Factors affecting sexuality of elderly people and sexual dysfunctions
DOI:
https://doi.org/10.12775/JEHS.2022.12.07.008Keywords
sexual activity, elderly people, sexual dysfunctionAbstract
Introduction: Sexuality of elderly people is often an omitted topic. There isn’t a compact definition of sexuality of seniors. The available data shows that there are many factors influencing sexual activity in later life. There are also specific changes which contribute sexual dysfunctions.
Purpose: The aim of present is to investigate what factors are related with decreased sexual activity of seniors, biological basis of sexual dysfunctions and how many elderly people it affects.
Materials and methods: There were analyzed publications from 2007 to 2022 from PubMed and Google Scholar using phrases: older adults, elderly people, sexuality of elderly people, factors influencing sexuality, sexual dysfunctions.
The state of knowledge: Almost half of people above 60 years old are sexually active. There are factors like low availability of partner, stereotypes, chronic diseases and treatments that contribute worse quality of sexual life. There are reports that communication between doctor and patient on the topic of sexuality is not sufficient, even more positive attitudes towards sexuality of seniors. Biological changes like lower hormone levels in women as well as in men contribute sexual dysfunctions. There are almost one in five women above 57 years old who feel pain during intercourse and there are about 43% of men above 65 with erectile problems. The awareness of sexual dysfunctions could make it easier to treat them.
Conclusions: It is essential to pay attention to psychological, social, cultural and attitudes of health professionals towards sexuality of elderly people to diagnose sexual dysfunctions. Understanding biological basis of sexual dysfunction can facilitate matching appropriate treatment. Education can improve seniors’s quality of life and sexual functions.
References
Smith L, Yang L, Veronese N, Soysal P, Stubbs B, Jackson SE. Sexual Activity is Associated with Greater Enjoyment of Life in Older Adults. Sex Med [Internet]. 2019 Mar 1 [cited 2022 Mar 12];7(1):11. Available from: /labs/pmc/articles/PMC6377384/
WHO | Gender and human rights. WHO. 2014;
Macleod A, McCabe MP. Defining sexuality in later life: A systematic review. Australas J Ageing [Internet]. 2020 Jun 1 [cited 2021 Nov 19];39(S1):6–15. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/ajag.12741
Stentagg M, Skär L, Berglund JS, Lindberg T. Cross-Sectional Study of Sexual Activity and Satisfaction Among Older Adult’s ≥60 Years of Age. Sex Med [Internet]. 2021 Apr 1 [cited 2021 Nov 19];9(2). Available from: /labs/pmc/articles/PMC8072140/
Kalra G, Subramanyam A, Pinto C. Sexuality: Desire, activity and intimacy in the elderly. Indian J Psychiatry [Internet]. 2011 Oct [cited 2021 Nov 19];53(4):300. Available from: /labs/pmc/articles/PMC3267340/
Erens B, Mitchell KR, Gibson L, Datta J, Lewis R, Field N, et al. Health status, sexual activity and satisfaction among older people in Britain: A mixed methods study. PLoS One [Internet]. 2019 Mar 1 [cited 2021 Nov 20];14(3). Available from: /labs/pmc/articles/PMC6436725/
Freak-Poli R. It’s not age that prevents sexual activity later in life. Australas J Ageing. 2020 Jun 1;39(S1):22–9.
Ricoy-Cano AJ, Obrero-Gaitán E, Caravaca-Sánchez F, De La Fuente-Robles YM. Factors Conditioning Sexual Behavior in Older Adults: A Systematic Review of Qualitative Studies. J Clin Med [Internet]. 2020 Jun 1 [cited 2022 Mar 12];9(6):1–17. Available from: /labs/pmc/articles/PMC7356633/
Hormonal and Metabolic Changes of Aging and the Influence of Lifestyle Modifications - PMC [Internet]. [cited 2022 Mar 21]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8020896/
Chen L, Shi G rui, Huang D dan, Li Y, Ma C chao, Shi M, et al. Male sexual dysfunction: A review of literature on its pathological mechanisms, potential risk factors, and herbal drug intervention. Biomed Pharmacother. 2019 Apr 1;112:108585.
