Growing older staying sexual-Sexuality in Older Adults -

Fantasies can help rev up your sex life. Myths, on the other hand, can stop desire dead in its tracks. Such myths aren't the legends from classical history. They're the stories we tell ourselves and each other to support the notion that older people shouldn't, can't, and wouldn't want to have sex. This type of myth, however, bears as little relationship to reality as do the fanciful sagas of ancient gods and goddesses.

Growing older staying sexual

You must accept the terms and conditions. Sexperts explain the benefits of testicle play and share their top tips for giving the right kind of attention to your boo's balls. Unlike male ED there is some ambiguity over the diagnosis of female sexual dysfunction, which includes decreased desire or arousal, anorgasmia and dyspareunia. Growing older staying sexual Dysfunction in Men and Women. Medical conditions Your overall health affects your sexual health. More training is needed for HCPs who work with older people both to impart Aacme rubber of elderly sexuality and the skills required to discuss it sensitively.

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As a woman ages, her vagina can shorten and narrow. When asked about a wide range of potential benefits of old age, seven-in-ten respondents ages 65 and older say they are enjoying more time with their family. The older you get, the more you should learn to love life and appreciate the beauty that comes with age. There are pills that can help. For some, this includes the desire to continue an active, satisfying sex life. Side Effects. I have never required more than 6 hours of sleep a night. Cognitive behavioral therapy. Aging is not lost youth but a new stage of opportunity and strength. Inside every older person is a younger Growing older staying sexual — wondering what the hell happened? Are Older Adults Happy? Responses to this question from children of older parents are broadly similar. If there are reports of dangerous activities such as hitting or running during these episodes, it may be necessary to make changes to the person's sleeping area to Growing older staying sexual sufferers and their bed partners from injury.

What is sexuality education and who needs it?

  • Luckily though, everyone has to do it.
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  • Many people want and need to be close to others as they grow older.
  • Nor is it quite as good.

Abi Taylor, Margot A. It offers an overview of the evidence for healthcare professionals who had not previously considered the sexuality of their older patients. It also describes some of the sexual problems faced by older people, especially the difficulties experienced in disclosing such problems to healthcare professionals.

It examines why healthcare professionals routinely avoid discussing sexual problems with older patients, and how this can be improved. It also offers some recommendations for future research in the area, as well as a word of caution regarding the temptation of over-sexualising the ageing process. The population is ageing and this trend is expected to continue.

Therefore, issues affecting older people are becoming increasingly more important. In , the UK Department of Health published The National Service Framework for Older People [ 2 ], setting out a programme of action and reform to address problems in the management of elderly patients.

There was, however, no mention of sexuality or the problems older people may face related to sexual issues. Likewise, The National Strategy for Sexual Health and HIV [ 3 ] is primarily aimed at younger people, with no mention of how sexual issues may affect older people. Research suggests, however, that many older people enjoy an active sex life [ 4 ], although they may face several problems. If healthcare professionals HCPs do not accept that older people may enjoy sex, then it is unlikely that sexual problems will be effectively explored, diagnosed and treated.

Research into such a deeply personal area is fraught with difficulties including embarrassment in one-to-one interviews, self-reporting biases and poor response rates to postal questionnaires.

As such, there is limited good-quality research into the sex lives of older people. Large, global studies such as one by Nicolosi et al. However, the available research consistently suggests that increasing age is associated with a decreased interest in sex. An Italian study [ 7 ] looking at quality of life found significantly less interest in sex among the older participants—all 38 centenarians had lost interest in sex. It is interesting, however, that the centenarians did report greater satisfaction with life and family relationships than the younger age groups.

Gott and Hinchliff [ 8 ] used questionnaires and face-to-face interviews with a smaller sample size in the UK 44 people aged 50—92 , to investigate how important sex is to older people. Although the numbers were small, this study did show some interesting findings. There are also gender differences, with the greatest difference being in the older age groups [ 9 ] In a study of sexual behaviour in elderly institutionalised patients with dementia, the men nearly always initiated the sexual interactions rather than the women [ 10 ].

