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Many people want and need to be close to others as they grow older. For some, this includes the desire to continue an active, satisfying sex life. With aging, that may mean adapting sexual activity to accommodate physical, health, and other changes. There are many different ways to have sex and be intimate-alone or with a partner. The expression of your sexuality could include many types of touch or stimulation. Some adults may choose not to engage in sexual activity, and that's also normal. Normal aging brings physical changes in both men and women.

Sex discrimination involves treating someone an applicant or employee unfavorably because of that person's sex, including the person's sexual orientation, gender identity, or pregnancy.

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Discrimination against an individual because of gender identity, including transgender status, or because of sexual orientation is discrimination because of sex in violation of Title VII. The law forbids discrimination when it comes to any ct of employment, including hiring, firing, pay, job assignments, promotions, layoff, training, fringe benefits, and any other term or condition of employment. It is unlawful to harass a person because of that person's sex, including the person's sexual orientation, gender identity, or pregnancy.

Harassment can include "sexual harassment" such as unwelcome sexual advances, requests for sexual favors, and other verbal or physical harassment of a sexual nature. Harassment does not have to be of a sexual nature, however, and can include offensive remarks about a person's sex, including the person's sexual orientation, gender identity, or pregnancy.

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For example, it is illegal to harass a woman by making offensive comments about women in general. Both the victim and the harasser may be any sex, and the victim and harasser may be the same sex or a different sex.

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This can be helped by changing positions or by emptying the bladder before and after sex. The good news is that incontinence can usually be treated.

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The ability to have sex is sometimes affected by a stroke. A change in positions or medical devices may help people with ongoing weakness or paralysis to have sex. Some people with paralysis from the waist down are still able to experience orgasm and pleasure.

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Lack of interest in activities you used to enjoy, such as intimacy and sexual activity, can be a symptom of depression. It's sometimes hard to know if you're depressed. Talk with your doctor.

Depression can be treated.

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Many of us worry about having any kind of surgery-it may be even more troubling when the breasts or genital area are involved. Most people do return to the kind of sex life they enjoyed before surgery. Hysterectomy is surgery to remove a woman's uterus because of pain, bleeding, fibroids, or other reasons.

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Often, when an older woman has a hysterectomy, the ovaries are also removed. Deciding whether to have this surgery can leave both women and their partners worried about their future sex life. If you're concerned about any changes you might experience with a hysterectomy, talk with your gynecologist or surgeon.

Mastectomy is surgery to remove all or part of a woman's breast because of breast cancer. This surgery may cause some women to lose their sexual interest, or it may leave them feeling less desirable or attractive to their partners.

In addition to talking with your doctor, sometimes it is useful to talk with other women who have had this surgery.

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Programs like the American Cancer Society's " Reach to Recovery " can be helpful for both women and men. If you want your breast rebuilt reconstructiontalk to your cancer doctor or surgeon. Prostatectomy is surgery that removes all or part of a man's prostate because of cancer or an enlarged prostate.

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It may cause urinary incontinence or ED. If you need this operation, talk with your doctor before surgery about your concerns. Some drugs can cause sexual problems. These include some blood pressure medicines, antihistamines, antidepressants, tranquilizers, Parkinson's disease or cancer medications, appetite suppressants, drugs for mental problems, and ulcer drugs.

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Some can lead to ED or make it hard for men to ejaculate. Some drugs can reduce a woman's sexual desire or cause vaginal dryness or difficulty with arousal and orgasm.

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Check with your doctor to see if there is a different drug without this side effect. Too much alcohol can cause erection problems in men and delay orgasm in women. Age does not protect you from sexually transmitted diseases. Older people who are sexually active may be at risk for diseases such as syphilis, gonorrhea, chlamydial infection, genital herpes, hepatitis B, genital warts, and trichomoniasis.

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Almost anyone who is sexually active is also at risk of being infected with HIV, the virus that causes AIDS. To protect yourself, always use a condom during sex that involves vaginal or anal penetration. Talk with your doctor about ways to protect yourself from all sexually transmitted diseases and infections. Go for regular checkups and testing.

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Talk with your partner. You are never too old to be at risk. Sexuality is often a delicate balance of emotional and physical issues. How you feel may affect what you are able to do and what you want to do. Many older couples find greater satisfaction in their sex lives than they did when they were younger.

In many cases, they have fewer distractions, more time and privacy, no worries about getting pregnant, and greater intimacy with a lifelong partner. As we age, our bodies change, including our weight, skin, and muscle tone, and some older adults don't feel as comfortable in their aging bodies.

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Older adults, men and women alike, may worry that their partners will no longer find them attractive. Aging-related sexual problems like the ones listed above can cause stress and worry.

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This worry can get in the way of enjoying a fulfilling sex life. Older couples face the same daily stresses that affect people of any age. They may also have the added concerns of illness, retirement, and lifestyle changes, all of which may lead to sexual difficulties.

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