scholarly journals Can programmed aging theory adequately explain sexual dysfunction among the elderly?

SURG Journal ◽  
2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Meral Mert
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Activity ◽  
Sexual Desire ◽  
Sexual Functioning ◽  
The Elderly ◽  
Sexually Active ◽  
Elderly Individuals ◽  
Age Related ◽  
Aging Theory ◽  
Programmed Aging

The belief is widespread that elderly individuals simply become asexual as they age. Consequently, many caregivers and healthcare practitioners implicitly ignore or downplay the sexuality and sexual needs of the elderly. Although it is true that elderly individuals commonly experience sexual dysfunction, which may include a decline in sexual desire, sexual functioning, and ability to engage in sexual activity, most desire to remain sexually active into their older age, and many in fact do. This review examines the extent to which programmed aging theory, which holds that senescence and its associated physiological decline result from genetically predetermined lifespan, can be used to explain and evaluate the development of sexual dysfunction among elderly individuals. Although programmed aging theory usefully accounts for and normalizes inevitable changes in sexual function and ability, it ignores the psychological and psychosocial aspects of aging that affect the onset and extent of sexual dysfunction. Acknowledging these aspects of aging has led to interventions which have proved helpful in maintaining and enhancing sexual activity and wellbeing among the elderly. As the population ages and average lifespans increase, it is necessary that caregivers and healthcare practitioners are equipped to help their patients understand, manage, and adapt to age-related changes in sexual desire, functioning, and wellbeing.

Senior Care and Sexuality

2017 ◽  
Vol 42 (4) ◽  
pp. 1-2
Author(s):  
Aaron Seng ◽  
Keyword(s):  
Sexual Activity ◽  
Baby Boomers ◽  
Sexual Desire ◽  
Health Benefits ◽  
The Elderly ◽  
Sexually Active ◽  
Resident Satisfaction ◽  
Marriage And Family ◽  
Care Services ◽  
Rapid Changes

In recent years, more attention has been paid to enduring sexual desire among the elderly. As senior care entities place ever-greater emphasis on resident satisfaction, they note that sexual desire, although typically diminished with age, does not disappear. Similarly, a growing number of articles and studies highlight the various health benefits associated with remaining sexually active later in life. As baby boomers begin utilizing senior care services, providers are well aware of the demonstrated differences between their views on sex and marriage and those held by preceding generations. In light of this shift toward the acceptance of sexual activity that society previously considered morally unacceptable, as well as the rapid changes in cultural and jurisprudential understandings of sex, marriage, and family, it is unsurprising that senior care organizations are striving to give greater freedom of sexual self-expression to their residents. Autonomy and privacy begin to emerge as the highest values.

Aging and Sexuality

2018 ◽  
pp. 430-447
Author(s):  
Bheemsain Tekkalaki
Keyword(s):  
Sexual Dysfunction ◽  
Old Age ◽  
Sexual Desire ◽  
Healthy Aging ◽  
The Elderly ◽  
Sexual Problems ◽  
Sexual Expression ◽  
Elderly Individuals ◽  
Sexual Activities ◽  
Aging And Sexuality

Sexual health in general and issues of old age sexuality in particular are neglected by laymen and healthcare professionals alike. Contrary to popular beliefs, elderly individuals continue to have sexual desire and sexual activities, and they believe that healthy sexual expression is an important aspect of healthy aging. Sexual problems are more frequently found in the elderly. This chapter describes the various causes of sexual dysfunction, assessment, and management of sexual problems in the elderly.

scholarly journals The use of cyproterone acetate in a forensic psychiatric cohort of male sex offenders and its associations with sexual activity and sexual functioning

2017 ◽  
Vol 23 ◽  
Author(s):  
Gian Lippi ◽  
Paul J. Van Staden
Keyword(s):  
Sexual Dysfunction ◽  
Sex Offenders ◽  
Sexual Activity ◽  
Sexual Functioning ◽  
Cyproterone Acetate ◽  
Psychiatric Patients ◽  
Background Information ◽  
Male Sex ◽  
Forensic Psychiatric ◽  
Male Sex Offenders

