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Men may have extra trouble achieving or maintaining erections. Related Stories Aging and Vision Care: Unfortunately, many older people miss out on sex and all of its benefits, even if they crave this type of physical intimacy. Secretion of testosterone, a hormone that helps fuel sex drive in both men and women, gradually declines with age. Spread open your labia, and between your clitoris and your anus, there are two orifices: Structural abnormalities could also be a cause of pain. One's definition of "sex" may also broaden over time, Goldman says.