Sexuality and Sexual Dysfunctions in Later Life
Sexual needs appear to be similar in adult life and late life, with variations in mode of expression, frequency, and intensity. However, for older adults, there are a number of factors that can create barriers to achieving sexual expression. Older adults experience multiple age-related physiological changes in sexual functioning. During the aging process, it can be common for both males and females to experience sexual dysfunction relating to any issue that arises during the four stages of the sexual response cycle (excitement, plateau, orgasm, and resolution). Inappropriate sexual behaviors in institutionalized settings are more likely to occur in patients with major neurocognitive disorders. Clinicians working with older adults need to remain knowledgeable of legal and ethical issues related to the right to consensual sexual activity, which are discussed in this section. Assessment, diagnosis, and management of sexual dysfunction in older adults are also reviewed.
KeywordsSexuality Sexual dysfunction Geriatric sexuality Late-life sexual expression Sexual disinhibition
- 2.Kibble JD, Halsey CR. Medical physiology: the big picture. New York: McGraw-Hill; 2015.Google Scholar
- 9.Chow E, Hategan A, Bourgeois J. When its time for “the talk”: Sexuality and your geriatric patient. Current Psychiatry. 2015;5(14):13–30.Google Scholar
- 11.Ambrosini DL, Chackery R, Hategan A. Sexuality and sexual dysfunction in later life. In: Hategan A, Bourgeois JA, Hirsch CH, Giroux C, editors. Geriatric psychiatry: a case-based textbook. Berlin: Springer. In Press.Google Scholar
- 14.Kuhn D. Intimacy, sexuality, and residents with dementia. Alzheimer’s Care Quart. 2002. https://www.alz.org/documents/mndak/308and406_HandoutSexuality_Questionnaire.pdf. Accessed 17 Oct 2017.
- 18.American Association of Retired Persons. Modern maturity sexuality study. Washington: AARP; 1999.Google Scholar
- 28.Perlin M. “Everybody is making love/or else expecting rain”: considering the sexual autonomy rights of persons institutionalized because of mental disaibility in forensic hospitals and in Asia. Washington Law Rev. 2008;83:481–512.Google Scholar