Sex Therapy

Keep It Steamy, Keep It Sharp: Why The Golden Years Should Be The Sexy Years

Older couple walking down outdoor path

We all know that a healthy relationship with your sexuality, whatever that may be, is part of being a happy, whole person. But it’s also pretty important for your physical health. For instance, sex can lower blood pressure, boost your immune system, decrease certain health risks like heart attack and prostate cancer, and improve your sleep (WebMD, 2024). Now, according to an article in the BBC’s Science Focus magazine, you can add a new health bonus to that list: improved cognitive function for older adults. 

Sex really can help you enjoy your life to the fullest for as long as possible. Of course, we are not advocating for people to have more sex that they don’t want, force themselves to have sex for the sake of future cognition, or to focus purely on quantity. In fact, a lot of the cognitive benefits to be gained from sex are because of the interpersonal relationship with a partner, not just anyone and not just any sex. Have good sex with someone you want to have sex with and who wants to have sex with you. Satisfaction and connection are some of the essential components at play here.  

Why does sex improve cognition? 

There are a lot of things happening when you’re having sex. Of course, your body is releasing a cocktail of feel-good hormones and blood flow is increasing, but what’s perhaps more important is that your brain is generating new neurons, which is a big deal. As the National Institute of Neurological Disorders and Stroke states, “Neurons are nerve cells that send messages all over your body to allow you to do everything from breathing to talking, eating, walking, and thinking.” 

Sex with a partner is a team sport, and there’s also a lot that goes into that. The social interplay and teamwork involved with partnered sex helps people work on team problem-solving, anticipating needs, expressing their own needs, and feeling intense physical and emotional connection. Sexual health is a pivotal component of overall physical and emotional health. 

Is the answer more sex or better sex?

This depends on what age you’re asking about. However, better sex is never a bad thing. A paper published in 2023 found that between the ages of 62-74, the quality and satisfaction of your sex was more important for cognitive functioning, but during ages 75-90, it was the quantity of sex that made the most impact on cognitive function. 

According to an article from Penn State published in 2023, researchers “found that declines in sexual satisfaction and erectile function were correlated with future memory loss” and put people at higher risk for cardiovascular disease, Alzheimer’s disease, dementia, and other stress-related cognitive decline issues. That said, putting an emphasis on sexual satisfaction and nurturing a healthy and enjoyable sex life in middle age does in fact have an impact on your overall quality of life as an older adult. 

The answer is always better sex, but once you’ve hit older age, maybe put more of an emphasis on quantity over quality. Your brain will thank you. 

How do I start having more and better sex? 

As a sex therapist in Northern Colorado, I am frequently asked this question, but there isn’t a simple answer to this. There are plenty of resources that you can seek out to help you have better and more sex, but we need to start here: sex is not a panacea to cognitive disorders in old age, and if you’re not upset with your sex life and it isn’t a problem for you, then it’s not a problem. 

Now that we have this out of the way, there are things you can do to improve the quality (and frequency) of the sex you are having. Starting by talking to your partner about the sex you want to be having is a great place to start, but we’ll be getting into this in more depth in future posts, so for now, suffice it to say that there are a ton of resources out there that are designed and written by people who truly just want to help people have sex they love having.  

Books

There are a number of resources that you (and a partner(s)) can read to help improve your sex life, including Emily Nagoski’s new book Come Together: The Science (And Art!) of Creating Lasting Sexual Connection. We have mentioned many other resources in other blogs that you can look to, but Nagoski’s new book is incredibly timely given the research about sex and cognitive function. To find sexual satisfaction in long-term and long-lasting relationships, read what she has to say. You won’t regret it. 

Podcasts & other online resources

There are a number of podcasts dedicated to helping people lead sexually fulfilling lives, including: 

Each of the podcasts listed above also offers online courses and/or other resources that are rooted in science and therapeutic best practices. If you choose to look online for courses or ebooks about sex, make sure you do your research when it comes to the creators of the content. Not all content is created equally or comes from the same scientific and therapeutic background. Make sure you are vetting the creators of the content you choose to ensure you don’t end up with something that doesn’t align with your values. 

Individual, couples, or sex therapy

If you’re hoping to get right in and work on you and your relationship right away, the best thing you can do is seek out sex therapy near you. Whether you want individual or couples sex therapy, working on the things with a (confidential) third party can be a game changer. A therapist can often see issues that you or your partner(s) may not have noticed or registered. Working with a therapist can help you break down cultural, psychological, emotional, and religious barriers that are standing in between you and a satisfying sex life. 

If you are experiencing painful sex or sexual dysfunction, schedule an appointment with your healthcare provider to rule out any underlying medical causes and seek appropriate treatment. 

Sex is a matter of quality of life

Most people like pleasure, and sex offers so many physical and mental health benefits that it’s hard to deny how important sex can be to a person’s overall wellness. Wherever you stand with your sexuality, relationship to pleasure, or your sexual relationship(s), prioritizing pleasure and healthy sexual relationships can only serve to enhance your quality of life–for a really long time. The bottom line is that prioritizing your sexual health now can have profound impacts on your brain health when you reach older age. 

