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    Romance After 60

    Seniors, when it comes to sex, use it or lose it, says a noted sex educator. 'You should continue to have good sex for the same reason you should continue to get good exercise: It's taking care of yourself,' she says. 'Do it whether you feel like it or no

    Finding What Works for You

    Sex for seniors is not the same thing as sex for young people. The concern is with recreation rather than the possibility of procreation -- and for same-sex couples, the stress is less on performance and more on satisfaction. This allows more room for expanding one's sensuality -- an important aspect of sex when the natural aging process may mean changes in sexual function.

    "We don't necessarily get worse, but our physiology changes as we get older," Bortz says.

    "One myth to put aside is that sex equals intercourse," Blank says. "I call it the tyranny of sexual intercourse. Alternatives to intercourse are not just for people who don't want to get pregnant or get a disease. The most healthy thing is for people to put aside the idea that if intercourse isn't working for you, you can't be sexual. Intercourse should never be the goal. If some sexual activity is uncomfortable or doesn't work, try something different."

    "There are a wide range of sexual enjoyments that people practice, and we as physicians should not assume that, because all we know is the old missionary position, our patients are bad for liking other things," Morley says. "Our job as physicians is to facilitate and improve and counsel where possible."

    This may mean different things for different people.

    "Wherever you are starting from, expand," Blank urges. "My biggest pleasure is when I see somebody who has been really shut down and helping them make baby steps toward changing their sex lives. We have learned so much from people in the disability community. I know a quadriplegic man who has no feeling below the neck, but he can have orgasms from having his neck nuzzled. You adapt. For example, if your partner is very overweight, there are a lot of things you can't do. So what? There are a lot of things you can do. Find a way to enjoy yourself with whatever limitations you may have."

    Restarting Stalled Sexual Energy

    What can you do if your sexual pilot light has gone out? For many people, the answer may be communication -- something that doesn't come in a pill bottle.

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