Drugs such as some antidepressants, some blood pressure medications, and many more can lead to erectile dysfunction in men or an inability to have an orgasm for women. Candles, fine wine, and music aren't just for the younger crowd.
That said, and even though sexual activity is considered an important measure of the quality of life for the majority of older adults, there are a number of problems that can arise with age. If they are busy with work or childcare, they might not have as much time for sex as they used to.
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National Survey of Sexual Health and Behavior, For women aged 50 and higher, older age is related to a decline in all sexual behaviors:
For all other age groups, the majority of study participants indicated that their most recent sexual partner was a relationship partner. Cancer, in general, can reduce sexual interest, with cancers such as breast cancer and prostate cancer affecting body image as well.