK.Libido boosting functional foods. In:Recent Advances in Male Reproductive System. IntechOpen. 2022.

Aghighi Alaghejonban G, Mokaberinejad R, Alizadeh K, Eslami R.Effectiveness of onion (Allium cepa) on the improvement of sexual disorders in men: A review study.Complement Med J. 2024;13(4):28-43. doi:10.61186/cmja.13.4.28

Chavarro JE, Mínguez-Alarcón L, Mendiola J, Cutillas-Tolín A, López-Espín JJ, Torres-Cantero AM.Trans fatty acid intake is inversely related to total sperm count in young healthy men[published correction appears in Hum Reprod. 2014 Jun;29(6):1346-7].Hum Reprod. 2014;29(3):429-440. doi:10.1093/humrep/det464

Leonti M, Casu L.Ethnopharmacology of love.Front Pharmacol. 2018;9:567. doi:10.3389/fphar.2018.00567

Mahalingam S, Gao L, Eisner J, Helferich W, Flaws JA.Effects of isoliquiritigenin on ovarian antral follicle growth and steroidogenesis.Reprod Toxicol. 2016;66:107-114. doi:10.1016/j.reprotox.2016.10.004

Reed KE, Camargo J, Hamilton-Reeves J, Kurzer M, Messina M.Neither soy nor isoflavone intake affects male reproductive hormones: An expanded and updated meta-analysis of clinical studies.Reprod Toxicol. 2021;100:60-67. doi:10.1016/j.reprotox.2020.12.019

Bekhbat M, Neigh GN.Sex differences in the neuro-immune consequences of stress: Focus on depression and anxiety.Brain Behav Immun. 2018;67:1-12. doi:10.1016/j.bbi.2017.02.006

National Institutes of Health, National Center for Complementary and Integrative Health.Mind and body approaches for stress and anxiety: What the science says.

Mun JK, Choi SJ, Kang MR, Hong SB, Joo EY.Sleep and libido in men with obstructive sleep apnea syndrome.Sleep Med. 2018;52:158-162. doi:10.1016/j.sleep.2018.07.016

American Academy of Sleep Medicine: AASM.Healthy sleep habits.

van Lankveld JJDM, Dewitte M, Verboon P, van Hooren SAH.Associations of intimacy, partner responsiveness, and attachment-related emotional needs with sexual desire.Front Psychol. 2021;12:665967. doi:10.3389/fpsyg.2021.665967

The Gottman Institute.3 steps to reconnect when you feel disconnected from your partner.

Pennsylvania State University: PennState.Love languages, and the importance of understanding your partner’s language.

Government of the District of Columbia: DC Health.How to handle when your libidos don’t match.

Defreyne J, Elaut E, Kreukels B, et al.Sexual desire changes in transgender individuals upon initiation of hormone treatment: Results from the Longitudinal European Network for the Investigation of Gender Incongruence.J Sex Med. 2020;17(4):812-825. doi:10.1016/j.jsxm.2019.12.020

Lee DM, Nazroo J, O’Connor DB, Blake M, Pendleton N.Sexual health and well-being among older men and women in England: findings from the English longitudinal study of ageing.Arch Sex Behav.2015;45(1):133-144. doi:10.1007/s10508-014-0465-1

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