Why Am I Afraid to Have Sex?

Dr. Olson,

I’m in my mid-60s, and I’ve been out since my mid-20s. I’ve never been in a long-term relationship. In fact, I’ve had relatively little sexual activity during my life, but not for lack of desire. 

In looking over the occasions when I have had sex, I can’t think of one that was a positive experience. I’m fearful, anxious, and self-conscious to the point that I (and probably the other guy) do not have a good time. 

I’m grateful that I’ve never had erectile dysfunction, but I typically stay hard for a long time without having an orgasm. 

The first time I had sex, I caught gonorrhea. Another time, I had a panic attack the day after sex because I was so scared of having been exposed to HIV, but I wasn’t. 

I want to have an enduring, romantic, and monogamous relationship with another man. For me, that means I have to first establish a substantial emotional connection so that I can feel “safe” enough to have sex with a guy.

But how realistic is that at my age and with my sexual history?

I’ll answer your last question first: you are never too old to have sex. Men can remain sexually active well into late life, and your life expectancy is at least fifteen years, possibly much longer. Your age and sexual history should not discourage you from seeking a satisfying sexual relationship with a partner. So let’s talk about your other concerns. 

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