Background: Cyproterone acetate (CPA) is a steroidal anti-androgenic medication used in the field of psychiatry for the treatment of paraphilic disorders, hypersexuality, and inappropriate sexual behaviour which may be present in patients with disorders such as mild and major neurocognitive disorders. In the forensic psychiatric population, it is prescribed for these indications especially for patients with a history of committing a sexual offence or who are at moderate to high risk of recidivism.Objectives: To investigate the use of CPA in a forensic psychiatric cohort of male sex offenders and its associations with sexual activity and sexual functioning.Methods: Seventy-six forensic psychiatric patients from Weskoppies Hospital in Pretoria, South Africa, participated in the study which measured their sexual functioning. A specifically designed questionnaire was used to capture relevant background information. The use of CPA was studied. The Changes in Sexual Functioning Questionnaire, Male Clinical Version (CSFQ-M-C) was used to measure sexual functioning of participants. The CSFQ-M-C scores, and those of all its subscales, of participants on CPA were compared to those not on the drug. Relevant statistical analyses were performed.Results: Thirteen out of the 76 participants were being treated with CPA (17.11%). In total, 53.85% of the participants on CPA and 65.08% not on CPA had scores indicating the presence of sexual dysfunction. The total CSFQ-M-C scores for participants on CPA (mean = 40.54; median = 42) were not statistically significantly lower than those not on the drug (mean = 41.22; median = 41). More notable is that the use of CPA in this population was associated with lower levels of desire, frequency of and pleasure from sexual activity. There was an association between having intellectual disability and being treated with CPA.Conclusion: That all the participants were being treated with psychotropic medication could account for the high percentage of sexual dysfunction in any or all areas of sexual functioning and contribute to the small difference in CSFQ-M-C scores between the two groups. Only a tentative conclusion can be made that CPA may be more effective in decreasing levels of desire, frequency and pleasure related to sexual activity than other areas of sexual functioning. The indication for the use of CPA in this population should be assessed clinically according to patient circumstances and risk assessment.

Sexuality within a Russian Geriatric Sample: A Pilot Study

1994 ◽  
Vol 74 (2) ◽  
pp. 491-494 ◽  
Author(s):  
Richard A. Greer ◽  
Michael J. Herkov ◽  
Laura L. Hill
Keyword(s):  
Pilot Study ◽  
Sexual Dysfunction ◽  
Physical Health ◽  
Preliminary Data ◽  
Sexual Functioning ◽  
Sexual Attitudes ◽  
Sexual Interest ◽  
Sexually Active ◽  
Research Recommendations

This paper provides preliminary data on sexual functioning within a sample of 19 Russian geriatric respondents who completed selected items from the Starr-Weiner questionnaire assessing areas such as sexual interest and frequency, sexual dysfunction, and sexual attitudes. All 8 men and 9 of the women reported being sexually active. Like American seniors, differences in activity appeared to be moderated by gender and over-all physical health. Sexual dysfunction among these Russians was less than that reported by Stern and Stern in 1979. Also, the Russian seniors reported tolerance toward sexual topics such as homosexuality. Finally, limitations of the present study and research recommendations are mentioned.

