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We don't discuss sexuality enough when considering the lives of older adults. It's easy to assume that aging brings dramatic changes and that sexuality is not a topic that concerns older adults to any great degree.
Sometimes, however, events bring about a dramatic shift in awareness and understanding. The highly-publicized events following the release of the medication Viagra sildenafil provided a vivid example of such an event. Suddenly the country was swept with evidence that older adults are vitally concerned with sexuality.
The evidence included the involvement of a former candidate for United States President, Bob Dole, publicly extolling the medication and what it had done for him, and also included dramatic statistics on the immediate response in terms of s of prescriptions written for Viagra. They met with patients, women want sex vass of whom were over 60 and some of whom were well into their 80s, who cared very much about their sexual experiences and relationships and who would speak candidly and movingly about women want sex vass they were seeking help for problems in sexual function.
My experience was that interactions with these patients did more to change negative stereotypes about aging in these health professionals in training than any other training experiences they had. As interns frequently commented, "You just never think the same about your older clients or your grandparents after you have an 80 year old woman telling you how much she enjoys oral sex.
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However, it is not easy for health professionals in training to find information to learn more about aging and sexuality, once they have realized how important this topic is. This website helps to solve that problem. It contains a wealth of citations for empirical evidence on aging and sexuality, summary chapters, case presentations, and resources to use for education in teaching settings or with clients.
It is our hope that it will serve to further openness and sensitivity in health care professionals, as they try to attend to a vitally important topic that does not lose its power with age. Sexual activity and function in middle-aged and older women Addis, I. B, Van Den Eeden, S.
This analysis estimates the women want sex vass and predictors of sexual activity and function in a diverse group of women aged 40—69 years. Women completed self-report questionnaires on sexual activity, comorbidities, and general quality of life.
Satisfaction with sexual activity was associated with African-American race, lower BMI, and higher mental health score. More reported sexual dysfunction was associated with having a college degree or greater education, poor health, being in a ificant relationship, and a low mental health score. Middle-aged and older women engage in satisfying sexual activity, and one third reported problems with sexual function.
Demographic factors as well as some issues associated with aging can adversely affect sexual frequency, satisfaction, and function. Changes in sexual function in middle-aged and older men: Longitudinal data from the Massachusetts male aging study Araujo, A.
Journal of American Geriatric Society52, The objective of this study is to describe within-individual change in sexual function over a 9-year period and to determine women want sex vass the amount of change differs by age group men aged 40 to Within-person change included the following sexual function variables: sexual intercourse, erection women want sex vass, sexual desire, ejaculation with masturbation, satisfaction with sex, and difficulty with orgasm.
Unadjusted analyses showed ificant longitudinal changes over the 9-year period in all domains of sexual function except frequency of ejaculation with masturbation, which showed no change between baseline and follow-up. Adjusted for baseline sexual function, within-person change in all outcomes was strongly related to age, with decline in sexual function becoming more pronounced with increasing age. of erections per month declined by 3, 9, and 13 in men in their 40s, 50s, and 60s, respectively. Psychosomatic Medicine, 60 4 Objectives of this study were a to determine whether male erectile dysfunction MED is associated with depressive symptoms and b to determine whether this association is independent of aging and para-aging factors.
Data were obtained from the Massachusetts Male Aging Study MMASa cross-sectional, population-based multidisciplinary survey of health in 1, normally aging men aged years conducted from to The relationship between depressive symptoms and MED in middle-aged men is robust and independent of important aging and para-aging confounders, such as demographic, anthropometric and lifestyle factors, health status, medication use, and hormones.
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Men's sexual health after midlife Bartlik, B. Psychiatric Services, 52 3, Describes the normal physiologic changes that occur as men age as well as the physiologic causes of male sexual dysfunction. The psychological, cultural, and relationship factors that may contribute to the premature loss of sexual functions in older couples are also described. Medical treatments and sex therapy techniques that have been found to be useful are reviewed.
An overview is provided of important issues for the clinician in addressing sexuality with older patients.
Sexuality, health care women want sex vass the older person: An overview of the literature Bauer, M. International Journal of Older People Nursing, 2 1 This paper reviews recent literature around sexuality, health care and older adults.
