Discuss normal age-related changes in sexual responding

Question

What will be an ideal response?

Answer 1

- Although sexual activity can continue well into one's 90s and beyond, the aging process does have some predictable effects on sexual responding. In general, the response cycle, as described by Masters and Johnson, slows down. The stages of response take longer, the intensity of sensation may be reduced, and the genitals may become somewhat less sensitive. Although sexual excitement and orgasm may be slightly subdued, they are no less pleasurable. Indeed, for many people, the later years can offer a rich sex life without the worry of pregnancy and the inconvenience of contraception. However, it is important to remember that the risk of acquiring HIV and other STIs does not disappear with age.
- In older women, menopause results in drops in estrogen and progesterone, causing physiological changes that affect sexual function. These hormone-related changes include thinning of the vaginal lining, reduced elasticity of the vagina, and decreased lubrication, sometimes resulting in discomfort or pain during intercourse. Urinary incontinence may also occur (because of reduced estrogen), as well as loss of libido (because of reduced testosterone). All of these changes are reversible and treatable if they are interfering with enjoyment of sexual activities.
- In men, the time to achieve erection increases, and the period of time between orgasms lengthens. Most men as they age require more direct stimulation of the penis for erection, whereas at younger ages, mere visual or fantasy images were sufficient.