This paper critically interrogates the concept of sexual health as it has evolved in relation to older adults. I draw on social and cultural studies of aging, feminist studies, and science and technology studies to outline a research agenda which treats sexual health as a point of articulation for a range of technologies and processes which shape mid- and late-life sexualities. Such an agenda may be able to more fully interrogate the sites and processes by which sexualities are being shaped, the forms of sexual agency on offer to older people, and the contemporary reconstruction of sexual life courses.