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Published on: 2/1/2026
There are several factors to consider. See below to understand more about sex positivity after 60, letting go of shame, and redefining intimacy on your terms while addressing normal body changes with compassion. The complete answer below also outlines when to talk with a partner or doctor, safer sex, options for pain or function changes, and tools like a free online symptom check for sexual trauma that could guide your next steps.
Growing older does not mean growing out of desire, intimacy, or sexual expression. Yet many adults over 60 carry quiet shame about sex—often shaped by cultural messages, past experiences, health changes, or trauma. Reclaiming a positive sexual identity later in life is not about trying to be who you once were. It is about understanding who you are now and giving yourself permission to experience connection, pleasure, and dignity.
At the heart of this conversation is an important question: What is sex positivity? Understanding this concept can help you let go of shame and move toward a healthier, more confident relationship with your body and your sexuality.
What is sex positivity? At its core, sex positivity is the belief that consensual sexual expression is a healthy and normal part of human life at any age. It respects individual choices, values safety and consent, and rejects shame, judgment, or rigid rules about how sexuality "should" look.
Sex positivity does not mean:
Instead, it means:
For adults over 60, sex positivity often means redefining sexuality on your own terms—without comparing yourself to younger versions of yourself or to cultural stereotypes.
Sexual shame rarely appears out of nowhere. Many older adults grew up during times when sex was not discussed openly, especially outside of marriage or beyond reproduction. Add in life experiences, and shame can deepen.
Common sources include:
None of these experiences mean something is "wrong" with you. They mean you are human.
From a medical perspective, sexuality does change with age—but it does not disappear. Research from respected medical and aging organizations consistently shows that many adults remain sexually interested and active well into their 70s and beyond.
Some common, real changes include:
These changes are normal and often manageable. They do not mean the end of intimacy. They may simply call for different approaches, more communication, or medical support.
If something feels painful, distressing, or suddenly different, that is not something to "just live with." You deserve care.
Reclaiming your sexual identity after 60 is not about performance. It is about permission.
Ask yourself:
Sex positivity recognizes that intimacy includes more than intercourse. It may involve:
All of these are valid.
Your body has carried you through decades of life. Changes are not failures. They are evidence of survival, experience, and resilience.
For some adults, sexual shame is deeply connected to past trauma. This may include abuse, coercion, medical trauma, or experiences that were minimized or never addressed.
Signs that past trauma may still be influencing you include:
If you're experiencing ongoing symptoms that may be connected to past experiences, understanding what you're dealing with is an important first step toward healing. A free, AI-powered assessment tool for Sexual Trauma can help you privately identify symptoms and determine whether professional support might benefit you.
Seeking understanding is not about labeling yourself—it is about giving yourself clarity and options.
Open, honest communication can reduce shame and pressure. You do not need all the answers—just a willingness to talk.
Helpful approaches include:
Many adults avoid discussing sexual concerns with healthcare providers. This is understandable—but silence can lead to unnecessary suffering.
A doctor can:
If something could be serious or life-threatening, speak to a doctor promptly. Sexual health is not separate from overall health.
Sex positivity is not about ignoring risks or pretending everything is easy. It is about realism without shame.
Important points to keep in mind:
A sex-positive approach encourages informed, thoughtful choices—not pressure.
One of the most damaging myths is that sexuality belongs only to the young. This belief can lead to silence, isolation, and loss of confidence.
The truth:
Reclaiming your sexual identity after 60 is an act of self-respect.
You do not need to have everything figured out. Progress may look like:
Sex positivity allows room for all of this.
If questions, pain, emotional distress, or sudden changes arise, speak to a doctor. And if lingering effects from past experiences continue to impact your well-being or intimacy, using a confidential Sexual Trauma symptom checker can be a helpful way to gain insight and explore whether additional care could support your healing journey.
A positive sexual identity after 60 is not about reclaiming youth—it is about reclaiming yourself.
(References)
* Shuster SM, Stevens PE, Meckley N. Sexual Identity and Relationships in Later Life. Sex Med Rev. 2021 Jul;9(3):363-376. doi: 10.1016/j.sxmr.2021.03.003. Epub 2021 Apr 22. PMID: 33896791.
* Reiter L, Mair CA, Van Dyk K. Sexual Self-Concept and Health in Later Life: Findings From the National Social Life, Health, and Aging Project. J Sex Res. 2023 May;60(4):553-568. doi: 10.1080/00224499.2022.2106197. Epub 2022 Sep 1. PMID: 36052829; PMCID: PMC10123777.
* Hinchliff S, Gott M, Wylie K. What does 'positive sexuality' mean for older people? Findings from a qualitative study. Health Soc Care Community. 2017 Jul;25(4):1457-1466. doi: 10.1111/hsc.12423. Epub 2017 Jan 23. PMID: 28111756.
* Rueda CA, Hinchliff S. Conceptualizing positive sexuality in later life for diverse populations. J Sex Res. 2023 Mar;60(3):351-365. doi: 10.1080/00224499.2022.2045768. Epub 2022 Mar 9. PMID: 35263155.
* Reis P, Hinchliff S. Sex, stigma and social interaction: a review of the literature on older people's sexuality. Int J Sex Health. 2020 Sep;32(3):273-286. doi: 10.1080/19317611.2020.1793774. PMID: 33732007.
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