If you’re not sure where to start or are just ready to get some truly personalized help with your relationship to sex, sexuality, pleasure, or your partner(s), finding a sex therapist is the best way to set you (and your brain) up for future success. If you’re looking for a Greeley, CO sex therapist, Pivotal Counseling helps clients throughout northern Colorado make the most out of their relationships. You can call (970)-281-4677 or schedule an appointment online to get started.  

Can a vibrator ruin partnered sex?

Happy woman sitting outside laughing

You came here for a reason, so let’s start with this: Your vibrator will not ruin your partnered sex. In fact, your vibrator use is only a problem if you have a problem with it. If you’re worried that you can’t orgasm without it, if you feel like it’s getting in the way of your desire for partnered sex, or you’re just uncomfortable with how often you use it, then certainly seek out support. However, if you’re enjoying yourself and are unbothered by the frequency, then you don’t have anything to worry about. But let’s get into this a little deeper and look at the research. 

Many women use vibrators both during solo and partnered sex. While some women may worry that their vibrator may ruin partnered sex, a vibrator can actually enhance partnered sex. In fact, according to a 2017 study published in the Journal of Sex and Marital Therapy, 36.6% of women surveyed said that clitoral stimulation was necessary in order to reach orgasm. Because of this, vibrators can actually increase the likelihood that you, or your partner with a vulva, will reach orgasm. 

Does a vibrator cause desensitization or numbness?

No. There is no scientific backing to the claim that your vibrator will cause numbness or desensitization. According to a post from the Sexual Health Alliance

“[In] the study [from 2009 published in The Journal of Sexual Medicine], there were a few who reported a numbing sensation but importantly elaborated to say that the feeling went away within a day. This temporary numbness after using a vibrator can be compared to the numbness your arm might experience after holding a massage gun.”

You don’t need to worry that your vibrator will cause a decrease in sensitivity, but it is important to note that your brain is a sexual organ, and your stress about your vibrator could be getting between you and your orgasms. 

Though it is not possible to cause permanent desensitization, your vibrator or the pressure you are using with it may cause temporary pain and discomfort. If you think this is happening, don’t be so quick to write off all vibrators. You may need to try a few different ones before finding one that works for you. 

Is there any reason to stop using a vibrator? 

Unless your vibrator causes you pain or you don’t want to use it anymore, there is no reason to stop using it. Vibrators offer different levels of intensity and patterns of vibration, and if one doesn’t work for you because it’s too strong, then don’t use it. If you want to experiment with what happens to your sex and masturbation when you forgo your vibrator for a while, go ahead and experiment, but if you’re not interested in that option, then keep on using it. 

Your vibrator can be a tool without being a replacement
A vibrator doesn’t need to be a replacement for partnered sex. If you or your partner are worried about this, have an open discussion about introducing the vibrator into partnered sex sessions. Some people may worry that a vibrator, or any sex toy, means that their ability to pleasure their partner is insufficient, but this isn’t necessarily true. Vibrators, or sex toys in general, are an enhancement to sexual activities, and they don’t need to be the only thing ever used. Instead, your vibrator can be a fun addition to the party. 

What if I have lost clitoral or vaginal sensitivity? 

If you have lost clitoral or vaginal sensitivity, you should seek medical attention from a board-certified OB-GYN to rule out any medical conditions. Sexual health is an important part of your overall health, and not just because reproductive organs provide your body with essential hormones that keep your whole body functioning optimally. Sexual health is important to you mental and emotional health.

Sex should not be painful. Full stop. If you are experiencing painful sex or feel numb during sex, you should seek support from a qualified OB-GYN. 

What if I can’t orgasm without my vibrator?

If you’re struggling to reach orgasm without your vibrator, step back and take some breaths before you panic. There are a few things to remember: 

  • Most women need clitoral stimulation to reach orgasm 

  • Rule out physiological issues before tossing out your vibrator 

  • Your brain is a powerful sexual organ, and you can take advantage of that

According to the National Coalition for Sexual Health, your psychology can have as much, if not more, of an impact on your sexual function as your physiology. Use your brain to your advantage. If the fact that you are worried that your vibrator is ruining your partnered sex is getting in the way, take some extra time, either alone or with your partner, to make sure that you are aroused. Make media choices, read a spicy book, or engage in foreplay with your partner that will get you sufficiently aroused. 

Learn more about how desire and arousal works so that you can figure out your own body, desire, and arousal patterns. Come As You Are by Emily Nagoski is a great resource for this. When you start to understand more about how your desire and arousal patterns work, more about your sexuality, and more about the context surrounding sex, you may find it easier to achieve orgasm within partnered sex. 

There are some other psychological barriers, including sexuality and past trauma, that may be standing in your way, so if you think those are at play, make sure you seek out a qualified counselor or sex therapist near you. 

