Characteristics of sexual responses in older women

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① Disappearance of breast response. Breast enlargement caused by vasocongestion is no longer significant, especially in women who have breastfed multiple times. Women over 60 years of age do not experience this response at all. This is because the breasts of older women become loose and saggy, and the glandular tissue of the mammary glands decreases, affecting breast engorgement during sexual arousal.
② Decreased secretion of the vestibular glands. The amount of secretion from the vestibular glands during sexual arousal is significantly less than in younger women, leading to difficulty in intercourse. Painful intercourse is common in older women, requiring the use of estrogen ointment for vaginal lubrication during intercourse.
③ Sexual flush is less common in older women, and its distribution is more limited.
④ Weakened generalized muscle rigidity, reduced expansion of the posterior two-thirds of the vagina, decreased muscle elasticity, and reduced lubrication result in a gradual decrease in the frequency of orgasms. When orgasms occur, they are often accompanied by lower abdominal pain caused by uterine contractions after intercourse.
⑤ Decreased sexual response of the labia. After menopause, due to the decrease in endocrine levels, the fat in the labia majora decreases and atrophies, resulting in reduced elasticity and difficulty in achieving sufficient engorgement.
⑥ Decreased clitoral reactivity. Clitoral reactivity can be maintained until age 70, but the swelling response during sexual arousal weakens with age, and clitoral swelling disappears within seconds after orgasm.
⑦ Degenerative changes in the vagina. The vagina of older women becomes shorter and narrower, and atrophies.

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Characteristics of sexual responses in older women

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