Of cases directed towards staff, it was always a male patient towards female staff. Research also suggests that interest in sex among older men has increased over the last 10 years [ 9 ], possibly due to the effective and well-publicised drugs for erectile dysfunction ED starting with Viagra in As well as older age groups having less interest in sex they actually had sex less often and sexual functioning was less [ 4 ]. The survey of Swedish men mentioned above [ 6 ] also looked at sexual function across four domains desire, erection, orgasm and ejaculatory functions and found a decrease in all with increasing age.

There are multiple causes for this decrease in sexual interest and frequency of sexual activity. These include general physical health, psychological causes, male or female sexual dysfunction and practical problems.

In reality, these combine—sexual desire and function are affected by a complex interaction between psychological factors and physiological functioning. Gott and Hinchliff [ 8 ] suggested that it was not age per se that led to a decrease in the importance placed on sex, but more the health problems experienced by the participant or their partner which led to reprioritising the value placed on sex.

Poor physical health as self-reported is associated with decreased interest in sex odds ratio 1. Psychological problems such as depression and its treatment are associated with poor sexual function in all age groups [ 11 ]; however, sexual dysfunction in depressed older people may be less well recognised and less appropriately treated than in younger patients [ 12 ]. This study showed that psychiatrists are less likely to take a sexual history from older patients presenting with depressive symptoms compared with younger patients, and they are also less likely to refer to appropriate services if sexual dysfunction is identified.

Of the causes of male sexual dysfunction, ED and hypogonadism are most prevalent, and increase with age [ 13 ]. There are many recognised causes of ED, including medications [ 11 ], prostatic surgery or disease [ 14 ], diabetes [ 4 , 15 , 16 ] and vascular disease [ 13 ]. The researchers could not explain this decrease solely by medications or illnesses, suggesting that age may be an independent factor.

The treatments for ED are beyond the scope of this article but include oral phosphodiesterase inhibitors e. Viagra and less commonly intraurethral suppositories, penile injections, vacuum devices and penile prostheses [ 13 ]. Unlike male ED there is some ambiguity over the diagnosis of female sexual dysfunction, which includes decreased desire or arousal, anorgasmia and dyspareunia.

As with male sexual dysfunction the diagnosis covers the various ways in which an individual is unable to participate in a sexual relationship that they would wish; however, there is not such objective criteria for the diagnosis of female sexual dysfunction as there is for ED. Subsequently, there are fewer good-quality trials and treatments for women suffering from sexual problems.

It has an effect not only on sexual functioning, but also emotional well-being, interpersonal relationships, body image and everyday activities such as bike riding or prolonged sitting [ 18 ]. One study used focus groups to more carefully assess women's feelings about their symptoms [ 18 ]. Many women were frustrated by what they saw as an inadequacy of treatments for female sexual problems such as dryness, compared with male ED.

As noted above, female sexuality in older age is also heavily influenced by psychosocial factors and physical health problems including urinary incontinence, cancers and their medical or surgical treatments [ 19 ]. Practical problems, including lack of a partner or a partner's poor health, are another cause of decreased sexual activity and interest in sex with increasing age [ 8 ]. Another practical problem occurs when elderly people become institutionalised and are unable to have any privacy with their partner [ 10 ].

Seeking treatment for sexual dysfunction is commonly inhibited by embarrassment [ 20 ]. Older people regard GPs as the main source of professional help regarding sexual difficulties [ 21 ]. However, many older people are reluctant to seek help for sexual problems even if they have a severe effect on quality of life [ 18 , 20 ]. A focus group study of women with urogenital atrophy [ 18 ] noted that the reasons for not seeking help earlier were mainly embarrassment, feeling that they were the only one experiencing the symptoms and incorrect beliefs about the aetiology of their symptoms.

Many of these women had also delayed discussions with their partner for the same reasons. This is an interesting issue and probably varies across nations with different healthcare systems. Kaas [ 23 ] coined the term Geriatric Sexuality Breakdown Syndrome to describe the steps involved in internalising societal attitudes towards sexuality in older age. As the stereotype of an asexual old age seems fairly pervasive and ingrained in society it may be beneficial to include information on elderly sexuality in schools during sex education classes [ 24 ], which may allow greater acceptance of sex in older age.

