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Sexual dysfunction in old age

  • André Ludovic Phanjoo

The sexual behaviour of older people is more often the target of jocularity or ridicule than the subject of serious scientific research. As a consequence, relatively little is known about the sexual behaviour of the over-65s and such information as is available shows a polarisation according to gender, male sexual behaviour and dysfunction being viewed very much in the light of physical problems, whereas women's sexual behaviour revolves around attitudes towards sexuality and the psychological effects of ageing. This review will address the biological changes associated with ageing, the psychological and social concomitants, the prevalence of sexual dysfunction, its aetiological factors, and the management of common sexual problems including those found in an institutional setting.

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American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). Washington, DC: APA.
Bachmann, G. A. (1990) Sexual issues at menopause. Annals of the New York Academy of Sciences, 592, 8794.
Bachmann, G. A. & Leiblum, S. R. (1991) Sexuality in sexagenarian women. Maturitas, 13, 4350.
Barlow, D. H., Cardozo, L. D., Francis, R. M. et al (1997) Urogenital ageing and its effect on sexual health in older British women. British Journal of Obstetrics and Gynaecology, 104, 8791.
Boldrini, P., Basaglia, N. & Calanca, M. C. (1991) Sexual changes in hemiparetic patients. Archives of Physiological and Medical Rehabilitation, 72, 202207.
Brahler, E. & Unger, U. (1994) Sexual activity in advanced age in the context of gender, family status and personality aspect. Zeitschrift für Gerontologie, 27, 110115.
Bretschneider, J. D. & McCoy, N. L. (1988) Sexual interest and behaviour in healthy 80–102 year olds. Archives of Sexual Behaviour, 17, 109129.
Burgener, S. & Logan, G. (1989) Sexuality concerns of the post stroke patient. Rehabilitation Nursing, 14, 178181.
Cohen, J. S. (2000) Sildenafil and nonnitrate antihypertensive medications (letter). Journal of the American Medical Association, 283, 201202.
Eardley, I. & Sethia, K. (1998) Erectile Dysfunction. London: Mosby-Wolfe.
Ellison, J. M. (1998) Antidepressant induced sexual dysfunction. Review, classification and suggestions for treatment. Harvard Review of Psychiatry, 6, 177189.
Feldman, H. A., Goldstein, I., Hatzichristou, D. G. et al (1994) Impotence and its medical and psychological correlates: results of the Massachusetts male ageing study. Journal of Urology, 151, 5461.
Goldstein, I. & the Vasomax Study Group (1998) Efficacy and safety of oral phentolamine for the treatment of minimal erectile dysfunction. Journal of Urology, 159, abstract 919.
Gomaa, A., Shalaby, M. & Osman, M. (1996) Topical treatment of erectile dysfunction. British Medical Journal, 312, 15121515.
Gormley, G. J., Stoner, E., Bruskewitz, R. C. et al (1992) The effects of finasteride in men with benign prostatic hyperplasia. New England Journal of Medicine, 327, 11851191.
Gramegna, G., Blumel, J. E., Roncagliolo, M. E. et al (1998) Patterns of sexual behaviour in Chilean women. Revista Medica de Chile, 126, 162168.
Gray, A., Berlin, J. A., McKinlay, J. B. et al (1991) An examination of research design effects on the association of testosterone and male ageing: results of a metaanalysis. Journal of Clinical Epidemiology, 7, 671684.
Gregoire, A. & Pryor, J. (eds) (1993) Impotence: An Integrated Approach to Clinical Practice. Edinburgh: Churchill Livingstone.
Guay, A. T. (1995) Erectile dysfunction – are you prepared to discuss it? Postgraduate Medicine, 97, 127143.
Haddad, P. M. & Benbow, S. M. (1993) Sexual problems associated with dementia. International Journal of Geriatric Psychiatry, 8, 547551; 631–637.