Resistance training, insulin sensitivity and muscle function in the elderly

2006 ◽  
Vol 42 ◽  
pp. 75-88 ◽  
Author(s):  
Flemming Dela ◽  
Michael Kjaer
Keyword(s):  
Physical Activity ◽  
Muscle Strength ◽  
The Elderly ◽  
Activity Level ◽  
Elderly Individuals ◽  
Healthy Elderly ◽  
Age Related ◽  
Increased Risk ◽  
Improved Function ◽  
Improve Muscle Strength

Ageing is associated with a loss in both muscle mass and in the metabolic quality of skeletal muscle. This leads to sarcopenia and reduced daily function, as well as to an increased risk for development of insulin resistance and type 2 diabetes. A major part, but not all, of these changes are associated with an age-related decrease in the physical activity level and can be counteracted by increased physical activity of a resistive nature. Strength training has been shown to improve insulin-stimulated glucose uptake in both healthy elderly individuals and patients with manifest diabetes, and likewise to improve muscle strength in both elderly healthy individuals and in elderly individuals with chronic disease. The increased strength is coupled to improved function and a decreased risk for fall injuries and fractures. Elderly individuals have preserved the capacity to improve muscle strength and mass with training, but seem to display a reduced sensitivity towards stimulating protein synthesis from nutritional intake, rather than by any reduced response in protein turnover to exercise.

Sexual function after 60

2002 ◽  
Vol 8 (3) ◽  
pp. 112-115 ◽  
Author(s):  
Kathryn May ◽  
Alan Riley
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Activity ◽  
Female Sexual Dysfunction ◽  
Healthcare Professionals ◽  
Sexually Active ◽  
Health It ◽  
Men And Women ◽  
Male Sexual Dysfunction ◽  
Seeking Help ◽  
Age And Sex

Ageing need not herald the end of a satisfying sex life. Research shows that men and women over the age of 60 can enjoy sexual activity, and it appears to be factors arising from the male that, most frequently, influence whether or not sexual activity will continue. With improved treatments now available to treat male sexual dysfunction and an ongoing search for greater understanding of the aetiology and management of female sexual dysfunction, in addition to improved general health, it is anticipated that the proportion of sexually active older people will increase. It is the responsibility of healthcare professionals to ensure that elderly people feel comfortable seeking help for sexual difficulties and that help is made available to all, irrespective of age and sex.

scholarly journals Psychosexual Functioning Outcome Testing after Hypospadias Repair

Healthcare ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 32 ◽  
Author(s):  
Marko Majstorovic ◽  
Marta Bizic ◽  
Dejan Nikolic ◽  
Borko Stojanovic ◽  
Marko Bencic ◽  
...  
Keyword(s):  
Sexual Activity ◽  
Sexual Desire ◽  
Sexual Functioning ◽  
Sexual Relationships ◽  
Negative Effects ◽  
Self Confidence ◽  
Long Term Follow Up ◽  
And Gender ◽  
Psychosexual Dysfunctions ◽  
Psychosexual Functioning

Self-confidence plays an important role in both genders’ sexual functioning. Lack of genital self-esteem may have negative effects on psychosexual development, especially in males, where deviations from a standardized normal penile appearance can lead to inhibitions in entering into sexual relationships. The aim of our study was to evaluate the informativeness of studied domains of the Global Sexual Functioning (GSF) questionnaire and sexual functioning of patients surgically treated in childhood for different types of hypospadias. We evaluated 63 males with hypospadias and 60 healthy age- and gender-matched controls. The GSF questionnaire was used to estimate psychosexual function as a long-term follow-up after the surgical correction of hypospadias in the patient and control groups. Sexual activity (p = 0.017), arousal (p = 0.033) and orgasmic abilities (p = 0.002) values were significantly increased in patients. Strong correlation was noticed between sexual activity and sexual desire (R = 0.872); arousal and sexual desire (R = 0.753), as well as orgasmic and erectile abilities (R = 0.769). Different domains of psychosexual functioning in the patient group correlated with each other to various degrees, resulting in a heterogeneous expression of psychosexual dysfunctions, implicating the necessity of a personalized treatment approach.

