What to Expect in Your 60s: 10 Things You Might Want to Know About Aging

Last Updated on March 22, 2024 by Candi Randolph

As women in our 60s we are entering what’s called the “third stage” of life, which is thought to be a time when we can finally let go and enjoy what we have. And what do we have? A lot! We’ve had decades of experiences to shape us into who we are, from work to relationships, children and grandchildren.

I can speak firsthand, as I’m in my mid 60s as of this writing. And yes, things have changed since my younger 50 ‘ish days!

But you know what? Aging is not the monster it’s often made out to be. In fact, with the right perspective and a few lifestyle changes, it can be an exciting new chapter filled with wisdom, grace, and yes, a bit of adventure!

what to expect in your 60s

As we embrace our years of age, it’s true that our bodies change and things can become a bit more challenging. That’s just part of the package. And this post is going to dive into more detail about some of those changes you may experience. But here’s the silver lining: these changes don’t have to be daunting. With a healthy lifestyle, we can navigate through these changes like the seasoned sailors we are.

Health problems? They might try to sneak up on us, but we’re smarter than that. By keeping track of our health and staying in good shape, we can ward off many age-related declines. It’s all about being proactive, not reactive.

The key to maintaining an active life lies in adopting good habits – eating well, exercising regularly, getting enough sleep, and staying mentally and socially engaged. These aren’t just buzzwords; they’re our weapons against the downsides of aging.

And let’s not forget the power of a positive outlook. It’s amazing how much our mindset can influence our quality of life. When we view our 60s as an opportunity rather than a setback, we set ourselves up for a longer life filled with joy, purpose, and fulfillment.

So let’s talk a little more about what to expect in your 60s from a woman’s perspective. I’m not a physician or medical professional, so these observations, although verifiable, are general changes to be aware of. I know that I can absolutely relate to most!

The third stage of life offers plenty of opportunities for growth that haven’t been available before, both positive and challenging: midlife crisis, empty nesting syndrome or changing careers. Couple these life changes with all of the adjustments our body is experiencing, and living through our 60s becomes a ‘thing’.

So, my friend, here are 10 things every woman needs to know about growing older.

What to Expect in Your 60s: How does a woman’s body change?

how does a woman's body change in her 60s?

Have you ever wondered why your favorite jeans from the ’80s don’t fit quite the same way anymore? Or why you need to squint a little more to read that restaurant menu? Welcome to aging, the journey where everything changes, including us. And before you start wishing for a time machine, let’s chat about what these changes actually mean.

Let’s face it, growing older comes with its fair share of challenges (and yes, we’re looking at you, high blood pressure and dry skin). But here’s the thing: many of these health issues are not inevitable. In fact, they’re often the result of lifestyle choices we’ve made over the years.

Take weight, for example. Maintaining a healthy weight is critical as we age, but it’s not just about fitting into those skinny jeans. It’s about reducing our risk for various medical conditions – from cardiovascular disease to skin cancer. And no, this doesn’t mean you need to starve yourself. A balanced diet, filled with fruits, veggies, lean proteins, and whole grains can do wonders for your waistline and your health.

We also can’t ignore the elephant in the room – memory loss and cognitive decline. While it’s normal to forget where we left our keys (or glasses, or phone), consistent memory issues could signal something more serious. Older adults are at greater risk for conditions like Alzheimer’s, but regular mental exercises, social interaction, and certain dietary habits can help keep our brains sharp.

And let’s talk about skin changes. We all know that our skin loses elasticity and becomes drier as we age. And while we might not be able to stop this process entirely, we can certainly slow it down. Regular moisturizing, sun protection, and routine check-ups for signs of skin cancer are crucial.

Don’t even get us started on eye conditions. From cataracts to macular degeneration, aging can certainly take a toll on our sight. But with regular eye exams and a diet rich in nutrients like Omega-3 fatty acids, we can keep our eyes healthy for the long haul.

