Erectile Dysfunction

But for others, familiarity can breed boredom; they lose interest in doing the same old thing the same old way time after time.

Novelty is a well-established sexual stimulant.

An unattached man or woman in midlife or beyond who had all but forgotten about sex meets someone new and attractive, and suddenly the flames of sex are reignited.

This can happen, too, to very old people.

Stories abound in assisted living and nursing home facilities of elderly widows and widowers whose long-dormant sexuality is reawakened by attraction to a new, albeit equally old, partner.

Of course, changing partners is not a realistic option for those in a long-standing monogamous relationship in which sexual intimacy is just a fond memory.

But there are ways for such couples to introduce novelty - ranging from a change of venue or techniques to an exchange of fantasies or even the introduction of sex toys - that may rekindle sexual feelings.

Women may think that the decline in estrogen at menopause is responsible for their loss of interest in sex.

But estrogen loss is only an indirect factor; it can result in vaginal tightness and dryness that renders intercourse painful rather than pleasurable.

The use of lubricants and a dildo or more frequent sex can often counteract these effects.

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