It’s true that getting older can bring physical changes that affect sexual desire. Hormonal changes, vaginal dryness, erectile difficulties, medications, health problems, and other changes in our bodies can all influence how interested we feel in sex.

With apologies to Peter, Paul and Mary, that old folk tune has been rattling around in my head lately, except I've swapped out the flowers. Because somewhere between the hot flashes, the achy knees, and the third refill on the blood pressure prescription, a lot of us look up one day and wonder where the spark went.