Mac Bride MB, Rhodes DJ, Shuster LT. Vulvovaginal Atrophy. Mayo Clin Proc [Internet]. 2010 [cited 2022 Mar 21];85(1):87. Available from: /pmc/articles/PMC2800285/
Weinberger JM, Houman J, Caron AT, Anger J. Female Sexual Dysfunction: A Systematic Review of Outcomes Across Various Treatment Modalities. Sex Med Rev [Internet]. 2019 Apr 1 [cited 2022 Mar 21];7(2):223–50. Available from: https://pubmed.ncbi.nlm.nih.gov/29402732/
Merghati-Khoei E, Pirak A, Yazdkhasti M, Rezasoltani P. Sexuality and elderly with chronic diseases: A review of the existing literature. J Res Med Sci [Internet]. 2016 [cited 2022 Jan 9];21(9). Available from: /labs/pmc/articles/PMC5348839/
Buch-Vicente B, Acosta JM, Martín-Oterino JA, Prieto N, Sánchez-Sánchez ME, Galindo-Villardón P, et al. Frequency of Iatrogenic Sexual Dysfunction Associated with Antihypertensive Compounds. J Clin Med [Internet]. 2021 Nov 1 [cited 2022 Mar 21];10(22). Available from: https://pubmed.ncbi.nlm.nih.gov/34830496/
Cismaru-Inescu A, Hahaut B, Adam S, Nobels A, Beaulieu M, Vandeviver C, et al. Sexual Activity and Physical Tenderness in Older Adults: Prevalence and Associated Characteristics From a Belgian Study. J Sex Med [Internet]. 2022 Feb [cited 2022 Mar 21]; Available from: https://pubmed.ncbi.nlm.nih.gov/35236640/
Gore-Gorszewska G. “Why not ask the doctor?” Barriers in help-seeking for sexual problems among older adults in Poland. Int J Public Health [Internet]. 2020 Nov 1 [cited 2022 Mar 21];65(8):1507–15. Available from: https://pubmed.ncbi.nlm.nih.gov/32886141/
Gewirtz-Meydan A, Levkovich I, Mock M, Gur U, Karkabi K, Ayalon L. Sex for seniors: how physicians discuss older adult’s sexuality. Isr J Health Policy Res [Internet]. 2020 Feb 21 [cited 2022 Mar 21];9(1). Available from: /pmc/articles/PMC7033943/
Ginter E, Simko V. Women live longer than men. Bratisl Lek Listy [Internet]. 2013 [cited 2022 Mar 25];114(2):45–9. Available from: https://pubmed.ncbi.nlm.nih.gov/23331196/
Karraker A, DeLamater J, Schwartz CR. Sexual Frequency Decline From Midlife to Later Life. Journals Gerontol Ser B Psychol Sci Soc Sci [Internet]. 2011 [cited 2022 Mar 25];66B(4):502. Available from: /pmc/articles/PMC3132270/
McFarland MJ, Uecker JE, Regnerus MD. The Role of Religion in Shaping Sexual Frequency and Satisfaction: Evidence from Married and Unmarried Older Adults. J Sex Res [Internet]. 2011 Mar [cited 2022 Mar 25];48(2–3):297. Available from: /pmc/articles/PMC3119480/
Jamali S, Rahmanian A, Javadpour S. Examining the sexual function and related attitudes among aged women: A cross- sectional study. Int J Reprod Biomed [Internet]. 2016 Jan 1 [cited 2022 Mar 26];14(1):29. Available from: /pmc/articles/PMC4837921/
Fischer N, Graham CA, Træen B, Hald GM. Prevalence of Masturbation and Associated Factors Among Older Adults in Four European Countries. Arch Sex Behav [Internet]. 2022 Apr 1 [cited 2022 Mar 26];51(3):1385. Available from: /pmc/articles/PMC8917107/
Bauer M, Haesler E, Fetherstonhaugh D. Let’s talk about sex: older people’s views on the recognition of sexuality and sexual health in the health‐care setting. Health Expect [Internet]. 2016 Dec 1 [cited 2022 Mar 25];19(6):1237. Available from: /pmc/articles/PMC6456814/
Cybulski M, Cybulski L, Krajewska-Kulak E, Orzechowska M, Cwalina U, Jasinski M. Sexual quality of life, sexual knowledge, and attitudes of older adults on the example of inhabitants over 60s of Bialystok, Poland. Front Psychol. 2018 Apr 11;9(APR):483.
