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Sexualität

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Männersprechstunde

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Zusammenfassung

Die zunehmende Kenntnis über physiologische und pathophysiologische Zusammenhänge bei sexuellen Störungen und die Entwicklung von somatischen Behandlungsverfahren tragen dazu bei, die bislang tabuisierte Thematik der sexuellen Entwicklung des alternden Mannes zu öffnen. Zu einer ganzheitlichen Sichtweise bedarf es neben der Berücksichtigung organischer und funktioneller Veränderungen auch der Beachtung psychosozialer Anforderungen und Anpassungsprozesse, die ein „erfolgreiches Altern“ auch in sexueller Hinsicht ermöglichen. Einflüsse auf sexuelle Aktivität und sexuelles Erleben werden anhand von repräsentativen Studien diskutiert (Partnerschaft, sexuelle Aktivität, subjektive Gesundheit, Persönlichkeitsmerkmale). Physiologische Veränderungen im sexuellen Reaktionszyklus schaffen eine Vulnerabilität für psychogene Einflüsse, u.a. Depressionen, Fehlvorstellungen, Versagensängste und Kommunikationsprobleme in der Partnerschaft. Die altersassoziierte Zunahme von Erektions- und Ejakulationsstörungen, die auch auf dem Hintergrund der zunehmenden Morbidität, Medikamenteneinnahme und Lebensstilveränderungen zu sehen ist, schließt eine befriedigend erlebte sexuelle Aktivität auch im hohen Alter nicht aus. Daher erscheint die Beratung des alternden Mannes im Hinblick auf den Umgang mit veränderten sexuellen Reaktionen, Lebensstil und anderen altersassoziierten Veränderungen ein wesentlicher Teil der gezielten Diagnostik und Therapie bei sexuellen Störungen.

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Authors
  1. M. E. Beutel
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  2. E. W. Hauck
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  3. E. Brähler
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Beutel, M.E. et al. (2004). Sexualität. In: Männersprechstunde. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18705-6_6

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