Sexuality is an important part of life for many people at all ages, stages, and conditions. This includes older ages and age-related health complications. Around 40% of adults aged 65-80 years old are reported to be sexually active in several studies globally, although the frequency of sexual activity tends to decline with age.

Researchers in France recently surveyed patients in an effort to expand upon existing knowledge and see if any certain characteristics contribute toward sexual activity in older adults. Between 2009 and 2011, patients over the age of 65 were surveyed about their sexual activity, health concerns, marital status, educational level, mood, ability to function independently, and living environment.

Roughly 12% of women and 28% of men claimed to be sexually active. Those who were not sexually active were left out of the study, leading to a total of 3434 patients included in the study. The average age of the women in the study was around 77, and men, 78.

Results

• Participants 75 years old and younger reported more sexual activity than older individuals.
• Married women were more likely to be sexually active.
• Women with higher education levels were reported more sexual activity.
• Women who consume alcohol more frequently also reported more sexual activity.
• Men who take fewer medications and who had fewer cognitive issues reported more sexual activity.
• Couples were more likely to report more sexual activity, especially if both partners were younger, and both were taking fewer medications.
• The most independent women, whether partnered or single, reported more sexual activity.

What Does It Mean?

Out of over 2500 participants, the most prominent factors linked to sexual activity frequency were age and relationship status. Patients who were younger and those in relationships reported having sex more often.

Another strong factor was health. Those who reported poorer health (and less independence due to certain health conditions) also reported less sexual activity.

Those who are older, less healthy, and not partnered may need extra support when it comes to their sexual well-being. Additionally, those who are younger, healthier, and partnered may benefit from tailored sexual health care and education.

Understanding the factors that may influence sexuality in older populations can help us provide a more holistic and personalized approach to healthcare that supports healthcare at every age.

Resources:

• Baumhauer, M., Becquemont, L., Panjo, H., Ringa, V., & Bucher, S. (2025). Sexuality among the elderly: A prospective cohort study in Primary Care. The Journal of Sexual Medicine, 22(7), 1301–1302. https://doi.org/10.1093/jsxmed/qdaf121