Diagnosis and Assessment of Female sexual Dysfunction(s)

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
R. Balon
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Desire ◽  
Sexual Functioning ◽  
Female Sexual Dysfunction ◽  
Clinical Interview ◽  
Sexual Dysfunctions ◽  
Sexual Distress ◽  
Gynecological Examination ◽  
Female Sexual Functioning ◽  
Distress Scale

The first challenge in diagnosing female sexual dysfunction(s) originates in our diagnostic system. The traditional model of classifying sexual dysfunction is anchored in the sexual response cycle: desire - arousal - orgasm - resolution. However, as some experts have pointed out, this classification may be problematic in the area of female sexuality. Both the diagnoses of female hypoactive sexual desire disorder (FHSDD) and female arousal disorder (FSAD) probably need to be redefined and refined. Examples include adding the lack of responsive desire to the FHSDD criteria and creating categories of subjective FSAD and genital FSAD.The second challenge in diagnosis female dysfunction is the lack of solid diagnostic instruments, diagnosis-specific laboratory assays and other specific testing. Specific measures of female sexual functioning, such as Female Sexual Functioning Index, Profile of Female Sexual Functioning, Sexual Function Questionnaire, Sexual Desire and Interest Inventory, and Female Sexual Distress Scale were mostly developed as outcome measures. No solid diagnostic instrument for sexual dysfunction exists, not even a version of the Structured Clinical Interview for DSM sexual dysfunctions. The contribution of imaging techniques, such as ultrasonography, magnetic resonance imaging or thermography, to the diagnosis is unclear, and these techniques are far (if ever) from clinical use.Thus, a detailed comprehensive clinical interview combined with physical examination, possibly a gynecological examination, and in some cases laboratory hormonal testing remains the cornerstone of diagnosing and assessing female sexual dysfunctions.

Ethics in Geriatric Research

1988 ◽  
Vol 1 (3) ◽  
pp. 235-242 ◽  
Author(s):  
Bruce M. Schechter
Keyword(s):  
Clinical Pharmacology ◽  
Informed Consent ◽  
The Elderly ◽  
Elderly Subjects ◽  
Research Subjects ◽  
Research Project ◽  
Elderly Individuals ◽  
Ethical Concerns ◽  
Age Related ◽  
Geriatric Research

As the need for more information on age-related clinical pharmacology grows, there will be an increased emphasis on research involving elderly individuals. Ethical concerns surrounding the protection of elderly research subjects is increasingly a topic of debate. The increased vulnerability of institutionalized elderly, recruitment and retention of elderly subjects, and informed consent are important issues that affect the conduct of research in this population. Investigators should be aware of the special problems associated with research in the older population and be prepared to deal with these before embarking on a research project. This article provides the pharmacy practitioner with an introduction to the basic ethical principles relating to the conduct of research involving the elderly and gives an overview of some of the important problems that may be encountered. Issues such as autonomy, competence, informed consent, proxy, and rights of privacy are outlined. Circumstances in which elderly patients are deserving of special protections when participating in a research project are discussed and potential guidelines for addressing the unique problems surrounding research in the elderly are offered.

scholarly journals Sexual desire disorder in men

2019 ◽  
pp. 33-35
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Function ◽  
Sexual Desire ◽  
Sexual Functioning ◽  
Sexual Life ◽  
Sexual Disorders ◽  
Hypoactive Sexual Desire Disorder ◽  
Multiple Factors ◽  
Sexual Dissatisfaction ◽  
Desire Disorder

Hypoactive sexual desire disorder in men may occur in the context of poor sexual functioning, secondary to sexual dysfunction or a state of sexual dissatisfaction, or may may correspond to poor functioning of the couple. Thus, these multiple factors can generate a hypoactive sexual desire issue. The disorder of desire may also mean cognitions and / or persistently or recurrently reduced(absent) sexual/ erotic fantasies. Worldwide prevalence of sexual desire disorder in men is occasionally 6% for those 8-24 years old; significantly 41% for those 66-74 years old, and persistently 1,8% for those 16-44 years old. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function. Keywords: hypoactive sexual desire disorder, s-on, therapy, testing, evaluation, sexual disorders.

Sign in / Sign up

Export Citation Format

Share Document