Sex After 50 doesn’t have to decline — in fact, for many people, it gets better. In this episode of Ask a Sex Therapist, Heather is joined by Karen Bigman, a sex and relationship coach specializing in midlife and sex after 50, for an honest, funny, and deeply validating conversation about aging, desire, body changes, and intimacy.
They explore why so many couples assume that low libido, painful sex, or loss of desire is just “part of getting older” — and why that belief is often what actually harms a sex life the most.
From menopause and perimenopause to body image, shame, communication, and emotional intimacy, this episode reframes sex after 50 as something that can be playful, connected, and deeply satisfying.
You’ll hear practical insights about:
- Why sex drive changes with age — and why that doesn’t mean sex is over
- How menopause, hormones, and vaginal health affect desire and pleasure
- Why mental foreplay, laughter, and connection matter more than performance
- How to talk about sex with a partner when it feels awkward or intimidating
- Letting go of obligatory sex and rebuilding pleasure without pressure
- Why kissing, novelty, and communication are essential for long-term intimacy
This conversation is especially helpful for:
- People navigating midlife, perimenopause, or menopause
- Couples wondering how to keep sex fun and connected after 50
- Anyone struggling with desire discrepancy, body confidence, or sexual shame
- People curious about sex and aging
- Partners who want to better support each other through aging and change
If you’ve ever wondered whether great sex is still possible later in life, this episode offers reassurance, science-backed insight, and permission to stop forcing what doesn’t work — and start enjoying what does.
Find out more about Karen Bigman, her podcast, courses and ARYA discount at: https://www.taboototruth.com/podcast
Chapters
00:00 Introduction to Sex and Aging
04:03 Debunking Myths About Sex After 50
08:33 The Role of Hormones in Sexual Health
11:56 The Importance of Self-Compassion
14:21 Body Image and Self-Perception
17:16 Common Struggles in Sexuality After 50
21:13 The Necessity of Sex for Health
22:54 Dating and Communication in Later Life
23:33 Navigating Aging and Intimacy
24:28 Emotional Intimacy and Communication
25:48 The Art of Kissing
27:21 Exploring Playfulness in Relationships
28:32 Mental Foreplay and Connection
29:00 Kissing Techniques for Better Connection
31:17 Addressing Kissing Preferences
32:50 Overcoming Communication Barriers
34:29 Small Steps to Enhance Intimacy
36:00 The Importance of Novelty in Relationships
37:28 Quality Over Quantity in Sexual Relationships
39:12 Resources for Enhancing Intimacy
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