Sexuality in Later Life:

Health problems, Emotional concerns and psychosocial factors

SEXUALITY and health problems: Although the incidence of erectile dysfunction increases in old age, this is primarily related to the increased rate of health problems, rather than old age per se. numerous endocrine, vascular, and neurological disorders may interfere in sexual function, as may many forms of medication and surgery. These health factors are more prevalent in older people and hence it is perhaps not surprising to find an increase in biologically caused sexual problems in the elderly. Drugs that affect the autonomous nervous system may interfere with sexual function. Many medications that older people use, such as  antidepressants, tranquilizers, and certain high blood pressure drugs etc. can adversely affect erectile function and libido. Some drugs can make it difficult for men to ejaculate; some drugs reduce a woman's sexual desire. (Women’s lack of sexual desire (Female sexual disorders) can also be treated now with few therapies.)  

SEXUALITY and emotional concerns: Sexuality is often a delicate balance of emotional and physical issues. If you are too worried about impotence, you can create enough stress to cause it. Older couples may have the same problems that affect people of any age. But they may also have the added concerns of age, retirement and other lifestyle changes, and illness. These problems can cause sexual difficulties. Older adults experience sexual problems and concerns that aren’t that different from young people, however biological and psychological factors may need to be looked more closely.  

SEXUALITY and psychosocial factors: Other psychosocial factors which affect the sexual functioning of older people:

(A) Negative attitudes toward sex learned at a young age may seriously impair the ability to enjoy sex in later life. 

(B) Many older couples have to deal with problems of "sameness" and boredom with their long-term relationship, which may adversely affect the sexual relationship. 

(C) A loveless relationship or marriage in the middle years can undermine a sexual experience or relationship when a later opportunity arises. 

(D) Religious sanctions that restrict sex to the purposes of reproduction and ignore the importance of intimacy, love, and sexual pleasure for well-being deny important human needs.