Sexuality - Interest

1. Most studies of middle-aged and older women
demonstrate that interest in sexual intimacy
continues into advanced old age. Prevalence varies
by area, country and population surveyed. From
30% of community dwelling US women older
than age 65 to 95% of community dwelling Danish
women the same age have stated that they have
regular intercourse. According to a length study
conducted by the Consumers’ Union, most
women over age 65 engaged in sexual activity at
least once a week.15 Older women report less
sexual activity than men the same age, correlating
with the availability of a socially sanctioned
partner.16
2. The most important correlation between
continued sexual activity in older women is
availability of a healthy partner. Women often
marry older men, who may develop chronic
illnesses, disability, or die before women. Women
who are widowed, divorced or single are less likely
to continue their sexual activity. Various studies have noted a sharp decrease in sexual interest and
activity among women in their late 60s. For many
women, this may be a source of considerable
frustration. Societal expectations and
misconceptions about the physiological effects of
aging on sexuality contribute to this distress.
Aging signs may result in feelings of decreased
sexual attractiveness.
3. For women without a partner, masturbation may
be an option.
4. However, sensitive inquiry about sexual beliefs,
practices, and concerns will be needed before any
recommendations can be made. Providing
education will enable the woman to make
informed decisions.
5. Many social issues may contribute to a lack of
sexual interest or responsiveness, such as
monotony, preoccupation with career and
finances, physical and mental fatigue,
overindulgence in food and drink, and fear of
failure in sexual performances. Excessive life
stressors, socioeconomic issues, patterns of
disinterest in sexual activity as a young adult also
may decrease middle age sexual intimacy.
6. Arthritis and stiffness can make sex difficult.
Asking the partners to come into the office in
comfortable clothes or sweatsuits is a method of
helping them to try different and more
comfortable positions. Taking an acetaminophen
or NSAID before sex may help stiffness.
7. Refraining from alcohol and heavy meals before
sex is helpful.
8. Reviewing drugs used by either partner may allow
the substitution of one that affects sexual
functioning.
9. Lubrication with exogenous creams may help.

Posted in: Health,Sexuality,Sexuality through the life-cycle