So as you can see, things really start to get interesting for people in their 60s. Even if in good health, there are natural changes to the body that occur with the normal aging process. Although these next ten “things to know” are not all encompassing, they will give you a good idea of the physical changes that you’ll most likely notice as you are getting older.

1 | We smell different

we may smell different as we age

A woman in her 60s will notice that she has a more acidic body odor and may notice what is called bromhidrosis, or excessive sweating. This change happens because of what’s happening inside the body as menopause approaches and estrogen levels drop, the skin loses some of its natural cleanliness, which actually makes a woman’s sweat smell worse than before. 

My personal experience with this? I smell. And it ain’t pretty. This is something new for me, as I would always say that I ‘glow’ or ‘glisten’, making a joke about sweating, but in reality I didn’t have body odor. But I sure do now.

A switch to a more powerful deodorant has helped a lot. So, be aware of this, my friend, and check your armpits. That odor you’re noticing just might be you.

2 | We don’t move as quickly

we don't move as quickly when we get older

Yes, it can be. And what’s behind this change? Muscle mass and strength actually decrease approximately 5 percent per decade. It isn’t just age that causes this to happen: sedentary lifestyles can also contribute to the body’s slower movements.

The most effective way for us to combat this is to…you guessed it…exercise regularly. If you are healthy enough to do so, regular exercise, both aerobic and strength training, is one of the best examples of self-care.

3 | We lose some hearing

it's common to lose some hearing as we age

What? I always pair hearing loss with being, well, old. You know, grandparent-like old, with white hair, glasses, and hearing aids. Oh, but wait. I’m a grandparent, have gray hair, and wear glasses.

So I guess I fit the statistic of 1 out of 10 Americans in their 60s having trouble with their hearing.

Hair cells in your inner ear die off naturally, and causes what’s called sensorineural hearing impairment, which makes what you hear less clear, dear.

Fortunately, if/when we find that hearing loss has affected us personally, there are hearing aids that are almost indetectable and so they won’t interfere with our stylish looks. 🙂

4 | We tinkle more

a bit of incontinence is natural as we age

Yep, make no mistake about it – definitely on the list of what to expect in your 60s. When I have to pee, I have to pee. It was never a matter of urgency in the past, but now there are times when I literally have to drop everything and take care of business.

It’s because our bladder tissue isn’t as flexible as it used to be, so it holds less pee. Oh, okay. At least I understand why I hot foot it to the bathroom more often.

And…we have issues with incontinence.

As women age, urinary incontinence can become an issue. This is what happens when the muscles around the bladder sphincter don’t work as well as they used to and result in urine leaks. For some women it occurs when they cough, or laugh, or sneeze. For me, it’s just a small amount and only occurs right after I go to the bathroom.

Whatever the type of incontinence you deal with, as long as it is a small amount, there are plenty of products out there we can use to make sure we’re covered, whether it’s custom panties or bladder control pads.

5 | We look different

as we age our looks change - skin, nails, hair, body shape

Our skin undergoes many changes as we age, and in our 60s a host of things decrease: collagen, elastin (the layer of fat under the skin), blood vessels, sweat glands, nerve endings, and pigment-producing cells. I know – it’s a long list!

As we age, our skin loses its elasticity. One of the telltale signs is what’s known as “vascularization” — tiny red and blue lines that appear on the neck, wrists and face. Loss of fat may also cause sagginess in some areas, such as the arms. Hormonal changes can mean more oily skin and enlarged pores.

What is the result of our changing skin? We might bruise more easily, our skin sags and bags, cracks and peels, and develops the inevitable age spots as well as wrinkles.

When we reach our 60s, another change in our skin is the inability to form vitamin D from sunlight exposure as in our younger years, so we need to consider supplements as well as making sure that our diet includes foods that are rich in this nutrient, including salmon, canned tuna, egg yolks, mushrooms, and fortified foods like cow’s milk, soy milk, orange juice, instant oatmeal.