HCPs find sex a difficult topic to talk about, and this is compounded when discussing sex with an older person [ 25 , 26 ]. Gott et al. Although the GPs recognise that they are the main point of contact for older patients regarding sexual health, they feel undertrained in this area and are not proactive in discussing sexual issues with older patients. Their attitude to discussing sexual health with older people was primarily based on stereotypes and prejudices, rather than what they had personally experienced with patients.

These stereotypes included those relating to the asexuality of older age, and the monogamous and heterosexual nature of older adults in relationships. The GPs interviewed did not discuss with older adults the risks of unprotected sex, rationalising their responses by referring to decreased rates although not negligible of sexually transmitted infections among this age group. This mirrors the government policy as noted above whereby The National Sexual Health Strategy and sexual health clinics are aimed at younger people.

Some GPs were also concerned about causing offence to older patients by bringing up sexual issues although none could think of an occasion where they had caused serious offence by doing so. Research from the USA [ 27 ] describes how a significant proportion of physicians may not discuss information about morally controversial issues. If individual physicians do not think it is right for older people to be sexually active then issues may not be discussed at all.

Interestingly, the GPs, but not the nurses, were concerned that the professional relationship with elderly patients might be jeopardised by discussions about sexual issues. Doctors treating women with gynaecological cancers do recognise that sexual problems may occur but few discuss these with the women [ 28 ]. Reasons given include embarrassment and lack of knowledge or experience. The patients interviewed by the researchers said they would have liked to have been told about the changes in sexual function they could expect and to have opportunities to ask questions [ 28 ].

An Israeli study [ 10 ] examined the reactions of staff in psychogeriatric care homes to sexualised behaviour among their elderly institutionalised patients with dementia. The staff were accepting and encouraging of behaviour at the level of love and caring. Behaviour at the level of romance evoked mixed reactions including amusement.

Behaviour at the level of eroticism evoked strong feelings of anger and disgust among staff. Although the expression of sexuality is a basic human right, many members of staff found it disturbing.

There are of course also issues surrounding consent in patients with dementia and there must be careful consideration to ensure older adults are safeguarded against non-consensual sexual activity. Although it is important to be aware of older people's sexuality, care must be taken not to over-sexualise the ageing process, nor to over-medicalise declining sexual function and interest. The heavy involvement of drug companies in the definition of female sexual dysfunction as a medical diagnosis is potentially worrying [ 17 ].

They describe how changing attitudes in the s among geriatricians meant that sexual activity began to be seen as a healthy and even necessary part of successful ageing. Some older women feel that there is too much pressure on them from society to remain interested in sex [ 18 ]. HCPs should screen for sexual dysfunction in their older patients [ 30 ], especially those with chronic diseases, on certain medications, or men presenting with lower urinary tract symptoms [ 14 ].

Where appropriate, post-menopausal women should be asked directly about symptoms of urogenital atrophy as the environment of care may not feel appropriate for patients to initiate the conversation even if it is causing significant distress [ 18 ]. It may be helpful to open the conversation by first asking permission to ask more personal questions [ 31 , p. Questions such as those in Box 1 may offer patients an opportunity to discuss such issues. Patients tend not to feel comfortable discussing topics such as sexuality unless they feel there is adequate time to discuss the issue [ 16 ], and privacy also needs to be considered.

Elderly patients often attend with their adult children, and might not be comfortable discussing sexual issues in front of them [ 31 , p. GPs should recognise that many elderly people would prefer discussing sexual issues with a doctor of the same gender and as close to their age range as possible [ 21 ]; appointments with colleagues should be offered as appropriate.

Educating patients is an important task. Patients should also be educated about the changes they can expect in sexual functioning as they age, and the options available to help them [ 31 ]. HCPs also need to be educated to increase awareness of sexuality in older age and improve communication skills [ 25 , 26 ].

There is a lack of education surrounding the sexual needs of elderly institutionalised people; staff in elderly care homes and psychiatric units should be trained to better appreciate the sexual needs of older people [ 10 ].

There is a need for a change in culture whereby all staff concerned are comfortable with issues of sexuality in the elderly, such that it becomes a basic part of training [ 32 ].

Some research has suggested that home visits for nursing home residents should be facilitated if a sexual partner is available [ 33 ]. At the very least, privacy should be respected where at all possible. HCPs also need to be very aware of and deal with their own emotional reactions and attitudes to the patient the countertransference without letting any prejudices they may have affect patient management [ 31 , pp.

