This chapter explores the various psychosocial factors that cause sexual issues in old age. Sexuality is a major and essential part of an individual’s life and is a lifelong process. Despite being such an integral part, little has been explored about sexuality and sex in older adults. Research indicates that many older adults are sexually active and have a desire to have a satisfying sex life. As an individual gets older, there are physical, psychological, and social changes that take place. This has a huge impact on the sexual life of an older adult. Some of the major psychosocial factors influencing the sexual life of an older adult are self-esteem, body image issues, marital satisfaction, major life changes, misconceptions regarding sex, performance anxiety, lack of privacy, and social conditioning.