How about our nails?

Aging affects the nails in two ways: they get thinner, and their growth rate is more erratic. More than half of women over age 60 have what’s called “koilonychia”, which means spoon-shaped fingernails. The nail thickens at the center, but not along the edges.

Why? It’s a mineral deficiency — in this case, iron or Vitamin B12. “When your vitamin levels are low, nails don’t get as much nourishment,” says Dr. Shereene Idriss. Plus, if the shape of your nails is affected, it makes them more likely to chip or snag.

But what you eat matters too. Protein and foods with omega-3 fatty acids will help your nails stay strong, as well as vitamins like B-complex, iron, and magnesium.

What’s up with our body shape?

A changing body shape and the appearance of belly fat is not a new thing for me and is a part of what to expect in your 60s. What is new, however, is the dramatic visuals that I am noticing as the weeks go by. I can see the waistline disappearing, the thickening all around my body increasing, knowing that the weight is going up without ever stepping on the scale.

I do my best to eat well, exercise every day in some way, and make (mostly) wise lifestyle choices. But it’s like my body doesn’t get the message; it does whatever it wants.

So I consciously work at accepting and loving my changing body as I travel through my 60s. It’s a whole new world.

6 | We have skin tags

Skin tags are called benign pedunculated lesions. They’re fleshy smooth growths that hang from a stalk. Okay, that’s gross.

There’s another condition called acrochordons—or what some people call fish skin or fish bumps. These are tiny, fleshly flat spots that look like capillary hemangiomas, or what people call “strawberry” birthmarks.

Doctors often remove skin tags with lasers and freeze them off. For larger growths, they’re surgically removed and what’s left is then cauterized (or burned) to form a scar.

Anyway, it’s something to look forward to if you haven’t reached your 60s yet.

7 | We have senior moments

we can become a little forgetful as we get older

Yes, it’s a normal part of aging and what to expect in your 60s. No, it doesn’t mean that we are all developing serious, life-threatening memory problems. What is ‘it’? Becoming a little forgetful.

Our brain is changing as we age, similar to the way our body changes. It might take a little longer to learn new things, or remember information, or where we put something. I’m an expert at putting something in a ‘safe place’ for when I need it, and then having no idea what that place is.

Our friends at the National Institute on Aging have a simple chart showing the difference between normal aging and a concern about Alzheimer’s:

normal aging vs Alzheimer's from the National Institute on Aging

Sometimes there are health-related reasons why we become forgetful, and if you’re concerned, follow up with your health care provider. In general, though, some forgetfulness is normal and part of what to expect in your 60s.

8 | We might start to shrink

strength training can help combat our body's tendency to shrink as we age

Yep, the shrinkage can start happening in our 60s, friends. The loss of bone density and experiencing menopause can result in the spinal column getting shorter, and new bone can’t be rebuilt as quickly as it’s breaking down.

The best gifts you can give yourself to fight the body’s propensity to get short? Strength training, which will signal the brain to add new bone cells as exercise puts stress on them, and including calcium-rich foods in your diet. Be sure to consult with your physician if you are uncertain about how much / what kind of strength training is safe for you to do.

9 | We need to protect our pearly whites

taking care of our teeth is essential as we age

Regular visits to the dentist can help detect periodontal disease as well as gum recession, two issues we can face as we get older.

Our 6th decade of life is no time to skip the dental check ups, my friends. One common condition that is most often a side effect of the medication we might be taking is dry mouth. It affects 3 out of 10 people over the age of 65. And, it could be caused by diabetes or other health conditions. So it’s not something to ignore.

10 | We are susceptible to eye diseases

aging brings the potential for eye diseases so we need to get regular eye exams

By the time we reach 65, we enjoy the 1 in 3 chance of developing cataracts, glaucoma, or dry eye. We also are at the age-related risk for macular degeneration, which destroys the central part of the vision you need to drive, or to read. The average 60 year old needs 3 times more light to read than a 20 year old.