Hawton, K. (1985) Sex Therapy: A Practical Guide. Oxford: Oxford University Press.
Helgason, H. R., Adolfsson, J., Dickman, P. et al (1996) Sexual desire, erection, orgasm and ejaculatory functions and their importance to elderly Swedish men: a population-based study. Age and Ageing, 25, 285291.
Kloner, R. A. & Siegel, R. (2000) Sildenafil and nonnitrate antihypertensive medications: Editorial reply. Journal of the American Medical Association, 283, 202.
Laumann, E. O., Paik, A. & Rosen, R. C. (1999) Sexual dysfunction in the USA: prevalence and predictors. Journal of the American Medical Association, 281, 537544.
Le Roux, P. J. & Naude, J. H. (1999) Topical vasoactive cream in the treatment of erectile failure: a prospective, randomised, placebo-controlled trial. British Journal of Urology, 83, 810811.
Malatesta, V. J., Chambless, D. L., Pollack, M. et al (1988) Widowhood, sexuality and ageing: a life span analysis. Journal of Sex and Marital Therapy, 14, 4962.
Morley, J. E., Perry, H. M. & Kaiser, F. E. (1993) Effects of testosterone replacement in old hypogonadal males: a preliminary study. Journal of the American Geriatrics Society, 41, 149152.
O'Keefe, M. & Hunt, D. K. (1995) Assessment and treatment of impotence. Medical Clinics of North America, 79, 414435.
Padma-Nathan, H., Hellstrom, W. & Kaiser, F. E. (1997) Treatment of men with erectile dysfunction with transurethral Alprostadil. New England Journal of Medicine, 336, 17.
Patel, A. G., Mukherji, K. & Lee, A. (1996) Priapism associated with psychotropic drugs. British Journal of Hospital Medicine, 55, 315319.
Paunonen, M. & Hagmann-Laitila, A. (1990) Sexuality and the satisfaction of sexual needs: a study on the attitudes of aged nursing home clients. Scandinavian Journal of Caring Sciences, 4, 163168.
Rosen, R. C., Philips, N. A., Gendrano, N. C. et al (1999) Oral phentolamine and female sexual arousal disorder: a pilot study. Journal of Sex and Marital Therapy, 25, 137144.
Schiavi, R. C., White, D. & Mandeli, J. (1997) Effects of testosterone adminstration on sexual behaviour and mood in men with erectile dysfunction. Archives of Sexual Behavior, 26, 231241.
Seidman, N. J. & Walsh, B. T. (1999) Testosterone and depression in ageing men. American Journal of Geriatric Psychiatry, 7, 1833.
Strassberg, D. S., De Gouveia Brazao, C.A., Rowland, D. L. et al (1999) Clomipramine in the treatment of rapid ejaculation. Journal of Sex and Marital Therapy, 25, 89101.
Thorpe, A. C., Cleary, R., Coles, J. et al (1994) Written consent about sexual function in men undergoing transurethral prostatectomy. British Journal of Urology, 74, 479484.
Wagner, G. & Jensen, S. B. (1981) Alcohol and erectile failure. In Impotence. Physiological, Psychological, Surgical Diagnosis and Treatment (eds Wagner, G. & Green, R.) New York: Plenum.
Warner, M. D., Peabody, C. A., Whiteford, H. A. et al (1987) Trazodone and priapism. Journal of Clinical Psychiatry, 48, 244245.
Weizman, R. & Hart, J. (1987) Sexual behaviour in healthy married elderly men. Archives of Sexual Behavior, 16, 3944.
White, C. B. & Catania, J. A. (1982) Psychoeducational intervention for sexuality with the aged, family of the aged, and people who are working with the aged. International Journal of Aging and Human Development, 15, 121138.
Witherington, R. (1989) Vacuum constriction device for management of erectile impotence. Journal of Urology, 141, 320322.
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BJPsych Advances
  • ISSN: 1355-5146
  • EISSN: 1472-1481
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Sexual dysfunction in old age

  • André Ludovic Phanjoo
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