Mollaioli D, Ciocca G, Limoncin E, Di Sante S, Gravina GL, Carosa E, et al. Lifestyles and sexuality in men and women: the gender perspective in sexual medicine. Reprod Biol Endocrinol [Internet]. 2020 Feb 17 [cited 2022 Mar 27];18(1). Available from: /pmc/articles/PMC7025405/
Lindau ST, Tang H, Gomero A, Vable A, Huang ES, Drum ML, et al. Sexuality Among Middle-Aged and Older Adults With Diagnosed and Undiagnosed Diabetes: A national, population-based study. Diabetes Care [Internet]. 2010 Oct [cited 2022 Mar 27];33(10):2202. Available from: /pmc/articles/PMC2945161/lindau
Slack P, Aziz VM. Sexuality and sexual dysfunctions in older people: a forgotten problem. BJPsych Adv [Internet]. 2020 May [cited 2022 Mar 27];26(3):173–82. Available from: https://www.cambridge.org/core/journals/bjpsych-advances/article/sexuality-and-sexual-dysfunctions-in-older-people-a-forgotten-problem/07AE84BDD4687B978D03D77BE8B33923
Santa Rosa Malcher CM, Roberto da Silva Gonçalves Oliveira K, Fernandes Caldato MC, Lopes dos Santos Lobato B, da Silva Pedroso J, de Tubino Scanavino M. Sexual Disorders and Quality of Life in Parkinson’s Disease. Sex Med [Internet]. 2021 Feb 1 [cited 2022 Mar 27];9(1):100280. Available from: /pmc/articles/PMC7930860/
Lethaby A, Ayeleke RO, Roberts H. Local oestrogen for vaginal atrophy in postmenopausal women. Cochrane Database Syst Rev [Internet]. 2016 Aug 31 [cited 2022 Mar 29];2016(8). Available from: /pmc/articles/PMC7076628/
Lindau ST, Schumm LP, Laumann EO, Levinson W, O’Muircheartaigh CA, Waite LJ. A Study of Sexuality and Health among Older Adults in the United States. N Engl J Med [Internet]. 2007 Aug 23 [cited 2022 Mar 29];357(8):762. Available from: /pmc/articles/PMC2426743/
Minkin MJ, Maamari R, Reiter S. Postmenopausal vaginal atrophy: evaluation of treatment with 2010local estrogen therapy. Int J Womens Health [Internet]. 2014 Mar 12 [cited 2022 Mar 29];6(1):281–8. Available from: https://pubmed.ncbi.nlm.nih.gov/24648772/
Flores SA, Hall CA. Atrophic Vaginitis. StatPearls [Internet]. 2021 Nov 5 [cited 2022 Mar 29]; Available from: https://www.ncbi.nlm.nih.gov/books/NBK564341/
Shen J, Song N, Williams CJ, Brown CJ, Yan Z, Xu C, et al. Effects of low dose estrogen therapy on the vaginal microbiomes of women with atrophic vaginitis. Sci Rep [Internet]. 2016 Apr 22 [cited 2022 Mar 29];6(7). Available from: /pmc/articles/PMC4840317/
Domoney C. Treatment of Vaginal Atrophy: http://dx.doi.org/102217/WHE149 [Internet]. 2014 Mar 1 [cited 2022 Mar 29];10(2):191–200. Available from: https://journals.sagepub.com/doi/10.2217/whe.14.9?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmed
Kao A, Binik YM, Kapuscinski A, Khalifé S. Dyspareunia in postmenopausal women: A critical review. Pain Res Manag J Can Pain Soc [Internet]. 2008 [cited 2022 Mar 29];13(3):243. Available from: /pmc/articles/PMC2671314/
Tayyeb M, Gupta V. Dyspareunia. StatPearls [Internet]. 2021 Nov 20 [cited 2022 Mar 29]; Available from: https://www.ncbi.nlm.nih.gov/books/NBK562159/
Lamvu G, Alappattu M, Witzeman K, Bishop M, Robinson M, Rapkin A. Patterns in Vulvodynia Treatments and 6-Month Outcomes for Women Enrolled in the National Vulvodynia Registry—An Exploratory Prospective Study. J Sex Med [Internet]. 2018 May 1 [cited 2022 Mar 29];15(5):705. Available from: /pmc/articles/PMC6613576/
Mandal D, Nunns D, Byrne M, McLelland J, Rani R, Cullimore J, et al. Guidelines for the management of vulvodynia. Br J Dermatol. 2010 Jun;162(6):1180–5.
