In North America sex is generally regarded as something for the young healthy and attractive people. Thinking of an elderly couple engaging in sexual relations usually provoke discomfort in young adults who think the elderly are too old and incapable. Despite these cultural myths, the psychological need for intimacy, excitement, and pleasure does not disappear in old age. There is also nothing in the biology of aging that automatically shuts down sexual function.
Female aging
Aging alone does not diminish female sexual interest or the potential of the woman to be sexually responsive if she is in good health. Specific physiological changes do occur in the sexual response cycle of postmenopausal women but the changes do not appear abruptly or in exactly the same fashion in each woman.
Male aging
The normal pattern of reproductive aging in men is different from that in women because there is no end to male fertility. Although sperm production slows down after age 40, it continues into the eighties and nineties. Similarly, while testosterone production declines gradually from age 55 or 60 onward, there is usually no major drop in sex hormone levels in men as there is in women.
Sexology research shows that about 5% of men over 60 experience a condition called the male climacteric, which resembles the female menopause in some ways. (Using the term "male menopause" to describe the male climacteric is incorrect since men do not have menstrual periods.) The male climacteric is marked by some or all of the following features: weakness, tiredness, poor appetite, decreased sexual desire, reduced or loss of virility, irritability, and impaired ability to concentrate. These changes occur because of low testosterone production which can be reversed or improved with medical help. It should be stressed that most men do not have this condition as they age. The physiology of male sexual response is affected by aging in a number of ways.
In North America, our cultural attitudes about sex and romance in the geriatric years is a reflection of an attitude called ageism, a prejudice against people because they are old, that is similar to the more familiar prejudices of racism and sexism. According to sexologists, "ageism sees older people in sterotypes being rigid, boring, talkative, senile, old-fashioned in morality, lacking in skills, useless, and little social value. Ageism in relation to sexuality is the ultimate form of desexualization: "if you are getting old, you're finished."
Facts about human sexuality
1. Young adults are more sexually active today than they were two or three decades ago, although there has been a general trend toward marriage at a later age. This has been accompanied by the relative disappearance of the double standard regarding premarital sexual experience and a marked upsurge in the number of cohabiting couples.
2. Young adults are not completely free of sexual problems despite this shift in attitudes and behaviour. Sexual dysfunctions and low sexual desire are common, sexual pressures abound, and there are signs of a growing disillusionment with casual sex.
3. Marriage tends to complicate sexual behaviour in some ways (while simplifying it in others) and requires an integration of sex with other aspects of life. However, the climbing divorce rate in our society, with divorces occurring primarily among young adults, suggests that marriage is no longer regarded as a life-long commitment. And while most divorced people remarry, they often find problems in their second marriage that are similar to those they had experienced before.
4. Middle adulthood is often initiated by a midlife crisis in which the male is particularly vulnerable in sexual terms. In some cases, the female's midlife crisis may coincide with her children leaving home and the onset of menopause. But for other women, mid-adulthood is a time of sexual self-discovery.
5. Although many psychological problems have been attributed to the menopause, current research
finds no evidence of an increased rate of emotional problems in the postmenopausal years.
6.About 5 percent of men over 40 have a male climacteric, marked by symptoms such as decreased sexual desire, weakness, tiredness, and poor appetite. This condition is the result of a testosterone deficiency that can be corrected.
7. In late adulthood, there are a number of biological changes in the sexual response cycle of both sexes. However, these changes do not generally prevent sexual functioning.
8. Sexuality in late adulthood is profoundly influenced by ageism and other cultural stereotypes that deny normal sexual feelings and capacities at this stage of the life cycle. While health problems and lack of a partner may complicate sexual functioning, there is no inherent reason why most elderly persons must stop enjoying sexual relations.
Facts about human sexuality
1. Young adults are more sexually active today than they were two or three decades ago, although there has been a general trend toward marriage at a later age. This has been accompanied by the relative disappearance of the double standard regarding premarital sexual experience and a marked upsurge in the number of cohabiting couples.
2. Young adults are not completely free of sexual problems despite this shift in attitudes and behaviour. Sexual dysfunctions and low sexual desire are common, sexual pressures abound, and there are signs of a growing disillusionment with casual sex.
3. Marriage tends to complicate sexual behaviour in some ways (while simplifying it in others) and requires an integration of sex with other aspects of life. However, the climbing divorce rate in our society, with divorces occurring primarily among young adults, suggests that marriage is no longer regarded as a life-long commitment. And while most divorced people remarry, they often find problems in their second marriage that are similar to those they had experienced before.
4. Middle adulthood is often initiated by a midlife crisis in which the male is particularly vulnerable in sexual terms. In some cases, the female's midlife crisis may coincide with her children leaving home and the onset of menopause. But for other women, mid-adulthood is a time of sexual self-discovery.
5. Although many psychological problems have been attributed to the menopause, current research
finds no evidence of an increased rate of emotional problems in the postmenopausal years.
6.About 5 percent of men over 40 have a male climacteric, marked by symptoms such as decreased sexual desire, weakness, tiredness, and poor appetite. This condition is the result of a testosterone deficiency that can be corrected.
7. In late adulthood, there are a number of biological changes in the sexual response cycle of both sexes. However, these changes do not generally prevent sexual functioning.
8. Sexuality in late adulthood is profoundly influenced by ageism and other cultural stereotypes that deny normal sexual feelings and capacities at this stage of the life cycle. While health problems and lack of a partner may complicate sexual functioning, there is no inherent reason why most elderly persons must stop enjoying sexual relations.
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