As we grow older or experience physical changes, our sexual abilities may change. Oral sex is one alternative, as is anal sex, although that has some drawbacks. There are also variations called "outercourse." The woman holds her thighs together, and the man inserts his penis between, either face to face or from behind. Cupped-together breasts are another "outercourse" option. And remember that orgasm is an important part of intimacy, but it's not the only part. Cuddling, massage, and even erotic talk are also important alternatives to intercourse.
Dr. Barb DePree, M.D., has been a gynecologist and women’s health provider for almost 30 years and a menopause care specialist for the past ten.