We may also notice some physical changes to our eyes in our 60s:

  • the lower lid may being to sag due to loss of muscle
  • loss of fat around the eyes may make them appear to be sunken
  • the whites of the eyes may begin to turn yellow
  • small spots of color might begin to show up in the whites of the eyes

Most eye diseases don’t hurt, so you won’t know if they are affecting your eye health. The wisest thing you can do is get an annual eye exam.

Health Maintenance for Women in Their 60s

health maintenance for women in their 60s

We all are more likely to have illnesses and injuries when we get older, increasingly at risk for chronic conditions such as diabetes, arthritis and osteoporosis.

What’s the best way to stay healthy? We all know what to do, don’t we? So I’ll keep it short and to the point.

  • We need to watch what we eat, choose to reduce your sodium intake, increase your fiber intake or add more lean proteins to your diet. A moderate approach to nutrition if we are healthy overall can help to keep us in the right path for healthy living after 60
  • We need to exercise, both aerobic and strength training, as long as our health allows for this type of activity.
  • We need to stay active, get proper rest and sleep, and stay in tune with our overall health.

What should we look out for and follow up on with our health?

Women need to see their doctor or gynecologist for routine checkups and tests. The list that follow here is a general guideline for healthy women in their 60s. Your personal health should be discussed with your doctor.

It’s important that a woman in her 60s talk with her health care professional about any family hereditary cancers. It’s also important to be aware of any signs and symptoms of cancer, including:

  • blood in the urine or stool
  • a lump in an unusual place, and
  • a long lasting headache, fatigue, unexplained weight loss, or a feeling of fullness in the abdomen

It’s also important for women in their 60s to do breast self-exams and to have regular mammograms as half of breast cancers are diagnosed at age 61 or older.  It should be done yearly from age 40 on, until you and your physician determine that it will no longer be done.

Every 60-year-old woman should see her health care provider about bone density testing, as a bone density scan can identify whether or not there’s indication of osteopenia or osteoporosis.

Women over 60 should continue to have bone density tests every two years, even if they’re doing weight-bearing exercises, such as running or walking.

Women over 60 also should have a colonoscopy, or colon cancer screening periodically. This usually starts sometime between the ages of 50 and 75. My physician agreed to have me do the home test, Cologuard, as my first colonoscopy 10 years ago was clear and I am a low risk.

It was not the most enjoyable task I’ve completed, but collecting my sample at home and mailing it in was so much easier than the prep and procedure of having a colonoscopy.

It is recommended that women get their last Pap smear between the ages of 65 and 70. I’m all done with those because I’m over 65 and am not at risk based on my history.

A woman’s risk for heart disease increases after age 60.   Be aware of your risk factors and how to prevent heart disease. Here are some general guidelines from the American Heart Association:

  • Eat a healthy diet, including “lean protein” and whole grains.
  • Be physically active every day, even if it’s only for a walk light strength training.
  • If you smoke, please quit.
  • Limit alcohol intake.

Vitamins and Supplements to consider

  • Vitamin B3 or Niacin: helps to maintain blood glucose levels, and it can also be used to treat type II diabetes.
  • Magnesium: is considered the “master mineral,” because it plays a role in over 300 biochemical reactions.  
  • Calcium: a bone protective supplement. Women should get about 1,000 to 1,200 mg of calcium daily
  • Zinc: can help to improve the body’s immune system and to reduce inflammation.
  • Vitamin D: a daily supplement, and/or from food sources like tune, egg yolks, and cheese
  • Vitamin B6: helps the body to convert food into energy. It promotes healthy cell growth and development, brain function and normal immune function. Vitamin B6 can also help to balance mood.
  • Vitamin B12: to help reduce the risk of dementia

Conclusion: What to Expect in Your 60s

life as a woman in my 60s

Life as a woman in my mid 60s is good, I won’t complain. But it is important to me to keep my eyes open, my ears listening, and my body, mind, and spirit in tune.

