Sexuality
in later life: health problems, emotional concerns
and psychosocial factors that influence the sexuality
SEXUALITY
and health problems
Although
the incidence of erectile dysfunction increases in old age, this is primarily
related to the increased rate of health problems, rather than old age per se.
Numerous
endocrine, vascular, and neurological disorders may interfere in sexual
function, as may many forms of medication and surgery.
These
health factors are more prevalent in older people and hence it is perhaps
not surprising to find an increase in biologically caused sexual problems in
the elderly.
Drugs
that affect the autonomous nervous system, may interfere with sexual function.
Many
medications that older people use, such as antihypertensives,
antidepressants, tranquilizers, and certain
high blood pressure drugs, can adversely affect
erectile function and libido.
Some drugs can make it
difficult for men to ejaculate, some drugs reduce a woman's sexual desire.
SEXUALITY and emotional
concerns
Sexuality
is often a delicate balance of emotional and physical issues. If
you are too worried about impotence, you can create enough stress to cause
it.
Older couples may have
the same problems that affect people of any age. But they may also have the
added concerns of age, retirement and other lifestyle changes, and illness. These problems can cause sexual difficulties.
Older adults experience
sexual problems and concerns that aren’t that different from young people,
however biological and psychological factors may need to be looked more
closely.
SEXUALITY
and psychosocial factors
Other
psychosocial factors which affect the sexual functioning of older people:
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Negative attitudes
toward sex learned at a young age may seriously impair the ability to
enjoy sex in later life. |
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|
Many older couples
have to deal with problems of "sameness" and boredom with
their long-term relationship, which may adversely affect the sexual
relationship. |
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A loveless relationship or marriage in
the middle years can undermine a sexual experience or
relationship when a later opportunity arise. |
|
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Religious sanctions
that restrict sex to the purposes of reproduction and ignore the
importance of intimacy, love, and sexual pleasure for well-being deny
important human needs. |
A further point that
needs to be discussed as a factor which influences sexual functioning in the
elderly relates to opportunity. This may be affected by the availability of
a sexual partner and also the living circumstances of the individual or
couple.
See
also: Age and Sexuality
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