This can be helped by appropriate supervision and a multidisciplinary approach when possible e. Some people on these medications notice sexual problems. Is that something that has affected you at all? Sometimes when people feel very low and depressed they lose all interest in sex. Do you think that is an issue for you?

I get started with housework that needs to be done for the day. Use the following fields to locate sleep centers in your area. It no doubt helps that adults in their late 80s are as likely as those in their 60s and 70s to say that they are experiencing many of the good things associated with aging—be it time with family, less stress, more respect or more financial security. One reason is that they often have more trouble falling asleep. Nor is it quite as good. The problem had been I feel irritation while wake up early morn. I am then unable to get back to sleep.

Growing older staying sexual

Growing older staying sexual

Growing older staying sexual

Growing older staying sexual. Overview and Executive Summary


Sex as you get older - NHS

What is sexuality education and who needs it? Adults, of course! Questions from hundreds of my students, aged 50 to 90, are powerful evidence of the poignant concerns people have about sex and intimacy in mid and later life:. More articles in this series Sex education for adults responds to the profound changes to our relationships, our bodies, our entire lives as we age. Many of the old scripts get in the way; sex education encourages us rethink all those old expectations. My commitment to adults began in the late s when my visionary Planned Parenthood Board enabled me to develop a sex and aging initiative by hiring an educator to develop curricula, facilitate workshops and hold a conference featuring popular leaders in the sexuality field.

We started people thinking and talking about the needs and the possibilities. At the same time, I was preparing teachers for their expanding roles in educating children and adolescents about sex. The questions that these teachers raised during class revealed their own struggles and concerns with the topic. Their class journals showed how difficult it was to teach about sex when they were uncomfortable with their own sex lives.

So, when I retired at 70, I became a full-time advocate, giving workshops and speeches and co-editing a book, New Expectations: Sexuality Education for Mid and Later Life Siecus, , that developed a theory and practice for teaching about sexuality and aging.

These scripts, instructing each of us how to think, feel and act as male or female persons, commonly focus on the reproductive function of sex, define sex as penetrative intercourse only, stereotype gender roles, portray sex as for the young, discount gay, lesbian and bisexual persons, and generally discourage positive sexual attitudes. What do we teach? Of course, lessons include key facts that everyone needs to know, but also encourage discussion of the attitudes, values, feelings and beliefs that are so central to our experience of sexuality.

Another lesson addresses the special concerns of people with disabilities and chronic illness and yet another provides for training staff and developing sexuality policies in long-term-care facilities.

But no one needs to buy the book! The thanks and appreciation I have received from students have been almost embarrassing. Additionally encouraging is a qualitative research study examining the impact of the course by Dr.

Revised and published in as The NEW Love and Sex after 60, the book provides guides on the many medical problems that affect sex, suggests how people can learn new patterns of lovemaking and how people who are widowed, separated, divorced or single can find new relationships.

The need for sexuality education for adults has been identified, the resources are now available, the key question remains: how will the growing cadre of professionals serving older adults respond?

Share this page. By Peggy Brick What is sexuality education and who needs it? Or rare? Is there hope? And how do they enjoy sex without ejaculation? Sexuality is a positive, life-affirming force. A positive approach to sexuality means acknowledging the pleasures, not just the dangers of sex. Older adults deserve respect. Older adults are not all alike. Older adults vary in their comfort with sexual language, in the discussion of sexual topics, and in participating in learning activities related to sexuality.

Older adults are capable of writing new sexual scripts that can invigorate their sexual journeys. Sex is more than intercourse , and there are many ways to be sexual without penetrative sex. Discussing ideas with peers help people take responsibility for their own learning. Most people in this culture have lived with the message that sexuality is mysterious, secret, and shameful.

Having access to the facts and a chance to talk openly helps people overcome those negative messages. Gay, lesbian, bisexual, and transgender individuals must be acknowledged respected and included in discussions.

Participants in your groups will likely mirror society, and, therefore, have a variety of sexual orientations and gender identities. Acknowledging all sexual orientations and identities can help all participants feel included.

Make no assumptions! Avoid making assumptions about the sexual behaviors or orientations of participants. Some may be currently involved in sexual relationships, others may not.

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Growing older staying sexual