
E225: The Truth About Sex and Aging: Menopause, Erectile Dysfunction, and Libido
11.9.2025
0:00
1:03:38
Aging is inevitable. But letting your sex life fade away? Nope.
This week, we’re tackling one of our most requested topics ever: sex and aging.
We’re answering your biggest questions about how intimacy shifts as the years go by: from libido changes, to navigating menopause, to keeping things hot.
💛 In this episode, we cover:
How old is too old to have sex (spoiler: never)
What to do if your libido and your partner’s don’t line up anymore
Navigating perimenopause and helping your partner understand it’s not about them
Feeling sexy in a body that doesn’t look like it did at 20
How to manage vaginal dryness, erectile changes, and shifting anatomy
Creative ways to keep intimacy exciting even when it feels like you’ve “done it all”
And you’ll also hear sweet (and funny) messages from listeners who say that sex in midlife and beyond is actually the best sex they’ve ever had.
You’ll also hear some of our favorite messages from listeners in their 40s, 50s, 60s (and beyond!) about why sex actually gets freer, hotter, and more confident with age.
Because here’s the thing: aging is inevitable. But a boring sex life? That’s optional.
✨ Ready to spice things up at any age?
Our Ultimate Sex Guide is your roadmap to better intimacy. Inside, you’ll find:
42 step-by-step positions with illustrations, tips, and playful modifications
A workbook + printable cards to track your favorites (and keep things exciting)
Expert tips and troubleshooting for when sex doesn’t go as planned
An audio version so you can get quick, shame-free guidance anytime
Whether you’re looking for fresh inspiration or new ways to connect, The Ultimate Sex Guide will help you discover just how good sex can get!
Check it out here 👉🏻 https://vmtherapy.com/ultimate
Links & Resources
Get our sex positions playbook here 👉🏻 https://vmtherapy.com/ultimate
E215 Mismatched Sex Drive Types: The #1 Reason Couples Struggle With Desire 👉🏻 https://vmtherapy.com/episode215
E121 When She Wants It More: Navigating Mismatched Libidos When The Woman Has A Higher Drive 👉🏻 https://vmtherapy.com/episode121
🎧 Stay connected
📸 Follow us on Instagram ➡️ instagram.com/vanessaandxander
💌 Get our weekly email — with behind-the-scenes stories, expert tips, and so many sex puns. Sign up here 👉🏻 vmtherapy.com/subscribe
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Timestamps
00:00 – Intro
03:38 – How old is too old to have sex?
11:12 – How does libido change with age?
16:22 – When does a drop in libido become a health concern?
19:18 – Navigating perimenopause with your partner
33:31 – Body image and aging
39:34 – Best sex positions for older couples
44:34 – Vaginal dryness and aging
46:18 – Does your labia shrink or change with age?
49:52 – How to keep your sex life exciting as you get older
54:03 – Trouble staying hard as you age
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