Abstract
Sexuality is an important component of emotional and physical intimacy that men and
women experience throughout their lives. Research suggesting that a high proportion
of men and women remain sexually active well into later life refutes the prevailing
myth that aging and sexual dysfunction are inexorably linked. Age-related physiological
changes do not render a meaningful sexual relationship impossible or even necessarily
difficult. Many of these physiological changes are modifiable. There are various therapeutic
options available to patients to achieve maximum sexual capacity in old age.
This article reviews the prevalence of sexual activity among older adults, the problems
these adults encounter with sexual activity, and the role of the health care professional
in addressing these problems. The physiological sex-related changes that occur as
part of the normal aging process in men and women are reviewed, as well as the effect
of age-related physical and psychological illness on sexual function. The attitudes
and perceptions of the media and general public toward sexual activity and aging are
summarized. An understanding of the sexual changes that accompany the aging process
may help general practitioners and other doctors to give practical and useful advice
on sexuality as well as refute the misconception that aging equates to celibacy. A
thorough awareness of this aspect of older people’s quality of life can raise meaningful
expectations for aging patients.
Keywords
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Published online: March 28, 2013
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© 2013 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.
