Tag: Seniors & Elders

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Low sexual desire, related distress not uncommon in older women

By Kathryn Doyle

senior intimacy

[J]ust because social attitudes toward sex at older ages are more positive than in the past doesn’t mean all older women have positive feelings about sex, according to a new Australian study.

Researchers found that nearly 90 percent of women over 70 in the study had low sexual desire and a much smaller proportion were distressed about it. The combination of low desire and related distress is known as hypoactive sexual desire dysfunction (HSDD) and nearly 14 percent of women had it.

Older people are increasingly remaining sexually active and sexual wellbeing is important to them, said senior author Susan R. Davis of Monash University in Melbourne.

“This is probably because people for this age are healthier now than people of this age in past decades,” Davis told Reuters Health by email.

A random national sample of women ages 65 to 79 was contacted by phone and invited to take part in a women’s health study. Those who agreed received questionnaires asking about demographic data, partner status and health history, including menopausal symptoms, vaginal dryness, pelvic floor dysfunction, depression symptoms, sexual activity and sexual distress.

Of the 1,548 women who completed and returned the questionnaires, about half were married or partnered, 43 percent had pelvic surgery and 26 percent had cancer of some kind. About a third had menopausal symptoms and one in five had vaginal dryness during intercourse.

In the entire sample, 88 percent reported having low sexual desire, 15.5 percent had sex-related personal distress, and women with both, who qualified for HSDD, made up 13.6 percent of the group, as reported in Menopause.

That’s lower than has been reported for this age group in the past, and similar to how many women report HSDD at midlife, Davis noted.

“Considering how conservative women of this age are, we were surprised that over 85 percent of the women completed all the questions on desire and sexual distress so we could actually assess this on most of the study participants,” Davis said.

Vaginal dryness, pelvic floor dysfunction, moderate to severe depressive symptoms and having a partner were all associated with a higher likelihood of HSDD. Sexually active women, partnered or not, more often had HSDD than others.

“We would never label women with low/diminished sex drive as having HSDD,” Davis said. “In our study 88 percent had low desire and only 13.6 percent had HSDD, this is because low desire is not an issue if you are not bothered by it.”

Vaginal dryness, associated with HSDD in this study, can easily treated by low dose vaginal estrogen which is effective and safe, she said.

HSDD was also associated with urinary incontinence, depressive symptoms and hot flashes and sweats, she said.

“Even talking about the problem with a health care professional who is interested and sympathetic is a good start,” Davis said. “Conversely health care professionals need to realize that many older women remain sexually active and do care about this issue.”

Complete Article HERE!

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New resource to inform staff and aged care residents’ families on sexuality

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Sex remains important for many people living in aged care, but a challenge for staff and residents’ family members, writes Michael Bauer, who introduces a new guide to assist.

Sexuality is linked to wellbeing and quality of life and the need for affection, looking and feeling attractive, as well as intimacy, and sex can remain important for many people living in aged care facilities.

Growing old is not a limitation on the expression of sexuality or sexual desire and the above needs do not necessarily change because someone has dementia.

Residents’ sexuality can nevertheless often be a challenge for aged care facilities and staff as well as residents’ family members who may find it an awkward and difficult topic to openly discuss.

It can come as a surprise to some family and staff members alike, to learn that a resident still has sexual needs and this can evoke a range of responses from acceptance through to disbelief, or even disgust.

Children can find it difficult to understand and accept that their parent living in an aged care facility still has sexual desires and furthermore wants to fulfil them, particularly if they have dementia.

It can be equally upsetting for families and partners to learn that their loved one wants to spend time with someone else living in the facility. Families may struggle to understand and make sense of what is happening and why, particularly if the person is unable to verbally express their needs.

Sometimes behaviour may seem very out of character for the person. There may be a changed interest in sex, or a change in sexual inhibitions, all of which can cause concern or embarrassment for the family or partner.

To help the families of people living in residential aged care be more informed about sexuality, researchers from the Australian Centre for Evidence Based Aged Care at La Trobe University have developed the resource Sexuality and people in residential aged care facilities: A guide for partners and families.

The guide has undergone extensive consumer consultation and aims to assist family members and partners of people living in aged care facilities understand about sexuality, including for people living with dementia.

Issues covered include:

  • the importance of sexuality in old age
  • sexuality and living in an aged care facility
  • sexuality and dementia
  • sexual behaviours and their impact
  • how a facility can be supportive of the expression of sexuality

The guide can also be a useful resource for facility staff who need information on this topic. Initially developed in English this resource is soon to be translated into other languages.

A copy will soon be sent to all Australian residential care facilities, and it can be downloaded for free from the DementiaKT hub or here.

Funding for the project was obtained from the Dementia Collaborative Research Centres (DCRC) 3 – Carers and Consumers as part of the Australian Government’s Dementia Initiative.

Complete Article HERE!