I hope that the Lord gives me many more healthy years to enjoy life, my family, friends, and warm, sunny days.

By doing my part every day, making wise choices, paying attention to what is happening inside my body as well as outward appearance, I’m giving myself the best opportunity to do just that!

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what to expect in your 60s as a woman


24 thoughts on “What to Expect in Your 60s: 10 Things You Might Want to Know About Aging”

    1. Thanks so much for sharing, Christina. It was very helpful for me as I was researching and writing this post, to better understand the changes in my body as I travel through my 60s. Definitely different than those younger years! xo

  1. Hi Candi
    This has been brilliant to read. I am 68 and one thing that never seems to get mentioned about in older women is bad skin. I have suffered all my life and even now as old as I am I still have spots come up overnight. I cannot use creams or lotions as they bring my skin out worse. I use foundation with care and cleansing etc does the same, spots overnight. I eat well, have been on soya milk for years, eat lots of veg, some fruit, not much bread. Nothing changes it. Do you have any suggestions, it does make me feel a bit low sometimes.

    1. Hi Dulcie, I wish I had the answer for you regarding your skin concerns, but unfortunately I don’t. The only suggestion I can make (and you’ve probably already done this) is to seek the counsel of a dermatologist. Hopefully they will have the training and insight to offer some advice and treatment, lifestyle adjustments, and even skin care that will not irritate your skin. I wish you the best!

  2. Interesting article. I know everyone ages differently, but at 66, I consider myself fortunate to have not experienced most of the things on this list, though I know they’re probably coming somewhere down the line…..lol.

    1. Hi Linda, you’re exactly right…we all experience aging a little differently. You might find that some of these things will apply to you at some point. If not, good for you! 🙂

    2. Same here. I haven’t experienced some of these. I like a spray of hydrogen Peroxide on my face. It works on skin issues.

  3. This is a wonderful article. Thank you for addressing the things no one talks about. I have experienced many hormonal changes as well as some of the things you mention. I turn 60 in the fall and want to embrace my age, not fight against it. I did let my hair go gray when I turned 50 which was a good choice. Bless you and all of the other 60+ year old sisters out there!

    1. Hi Merriana, thanks for taking the time to share your thoughts. Aging is not easy or simple, but accepting and embracing these natural life changes helps to keep us centered and our hearts at peace (most of the time!)

  4. Thank you for the information in this post. Being in my early sixties, whenever I look in the mirror I think, “Aren’t I too young for all this?” Well, I guess not.

  5. Great reading I just turned 66
    you brought insight in
    what to recognize as I age! Thank you for the tips I feel better knowing I’m not the only one going through this stage in my life.

  6. I am 65, and have excessive sweating. I do have type 2 diabetes, and have read that it can cause sweating. Do you know of anything I can do for this? I really get miserable at times.
    Thank you

  7. Oh my!
    Soooo, is anyone getting hair growing out of your neck, chin, side of face? Iam 73, good health, had a lot of issues Candi published, but overcame a lot of them others have seen my great doctor and moving on well. This hair thin is a doozie, I will keep using tweezers. Enjoy life ladies

  8. Thank you for your straight forward honesty that many women never hear from their own mothers or family. In my case I lost my mother and aunts long ago so this article means even more to me. Sometimes when we see our Dr we forget to ask questions about all the things we are experiencing and sometimes they don’t want to hear them all either. In any case, this is an article that I will be sharing with others in their sixties and younger! Thank You and many blessings!

  9. This was such an interesting article. Although, since I just turned 59 last week, my major reaction was “sigh”. It served as a good reminder to keep making good health and fitness choices NOW in order to get ahead of the curve. Here’s to Act Three!

    1. Hi Julie, yes, you are just on the cusp of the next decade and making wise lifestyle choices can hugely impact how you feel, and look, going forward. I’m glad you are taking a proactive approach!

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