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Exploring Sex After 70: Insights from Dr. Deena Harris, Gynecologist, and Hormone Therapy Specialist

Sexual intimacy is a vital aspect of human relationships, and it remains relevant even as individuals age. To shed light on this topic, we had the privilege of speaking with Dr. Deena Harris, a renowned gynecologist, and bioidentical hormone replacement therapy specialist. With her extensive experience in chronic sexual, vulvar, and pelvic pain, as well as general adolescent and menopausal gynecology, Dr. Harris offers valuable insights into the common complaints and treatment options related to sex after the age of 70.

Understanding the Challenges

When it comes to sex among individuals aged 70 and above, Dr. Harris acknowledges that many women refrain from discussing the topic altogether. However, she emphasizes that several difficulties, such as a lack of libido and pain during intercourse or manipulation, can be addressed and resolved. Opening up the conversation about these challenges is a crucial first step in finding solutions.

Addressing Libido and Pain

Regarding the lack of libido, Dr. Harris highlights that while some couples may be content with their situation, others seek resolution. Hormone replacement therapy can be an option for addressing decreased libido, but it requires careful consideration, especially in individuals with pre-existing health conditions. Various medications, including supplements like DHEA, as well as prescription drugs and injectable options, can also help improve libido.

When it comes to pain during intercourse, Dr. Harris advises a multifaceted approach. For women who have not undergone hormone replacement therapy, vaginal estrogen tablets or creams can be effective in alleviating pain caused by thinning vaginal tissue. 

Other non-estrogen options like hyaluronic acid and physical therapy may also be beneficial. Dr. Harris notes that a combination of medical, musculoskeletal, and psychological factors can contribute to pain, and comprehensive evaluation and treatments are necessary.

Psychological and Sociological Factors

In cases where psychological or sociological factors contribute to sexual difficulties, Dr. Harris recommends considering sex therapy or psychotherapy. However, if the primary issue is pain during intercourse, addressing the pain through medical and musculoskeletal interventions may alleviate the need for therapy. Dr. Harris acknowledges that not all individuals may desire or benefit from penetrative sex, and finding alternative sources of pleasure and intimacy can be equally fulfilling.

Sexuality remains an essential aspect of life regardless of age, and addressing sexual concerns after the age of 70 is important for overall well-being. With the expertise of professionals like Dr. Deena Harris, individuals can explore various treatment options tailored to their needs and reclaim fulfilling and enjoyable sexual experiences. By opening up conversations, seeking medical advice, and considering holistic approaches, individuals can navigate the challenges and embrace the joys of sex in their later years.

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