Talk To Your Doctor
If you do seem to have a problem that affects your sex life, talk to your doctor. He or she can suggest a treatment depending on the type of problem and its cause. For example, the most common sexual difficulty of older women is dyspareunia, painful intercourse caused by poor vaginal lubrication (vaginal dryness). Your doctor or a pharmacist can suggest over-the-counter, water-based vaginal lubricants to use. Or, your doctor might suggest estrogen supplements or an estrogen vaginal suppository or cream.
For men, if impotence (erectile dysfunction or ED) is the problem, it can often be managed and perhaps even reversed. There are medications that can help, for example, sildenafil (Viagra, Revatio), tadalafil (Cialis), and vardenafil (Levitra, Staxyn). These medications should not be taken if you are taking medications that contain nitrates, such as nitroglycerin. These medications also have possible side effects. Other available treatments include vacuum devices, self-injection of a drug (either papaverine or prostaglandin E1), or penile implants.