Embracing Sexual Health: A Guide for Women Over 50

Man sitting on a tree trunk, white hair, hat, flirting with a woman with black hair, also wearing a hat.

As society evolves and conversations around sexuality become increasingly open, it’s crucial to shed light on the sexual behaviors of women aged 50 and older. Contrary to outdated stereotypes, sexuality doesn’t come with an expiry date. Research suggests that sexual activity among older adults is not only healthy but also quite common. However, alongside the liberation and exploration, there’s a concerning trend emerging: rising rates of sexually transmitted infections (STIs) among this demographic. In this article, we’ll delve into the nuances of sexual behavior in women over 50, the importance of sexual health, and provide actionable advice on how to prevent STIs.

Sexual Health: Breaking Taboos

For many women in their 50s and beyond, embracing their sexuality can be a liberating experience. Freed from the pressures of child-rearing and societal expectations, they often find themselves more in tune with their desires and more confident in expressing them. Contrary to popular belief, sexual desire doesn’t diminish with age; instead, it evolves. What might change is the nature of sexual encounters, focusing more on intimacy, emotional connection, and pleasure rather than reproduction.

Studies indicate that a significant portion of older women remain sexually active. According to the National Poll on Healthy Aging, conducted by the University of Michigan, nearly half of women aged 65 to 80 reported being sexually active, with many expressing satisfaction with their sex lives. This challenges the misconception that older adults lose interest in or capability for sexual activity.

The Rising Concern: STIs Among Older Women

Despite the positive aspects of sexual activity in later life, there’s a downside that needs addressing: the increasing prevalence of STIs among older adults, especially women. While younger demographics often receive targeted sexual health education and awareness campaigns, older adults can be overlooked in these efforts.

The Centers for Disease Control and Prevention (CDC) data shows a worrying trend. The rates of STIs such as chlamydia, gonorrhea, and syphilis have been steadily rising among adults aged 50 and older over the past decade. Contributing factors to this rise include:

  1. Lack of Education: Many older adults grew up in an era when sexual health education was minimal or nonexistent. As a result, they might not be fully aware of the risks associated with unprotected sex or the importance of regular STI screenings.
  2. Divorce and Dating: With rising divorce rates and increasing longevity, more older adults are returning to the dating pool. However, the dating landscape has changed since their youth, and safe sex practices might not be a top priority.
  3. Biological Changes: Menopause can lead to changes in the vaginal environment, making women more susceptible to STIs. Decreased estrogen levels can thin the vaginal walls and reduce lubrication, increasing the risk of micro-tears that can facilitate the transmission of infections.
  4. Stigma and Shame: There’s still a stigma surrounding sexuality in older adults, which can prevent them from seeking appropriate healthcare or discussing sexual health concerns with their healthcare providers.

Protecting Sexual Health: Practical Tips for Women Over 50

While the statistics may seem daunting, there are proactive steps that women aged 50 and older can take to safeguard their sexual health and well-being. Here are some practical tips:

  1. Open Communication: Establishing open and honest communication with sexual partners is crucial. Discuss past sexual history, STI testing, and contraception before engaging in sexual activity. Remember, it’s never too late to have these conversations.
  2. Use Protection: Condoms aren’t just for preventing pregnancy; they’re also effective at reducing the risk of STIs. Always use condoms, especially with new or casual partners. Don’t assume that because you’re older, pregnancy is no longer a concern.
  3. Regular STI Screenings: Just because you’re older doesn’t mean you’re immune to STIs. Schedule regular screenings with your healthcare provider, especially if you’re sexually active or have multiple partners.
  4. Stay Informed: Educate yourself about sexual health and STIs. Keep up to date with the latest information and research, and don’t hesitate to ask your healthcare provider any questions or concerns you may have.
  5. Practice Self-Care: Take care of your overall health and well-being. Eat a balanced diet, exercise regularly, and get enough sleep. A healthy lifestyle can boost your immune system and reduce your risk of contracting STIs.
  6. Seek Support: If you’re experiencing sexual health issues or have concerns, don’t suffer in silence. Contact a gynecologist or a trusted support network for guidance and assistance.


Sexual health is an integral part of overall well-being, regardless of age. Women aged 50 and older are embracing their sexuality and enjoying fulfilling relationships. However, with the increase in STI rates among this demographic, it’s essential to prioritize sexual health and take proactive measures to protect oneself. By fostering open communication, using protection, and seeking regular screenings, women can continue to enjoy healthy and satisfying sexual lives well into their later years. Remember, age is just a number, but sexual health is priceless.


El Camino Women’s Medical Group offers the latest Minimally Invasive Solutions for gynecologic problems.   Drs. Amy TengErika Balassiano, Pooja Gupta, and Vanessa Dorismond all members of AAGL (American Association of Gynecologic Laparoscopy), are highly trained and experienced in the field of Minimally Invasive Gynecologic Surgery.   Dr. Erika Balassiano has also completed a Minimally Invasive Gynecologic Surgery Fellowship under the supervision of world-renowned Dr. Camran Nezhat.

All of our physicians are El Camino Hospital doctors and operate and deliver at the Mountain View campus.

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