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Thunder Bay, ON
P7B 6E7
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Sexuality and Aging

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What are some misconceptions about sexuality and older adults?

It is a common misconception that as one grows older they give up on sexual activity. However, nothing could be further from the truth. People can be sexually active into their 70s, 80s and even 90s, although intimacy among the older adult may not always involve intercourse. Sexual relationships have been proven to be very valuable for the longevity and health of the older adult.

Sexuality is life-long and aging does have an impact. As one ages, the amount of sexual activity generally decreases, but the amount of sexual interest and ability remain fairly constant. Sexuality in the older adult is not just physical intercourse, but includes communication, touch and intimacy which all enhance an individual's sense of wellbeing.

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What are the changes in women?

Aging brings certain normal changes in the bodies of men and women that are not always welcome. Women will experience a drop in the level of estrogen and with that may experience vaginal dryness and loss of vaginal elasticity. Water -soluble lubricants can reduce any irritation and make penetration more comfortable. If lubricants are not working, talk to your health care provider about alternate treatments.

  • Non-hormonal methods include: liquids and gels.
  • Hormonal options include: hormone replacement therapy (HRT), estrogen creams and ring and vaginal tablets

A decrease in hormone production and the physical and emotional challenges that women face at this stage of life can all have a negative effect on ones sexual desire.

Women today face many different stressors like working outside of the home and being a caregiver for family, grandchildren, and/or elderly parents. Problems with finances, ill health, certain medications and tiredness all have a negative affect on ones sex drive. If these matters are not dealt with, it can lead to resentment and less desire for intimacy. Loss of sexual desire is a little more complicated to treat because there are so many different variables that need to be taken into consideration.

One should start by looking at their daily life situations. Ask your self - what pressures am I under with work, family or finances; have I been ill: has there been changes in my sleep pattern; what medications am I on; are there physical changes that make me feel undesirable. Gaining insight into these underlying issues can do a lot to help relieve the problems associated with decrease sex drive. We all need to learn ways to deal with stress. Some measures involve getting more rest and maybe receiving treatment for any estrogen - related complaints. Women should realize that they are not alone. It is extremely important not to ignore the situation if it's making them or their partner unhappy.

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What are the changes in men?

Men also experience normal, but not always welcome changes. Erections may be slower, less full and may fade more quickly after orgasm. It may take longer to "get ready" for another orgasm. Less sperm may be produced, and they may find that more semen "leaks out" rather than being ejaculated. Any conditions decreasing the blood flow to the penis could result in problems in getting an erection.

All of these changes may affect the sexual experience, but they do not necessarily mean that sex is no longer enjoyable. It may actually be an invitation to engage in slower, more relaxed approach to sexual activity, with opportunities for more intimacy and communication. When there is no fear of unwanted pregnancy and an empty nest allows for peace and privacy, there can be more spontaneity and opportunities to explore what is pleasing to each other.

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What are other factors to consider?

Despite all of the physical changes with aging, research has shown us that other factors may have a greater impact on ones sex life. Excessive use of alcohol, grieving for the loss of a partner, certain prescriptions, chronic diseases such as high blood pressure, heart disease, depression, arthritis and some surgeries such as heart or prostate surgery , can add to the list of challenges.

Risks for acquiring sexually transmitted diseases must not be overlooked. The need for continued pap testing in women over the age of fifty and prostate exams for men remain important, as well as the need for ongoing information about healthy relationships and safer - sex practices.

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Is there any good news?

On the plus side, many older adults, free from the pressures of career and family, find that they have more time to devote to their partners. There is more to sexuality than just intercourse. This is a good time to explore your sense of adventure and try new things.

For these reasons it is important for older men and women to feel free to talk openly with their doctor or health care provider and to seek counseling if they are experiencing problems or have concerns.


More Information:

www.wooster.edu/psychology/moreinfo.html

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Last Updated: 7/6/2010

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