old-age-sex2

STUDY OF
SEXUAL DYSFUNCTION IN OLD AGE

Study Authors

• Barbara Bartlik, M.D. and
• Marion Zucker Goldstein, M.D.

How to evaluate and treat sexual dysfunctions of old age

It is a companion piece to a column on women’s sexuality that appeared in the June 2000 issue of Psychiatric Services. This column describes the normal physiologic sexual changes that occur as men age as well as the physiologic causes of male sexual dysfunction. The psychological, cultural, and relationship factors that may contribute to the premature loss of sexual functioning in older couples are also described. Medical treatments and sex therapy techniques that have been found to be useful are reviewed. An overview is provided of important issues for the clinician in addressing sexuality with older patients.

STUDIES DONE IN PAST

The majority of studies on sex and aging confirm that most individuals in late life retain sexual interest and ability.

However, as one might suppose, the frequency of sexual activity declines in the later years. In a review of the literature, Kaplan concluded that 70 percent of healthy 70-year-old men and women continue to have sex at least once a week. However, another study showed that 95 percent of men between the ages of 46 and 50 had weekly intercourse, compared with only 28 percent of men between the ages of 66 and 71.

In many instances, medications, illnesses, partner availability, relationship problems, erection difficulties, or age-related changes in sexual responsiveness are responsible for discontinuation of sexual activity.

With the proper guidance and education, many older people can adapt to these changes and continue to function sexually.

Practical Geriatrics:

Men’s Sexual Health After Midlife
Barbara Bartlik, M.D. and Marion Zucker Goldstein, M.D.
Psychiatr Serv 52:291-306, March 2001
© 2001 American Psychiatric Association