Tissue in the vaginal wall thins and vaginal lubrication diminishes or even disappears altogether. Both conditions can be significantly slowed down by HRT as menopause begins. In a society that idealizes the thin and flabless bodies of youth, accepting age-related physical changes in ourselves or in our partners can be difficult. However, couples that learn to accept these changes and focus instead on other aspects of their relationship can still enjoy physical closeness well into their 80s or 90s. Other physical changes may be harder to reconcile in the bedroom.
Arthritis can make lovemaking more difficult.
People with advanced respiratory or cardiac disease may lack the physical stamina to engage in intercourse. People with such physical impairment can, however, look for ways to adjust their lovemaking technique to overcome any barriers their disabilities pose. Know what to expect. If your partner's sexual responsiveness to you slows a bit, or if either one of you notice that sexual climax takes longer now, accept it as a natural part of aging. Talk it out.