Nekoolaltak M, Keshavarz Z, Simbar M, Nazari AM, Baghestani AR. Women’s orgasm obstacles: A qualitative study. Int J Reprod Biomed [Internet]. 2017 Aug 1 [cited 2022 Mar 29];15(8):479. Available from: /pmc/articles/PMC5653909/
Kuhle CL, Zhang X, Kapoor E. Misconceptions About Sexual Health in Older Women: Why We Need to Talk About It. Mayo Clin Proc [Internet]. 2021 Apr 1 [cited 2022 Mar 29];96(4):866–9. Available from: http://www.mayoclinicproceedings.org/article/S0025619620311277/fulltext
Syme ML, Cohn TJ. Examining aging sexual stigma attitudes among adults by gender, age, and generational status. Aging Ment Health [Internet]. 2016 Jan 2 [cited 2022 Mar 30];20(1):36. Available from: /pmc/articles/PMC4805428/
Smith ML, Bergeron CD, Goltz HH, Coffey T, Boolani A. Sexually Transmitted Infection Knowledge among Older Adults: Psychometrics and Test–Retest Reliability. Int J Environ Res Public Health [Internet]. 2020 Apr 1 [cited 2022 Apr 2];17(7). Available from: /pmc/articles/PMC7177870/
DeLay KJ, Haney N, Hellstrom WJ. Modifying Risk Factors in the Management of Erectile Dysfunction: A Review. World J Mens Health [Internet]. 2016 [cited 2022 Apr 2];34(2):89. Available from: /pmc/articles/PMC4999494/
Kouidrat Y, Pizzol D, Cosco T, Thompson T, Carnaghi M, Bertoldo A, et al. High prevalence of erectile dysfunction in diabetes: a systematic review and meta-analysis of 145 studies. Diabet Med [Internet]. 2017 Sep 1 [cited 2022 Apr 2];34(9):1185–92. Available from: https://pubmed.ncbi.nlm.nih.gov/28722225/
Patel JP, Lee EH, Mena CI, Walker CN. Effects of metformin on endothelial health and erectile dysfunction. Transl Androl Urol [Internet]. 2017 Jun 1 [cited 2022 Apr 2];6(3):556. Available from: /pmc/articles/PMC5503973/
Jackson SE, Firth J, Veronese N, Stubbs B, Koyanagi A, Yang L, et al. Decline in sexuality and wellbeing in older adults: A population-based study. J Affect Disord. 2019 Feb 15;245:912–7.
Jing E, Straw-Wilson K. Sexual dysfunction in selective serotonin reuptake inhibitors (SSRIs) and potential solutions: A narrative literature review. Ment Heal Clin [Internet]. 2016 Jul 1 [cited 2022 Apr 2];6(4):191. Available from: /pmc/articles/PMC6007725/
Gareri P, Castagna A, Francomano D, Cerminara G, De Fazio P. Erectile Dysfunction in the Elderly: An Old Widespread Issue with Novel Treatment Perspectives. Int J Endocrinol [Internet]. 2014 [cited 2022 Apr 2];2014. Available from: /pmc/articles/PMC3976909/
Surampudi PN, Wang C, Swerdloff R. Hypogonadism in the Aging Male Diagnosis, Potential Benefits, and Risks of Testosterone Replacement Therapy. Int J Endocrinol [Internet]. 2012 [cited 2022 Apr 10];2012:20. Available from: /pmc/articles/PMC3312212/
Chung E. Sexuality in Ageing Male: Review of Pathophysiology and Treatment Strategies for Various Male Sexual Dysfunctions. Med Sci [Internet]. 2019 Sep 20 [cited 2022 Apr 2];7(10):98. Available from: /pmc/articles/PMC6835548/
Rew KT, Heidelbaugh JJ. Erectile Dysfunction. 2016 [cited 2022 Apr 10];94. Available from: http://www.choosingwisely.org.
Bacon CG, Mittleman MA, Kawachi I, Giovannucci E, Glasser DB, Rimm EB. Sexual Function in Men Older Than 50 Years of Age: Results from the Health Professionals Follow-up Study. Ann Intern Med. 2003 Aug 5;139(3).
Wagle KC, Carrejo MH, Tan RS. The Implications of Increasing Age on Erectile Dysfunction. Am J Mens Health [Internet]. 2012 Jul 7 [cited 2022 Apr 10];6(4):273–9. Available from: https://journals.sagepub.com/doi/10.1177/1557988311431629?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmed
Gökçe Mİ, Yaman Ö. Erectile dysfunction in the elderly male. Turkish J Urol [Internet]. 2017 Sep 1 [cited 2022 Apr 10];43(3):247. Available from: /pmc/articles/PMC5562240/
Hackett G. The burden and extent of comorbid conditions in patients with erectile dysfunction. Int J Clin Pract [Internet]. 2009 Aug 1 [cited 2022 Apr 10];63(8):1205–13. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1742-1241.2009.02088.x
Alwaal A, Breyer BN, Lue TF. Normal male sexual function: emphasis on orgasm and ejaculation. Fertil Steril [Internet]. 2015 Nov 1 [cited 2022 Apr 20];104(5):1051. Available from: /pmc/articles/PMC4896089/
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