Age
& Sexuality: Views
of late-life sexuality, normal physical changes with age, effects
of illness or disability
SEXUALITY and age: who says you're too aged
for sex?
Views
of late-life sexuality are often based on ageist stereotypes that it either
does not exist or is beset by dissatisfaction and dysfunction.
The
stereotypes that older people are physically unattractive, uninterested in
sex, and incapable of achieving sexual arousal are still widely held.
Such
stereotypes and misinformation lead people to take a pessimistic attitude
toward late-life sexuality.
Nevertheless,
with reasonable personal health and an available partner, most elderly
persons continue sexual relations into their eighth and ninth decade.
His
statement is supported by a number of studies demonstrating that a large
percentage of individuals over the age of 65 not only continue sexual
activity, but are generally satisfied with sex and with their partners.
Most
older people want and are able to enjoy an active, satisfying sex life. Regular sexual activity helps maintain sexual ability.
However, over time
everyone may notice a slowing of response. This
is part of the normal aging process.
SEXUALITY:
normal physical changes with age
Changes
that occur in sexual physiology of an aging male can affect both erectile
function and ejaculation. These changes need not have any functional impact
on the subjective enjoyment of the sexual encounter.
However,
knowledge that these changes are not dysfunctional and assistance with the
adjustment of sexual practices may be crucial in preventing dysfunction due
to performance anxiety.
Men
often notice some distinct changes, like:
 |
Increased time required to produce a full
erection |
|
|
The
erection may not be as firm or as large as in earlier years. |
|
|
A
decrease in the time that erections can be maintained prior to
ejaculation. |
|
|
A
decrease in the force of ejaculation, and an increase in the duration of
the refractory phase. |
|
|
The
feeling that an ejaculation is about to happen may be shorter. |
|
|
The loss of erection after orgasm may be
more rapid or it may take longer before an erection is again
possible. |
|
|
Some
men may find they need more manual stimulation. |
Older
people who lack knowledge about the normal age related changes in sexual
functioning and adopt uninformed societal attitudes about sexual activity in
later life, can experience anxiety regarding sexual expression.
Of
particular relevance to older people is the fear and anxiety that may result
from negative interpretation of the age-related changes in genital
structures and sexual responding.
However,
a variety of changes in sexual responding do occur with age which need to be
understood by elderly persons.
As
men get older, impotence* seems to increase, especially in men with heart
disease, diabetes, and hypertension.
(*Impotence
is the loss of ability to achieve and maintain an erection hard enough for
sexual intercourse).
SEXUALITY:
effects
of illness or disability
Although
illness or disability can affect sexuality, even the most serious conditions
should not stop you from having a satisfying sex life.
Heart
disease.
Many
people who have had a heart attack are afraid that having sex will cause
another attack. The
risk of this is very low. Follow your doctor's advice. Most people can start
having sex again 12 to 16 weeks after an attack.
Diabetes.
Most
men with diabetes do not have problems, but it is one of the few illnesses
that can cause impotence.
Stroke.
Sexual
function is rarely damaged by a stroke and it is unlikely that sexual
exertion will cause another stroke. Using different positions or medical
devices can help make up for any weakness or paralysis.
Arthritis.
Joint
pain due to arthritis can limit sexual activity. Surgery and drugs may
relieve this pain. In some cases drugs can decrease sexual desire. Exercise,
rest, warm baths, and changing the position or timing of sexual activity can
be helpful.
See
also: Sexuality in Later Life
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