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Elders' Sex Problems: Not Just Aging

Researchers Say Sexual Problems Linked to Emotional and Physical Health
WebMD Health News
Reviewed by Louise Chang, MD

Aug. 13, 2008 -- Sexual problems as we get older may not be a part of the natural aging process but instead may be related to stressors like our emotional and physical health, a new study shows.

Researchers looked at original interviews with 1,550 women and 1,455 men aged 57 to 85 as part of the National Social Life, Health and Aging Project (NSHAP).

The interviews were done face-to-face in the elders' homes between July 2005 and March 2006. Participants were asked about their sexual activity in the previous year.

Among those seniors who said they had been sexually active in the past year, about half of them also reported at least one "bothersome" sexual problem.

Study authors, led by Edward Laumann, PhD, write that there is little known about the problems plaguing elders having sex.

In defining sexual problems, the researchers included these issues:

  • No interest or a diminished interest in having sex
  • Trouble getting and keeping an erection
  • Vaginal dryness or a lack of lubrication
  • Not being able to orgasm or reaching climax too early
  • Having pain during sex
  • Feeling no pleasure during sex
  • Being anxious about sexual performance

Respondents were asked how much the problems bothered them.

Researchers also looked at age, ethnicity, whether the person was married, divorced, widowed, or never married, and how much education they had.

Three sets of risk factors for sex problems were looked at:

  • Physical health
  • Mental health (like depression, anxiety, or stress)
  • Relationship experiences (for example, how happy people were in their relationship)

Sexual Problems for Men and Women

The research suggests that women may be more likely than men to have problems with sex because of a health issue such as urinary tract problems or history of sexually transmitted disease (STD).

Researchers found that one of the biggest mental health issues for both women and men was anxiety.

Men reported their biggest sexual problem was not being able to keep and maintain an erection -- something that was also related to urinary tract syndrome.

Men who were widowed or never married said they experienced a much lower lack of pleasure during sex than married men.

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