The nurse is teaching sexuality to a group of older adults. Which of the following comments by a participant reflects that he or she has an understanding of the changes in sexuality that occur with aging?
a. "So sexual intercourse will be more painful for my wife, and we should have sex less frequently?"
b. "We have recently seen the need to begin using a lubricant. That's because we make love less often."
c. "Fatigue affects the frequency of our lovemaking, but we still regard sexuality as important."
d. "It's natural not to have sex anymore. People our age shouldn't still have those feelings."
C
The majority of people can stay sexually active in late life and regard sexual activity as important to their overall well-being and quality of life.
Decreased levels of estrogen may lead to diminished vaginal lubrication and decreased vaginal elasticity, making intercourse more painful. The couple should not be advised to have sex less frequently, but rather to use a vaginal lubricant and allow more time for caressing.
The need to use a lubricant is not due to having sex less often, but rather is due to decreasing levels of estrogen in the woman.
The statement that "It's natural not to have sex anymore. People our age shouldn't still have those feelings" is not true. Sexual feelings in older adulthood are normal. Sexuality and contin-ued interest in sex throughout late life generally reflects normal life patterns.
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