The construction of sexuality, importance of sexuality to older adults, sexual diversity in old age, and sexuality and health are discussed. Also discussed are the myths and stereotypes associated with this topic, and the medical, social, healthcare, and institutional barriers to sexuality and sexual health in later life. The sexuality of elderly people on film: Visual limitations Bildtgard, T. Findings were interpreted in a cultural perspective: the common assumption, even among older persons, seems to be that they do not have a sexual life.
Sexual function in 1, aging males: Differentiating aspects Bortz, W. This survey seeks to extend knowledge of the relationship of sexual attitudes and preferences to sexual functioning in a large group of community-dwelling year old men. Although age correlated consistently with increased erectile dysfunction and decreased sexual activity, a substantial of older men continued active sexual behaviors supported by positive attitudes toward sexual function.
Aging & human sexuality
Both health status and perceived partner's responsiveness are prominent moderators of the age effect. Sexuality and Disability,16 3 Research indicates that older adults continue to be sexually active well into later life; however, few health care professionals ask about their sexual functioning. This is even more true when one partner in a couple has women want sex vass diagnosis of dementia, and the other partner is labeled as a caregiver.
This paper addresses means of fostering acceptance by professionals and families and creating an environment that nurtures sexuality in couples coping with dementia. Sexual desire in later life DeLamater, J. Journal of Sex Research, 42 2 There has been relatively little research on sexuality in later life, particularly among persons over 60 years of age.
This literature suggests that age, hormone levels, specific illnesses, and various medications negatively affect sexual functioning in older persons. Bivariate and multivariate analyses are conducted separately for women and men. The principal influences on strength of sexual desire among women are age, the importance of sex to the person, and the presence of a sexual partner.
Genital appearance dissatisfaction: implications for women’s genital image self-consciousness, sexual esteem, sexual satisfaction, and sexual risk
Among men, they are age, the importance of sex to the person, and education. In this sample of the population of older persons, attitudes are more ificant influences on sexual desire than biomedical factors.
Sexual feelings and sexual life in an Italian sample of elderly 65 to year-olds Dello Buono, M. Archives of Gerontology and Geriatrics, 6, Studied aspects of sexual interest and activity in older adults aged yrs recruited at consulting rooms of GPs in Padua, Italy. Ss were participating in an international, multicenter, quality of life study aimed at providing a global, reliable image of sexuality up to an advanced age. Roughly one-third of the Ss reported being still interested in sex.
The most important variables in maintenance of sexual activity were being male, married, younger, and cognitively unimpaired; having a higher educational level; being self-sufficient; and being satisfied with the present life. Educational level, age, and social functioning lose importance in the case of sexual interest, which remains more present than activity, even in very advanced age.
Absence of arthrosis and maintenance of good social-relational functions for men and absence of depression and anxiety for women are predictive of sexual interest and activity. Association of sexual problems with social, psychological, and physical problems in men and women: A cross-sectional population survey Dunn, K. Women want sex vass of Epidemiology and Community Health, 53 3 Investigated the association of sexual problems with social, physical, and psychological problems.
indicate that sexual problems cluster with self-reported physical problems in men, and with psychological and social problems in women. In men, erectile problems and premature ejaculation were associated with increasing age. Erectile problems were most strongly associated with prostate trouble, but hypertension and diabetes were also associated.
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Premature ejaculation was predominantly associated with anxiety. In women, the predominant association with arousal, orgasmic, and enjoyment problems was marital difficulties. All female sexual problems were associated with anxiety and depression.
Vaginal dryness was found to increase with age, whereas dyspareunia decreased with age.
Medications that may contribute to women want sex vass disorders: A guide to assessment and treatment in family practice Finger, W. Journal of Family Practice, 44, While many physicians have avoided this topic in the past, citing lack of knowledge and skill, the family practice setting is ideal for a preliminary evaluation of sexual dysfunction and treatment for certain etiologies.
This especially is true for changes in sexual function secondary to medication effects. This article provides basic guidelines deed to assist physicians in evaluating the effects of medications and other substances on sexual function. Also included are lists of medications known or suspected to have adverse effects on sexual function. Physicians are encouraged to address the sexual concerns of their patients and to incorporate these guidelines and the medication lists into their evaluation.