Good vibes welcome

You don’t need to worry, unless it causes you pain, about the impact of your vibrator on your sex life. In fact, your vibrator may enhance your partnered sex. Talk with your partner(s) about integrating your vibrator into partnered sex. If you’re struggling to enjoy partnered sex, it might be helpful to seek the help of a qualified sex therapist to help you discover and work through the barriers standing in your way. At Pivotal Counseling, we have helped many couples and individuals explore their sexuality, navigate sexual trauma and shame, and overcome the emotional and psychological barriers standing between them and good sex. Sexual health is health, and it deserves the same care as other aspects of your overall wellness. Check out our pages on couples sex therapy or couples counseling to learn more about how we can help you. If you’re ready to schedule an appointment, you can book a consultation with one of our qualified sex therapists online. 


Disclaimer: This post is intended for education purposes only, and it should be used as such. I am not a doctor nor am I your therapist. Always seek a qualified physician if you are experiencing pain during sex or have sexual health concerns. For mental and emotional support with sexual health, sexuality, and gender identity, please seek the help of a qualified therapist in your area.

5 Ways to Bring Gratitude and Thankfulness Into your Sexual Relationship

Happy couple with faces close together

Tomorrow is Thanksgiving here in the United States. It's a season for reflection and expressing gratitude. While we often focus on family, friends, and life's blessings, it's crucial not to overlook an essential aspect of our lives: our sexual relationships. Research has consistently shown that gratitude can significantly benefit our sexual connections, enhancing satisfaction and deepening our bond with our partners.

Recent studies suggest that gratitude in relationships acts as an antidote to taking each other for granted, a common issue in failing relationships. Gratitude helps maintain close relationships by fostering a cycle of generosity and commitment​​. Expressing gratitude releases oxytocin, known as the “love hormone,” which builds a stronger connection and bond between partners​​.

Here are five ways you can express how thankful you are for the sexy person in your life.

  1. Start Outside the Bedroom: Great sexual connection often begins with the smaller, everyday interactions outside the bedroom so gratitude should too. During the holiday season, with its inherent chaos and busyness, take a moment to observe and appreciate the ways your partner contributes to managing the hustle and bustle. Identify three specific things your partner does exceptionally well - perhaps it's their knack for organizing family gatherings, their patience in handling holiday shopping, or their creativity in festive decorations. Share these observations with your partner, providing concrete examples to highlight your appreciation. This gesture of recognition can strengthen your emotional connection, paving the way for a more fulfilling sexual relationship.

  2. What’s Great About Us: What makes your current relationship different from past ones? Is it the way your partner understands your unspoken words, the comfort you find in their presence, or the adventurous spirit you both share in exploring new experiences? Reflect on these unique aspects and share them with your partner. Let them know why you are thankful that they are the one you’re with and not someone else. Tell them how they enrich your life in ways no one else can. This form of gratitude celebrates your journey together, reinforcing the special bond you share.

  3. Grateful You’ve Got Me: Consider a moment when you felt safe enough to be vulnerable with your partner, to express your innermost desires and needs without fear of judgment. Acknowledge and thank your partner for creating a space where you can be your authentic self. This gratitude highlights the trust and security in your relationship, essential ingredients for a deeper and more intimate connection.

  4. Grateful You Trust Me To Have You: Reflect on a time your partner was courageous and shared their desires, needs, or concerns. Express your gratitude for their honesty and the safety within your relationship that fosters such openness. Engage in a conversation about how you can continue nurturing this secure environment, encouraging open dialogue about desires and needs in the bedroom. This ongoing communication is vital for maintaining a healthy and satisfying sexual relationship.

  5. Sexy is Spelled with a Why: Take some time to list what you find most attractive about your partner. Yes, mention how their butt looks in that one outfit or how their arms look after they’ve worked out. But go beyond their physical traits too. It could be personality traits, talents, passions and hobbies, or the special ways they express love. Share this list with your partner, either all at once or gradually, through affectionate texts or love notes. Knowing why our partner finds us sexy means so much more than just a blanket statement that they do find us sexy.

There’s countless ways to show this gratitude but what is most important is that it does get shown and shown clearly. Expressing gratitude for our partners and the unique, intimate bond we share with them leads to deeper satisfaction and a stronger connection. So, this holiday season, let's cherish and celebrate the love and intimacy we share with our partners, making it a truly memorable and gratifying Thanksgiving.

To read more about gratitude in our relationships, check out the links below.

Lastly, if you’re finding yourself coming up a bit shortin things about your relationship to be grateful for, we can help. Check out our pages on couples sex therapy or couples counseling. You can also book a consultation with one of our specialized counselors to find out more about how they can help you and your partner build a relationship that you’ll be grateful for the rest of your life.

7 Reasons Your Partner Doesn't Want to Go to Couples Counseling (And How to Respond)

Sometimes partners reject the idea of couples counseling even when the relationship is struggling. Their reasons can be utterly confusing but we can help. Here are the seven most common reasons and a few hints on what you can do.