that women don't want sex as they age, study finds
https://www.cnn.com/2020/09/28/healt...ess/index.html
It's a myth that women lose interest in sex as they enter midlife and beyond, according to new research that followed over 3,200 women for approximately 15 years.
"About a quarter of women rate sex as very important, regardless of their age," said Dr. Holly Thomas, lead author of an abstract being presented during the 2020 virtual annual meeting of The North American Menopause Society, which opens on Monday, September 28.
"The study showed substantial numbers of women still highly value sex, even as they get older, and it's not abnormal," said Thomas, an assistant professor of medicine at the University of Pittsburgh.
"If women are able to speak up with their partner and make sure that they're having sex that's fulfilling and pleasurable to them, then they're more likely to rate it as highly important as they get older," she said.
"That's actually quite refreshing, that there were a quarter of women for whom sex remains not just on the radar but highly important," said Dr. Stephanie Faubion, medical director for NAMS, who was not involved in the study.
Myth busting
It's true that past studies have found that women tend to lose interest in sex as they age. But women's health practitioners say that attitude doesn't jibe with the reality they see.
"Some of the prior studies had suggested that sex goes downhill and all women lose interest in sex as they get older," Thomas said. "That really isn't the type of story that I hear from all my patients."
One issue, she said, is that past studies took a single snapshot of a woman's desire at one point in her life and compared that to similar snapshots in later decades of life.
"That type of longitudinal study would just show averages over time," Thomas said. "And if you look at things on average, it may look like everyone follows one path."
Thomas said the new study used a different type of analysis that allowed researchers to follow the trajectory of a woman's desire over time.
High and low pathways of sexual interest
The research, which analyzed data from a national multi-site study called SWAN, or the Study of Women's Health Across the Nation, found three distinct pathways in a woman's feelings about the importance of sex.
About a fourth of the women (28%) followed traditional thinking on the subject: They valued sex less during midlife years.
However, another fourth of the women in the study said the exact opposite. Some 27% of them said sex remains highly important throughout their 40s, 50s and 60s -- a surprising contradiction of the old-age belief that all women lose interest in sex as they age.
"Sex is going to look different," said Faubion, who is the director of the Mayo Clinic Center for Women's Health.
"It's not going to look the same at 40 as it does at 20; it's not going to look the same at 60 as it does at 40 and it's not going to look the same as at 80, as it did at 60," she said. "There may be some modifications that we have to do, but people in general who are healthy and in good relationships remain sexual."
Women in the study who highly valued sex shared the following characteristics: They were more highly educated, they were less depressed, and they had experienced better sexual satisfaction before entering midlife.
"Women who were having more satisfying sex when they were in their 40s were more likely to continue to highly value sex as they got older," Thomas said.
There could also be socioeconomic factors at play, she added. For example, more highly educated women may have higher incomes and feel more stable in their lives with less stress.
"Therefore they have more headspace to make sex a priority because they're not worrying about other things," Thomas said.
The study found another factor that was important to both lower-interest and high-interest pathways -- race and ethnicity.
[MM; I knew it; CNN article... blaming racism and being poor)
The middle ground
The majority of women (48%) fell into a third pathway: They valued a healthy sex life as they entered the menopausal years but gradually lost interest throughout their 50s or 60s.
There are a number of emotional, physical and psychological factors that might affect how a woman views sex, experts say. Most can be divided into four categories:
Medical conditions: As women enter perimenopause in their 40s and 50s, they begin to experience hormonal changes that can cause sex to become less satisfying or even painful.
The drop in estrogen causes the vulva and vaginal tissues to become thinner, drier and more easily broken, bruised or irritated. Arousal can become more difficult. Hot flashes and other signs of menopause can impact mood and sleep quality, leading to fatigue, anxiety, irritability, brain fog and depression.
Many medical conditions can arise or worsen during midlife that can also affect libido.
"Do they have medical conditions like hip arthritis that cause pain with sex? Or hand arthritis that can make it more difficult? Or things like diabetes where their sensation is not the same or do they have heart disease?" Faubion asked.
"But there are modifications that we talk about all the time to help people remain sexual, even for quadriplegics," she said. "There are ways to stay sexual despite disability."
What's to be done?
Of course, if a woman isn't bothered by a lack of sex, then there's no reason to see a doctor, Faubion and Thomas stressed. But they both said that past studies have shown that about 10% to 15% of women who do have a lower interest in sex are bothered by it and would like to seek a solution.
There are many ways in which physicians can help, including medications and therapies, but first a woman must reach out and talk to her doctor.
"Prior research has shown that women often really do hesitate to reach out to their doctors, perhaps because they're embarrassed or they see it as part of normal aging and and don't think it's worth bringing up," Thomas said.
"Bottom line: Women should talk to their providers if they're having concerns about their sexual health," Faubion said. "It's an important part of life, and there are solutions for women who are struggling with that."
