Published online by Cambridge University Press: 14 November 2008
Ageing itself abolishes neither the need nor the capacity for sexual activity. A number of studies confirm the continuance of sexual activity in old age. Normal physiological changes with age affect erectile function and ejaculation in males, and the vaginal tissue in females. Psychological and social factors that affect sexual function in old age include the individual's degree of sexual activity throughout earlier life, the psychological resiliency in adapting to the altered physiological conditions, demographic factors, and society's attitudes towards sex in old age. Furthermore, pathologies that are more prevalent among the elderly can interfere with sexual function.
1 Freud, S., ‘Three essays on the theory of sexuality (1905)’. In The Complete Psychological Works of Sigmund Freud, vol. VII. Hogarth Press, London, 1953.Google Scholar
2 Kinsey, A. C., Pomeroy, W. B. and Martin, C. E., Sexual Behavior in the Human Male. Saunders, Philadephia, 1948.Google Scholar
3 Kinsey, A. C., Pomeroy, W. B., Martin, C. E. and Geghard, P. H., Sexual Behavior in the Human Female. Saunders, Philadelphia, 1953.Google Scholar
4 Comfort, A., ‘Sexuality in later life’. In Birren, J. E. and Sloane, R. B. (eds), Handbook of Mental Health and Aging. Prentice-Hall, Englewood Cliffs, NJ, 1980.Google Scholar
5 Pearl, R., The Biology of Population Growth. Knopf, New York, 1930.Google Scholar
6 Newman, G. and Nichols, C. R., Sexual activities and attitudes of older persons. J. Am. Med. Ass., 173 (1960), 33–35.CrossRefGoogle Scholar
7 Christenson, C. V. and Gagnon, J. H., Sexual behavior in a group of older women. J. Gerontol., 20 (1965), 351–356.Google Scholar
8 Christenson, C. V. and Johnson, A. B., Sexual patterns in a group of never-married women. J. Geriat. Psychiatry, 7 (1973), 88–98.Google Scholar
9 Finkle, A., Moyers, T., Tobenkin, M. and Karg, S., Sexual potency in ageing males: frequency of coitus among clinic patients. J. Am. Med. Ass., 170 (1959), 1391–1393.CrossRefGoogle ScholarPubMed
10 Freeman, J., Sexual capacities in the ageing male. Geriatrics, 16 (1961), 37–43.Google Scholar
11 Rubin, I., Sexual Life after Sixty. Basic Books, New York, 1965.Google Scholar
12 Pfeiffer, E., Verwoerdt, A. and Wang, H. S., Sexual behavior in aged men and women. I. Observation of 254 community volunteers. Arch. Gen. Psychiatry, 19 (1968), 753–758.CrossRefGoogle Scholar
13 Pfeiffer, E., Verwoerdt, A. and Davis, G. C., Sexual behavior in middle life. Am.J. Psychiatry, 128 (1972), 1262–1267.CrossRefGoogle ScholarPubMed
14 Brecher, E. M., Love, Sex and Aging. Little, Brown, Boston, 1984.Google Scholar
15 Hunt, M., Sexual Behavior in the Seventies. Playboy Press, Chicago, 1974.Google Scholar
16 Masters, W. and Johnson, V., Human Sexual Response. Little, Brown, Boston, 1966.Google Scholar
17 Kaplan, H. S. and Sager, C. J., Sexual patterns at different ages. Medical Aspects of Human Sexuality, 5 (1971), 10–23.Google Scholar
18 Bartuska, D. G., Physiology of aging: metabolic changes during the climacteric and menopausal periods. Clin. Obstet. Gynec. 20 (1977), 105–112.CrossRefGoogle ScholarPubMed
19 Raboch, J., Mellan, J. and Starka, L., Plasma testosterone in male patients with sexual dysfunctions. Arch. Sexual Behav. 4 (1971), 541–545.CrossRefGoogle Scholar
20 Pfeiffer, E., ‘Sexual behavior in old age’. In Busse, E. W. and Pfeiffer, E. (eds), Behavior and Adaptation in Late Life. Little, Brown, Boston, 1969.Google Scholar
21 Kaplan, H. I., Freedman, A. M. and Sadock, B. J., Comprehensive Textbook of Psychiatry III. Williams and Wilkins, Baltimore, 1980.Google Scholar
22 Pollock, G. H., Old age: The last developmental challenge. Aspects of Aging I, Report No. 2, Philadelphia, 1984.Google Scholar
23 U.S. Bureau of the Census, Statistical Abstract of the United States, 1977 (98th ed). Government Printing Office, Washington DC, 1977.Google Scholar
24 Woods, N. F., ‘Human sexuality and the healthy elderly’. In Brown, M. (ed), Readings in Gerontology. C V. Mosby, St Louis, 1978.Google Scholar
25 Thiennaus, O. J. and Hartford, J. T., Alcoholism in the elderly. Psychiatric Medicine, 2 (1984), 27–41.Google Scholar
26 Zilbergeld, B., Male Sexuality: A Guide to Sexual Fulfillment. Little, Brown, Boston, 1978.Google Scholar
27 Kalliomäki, J. L., Sexual behavior after cerebral vascular accident. Fertil. Steril., 12 (1961), 156–158.CrossRefGoogle ScholarPubMed
28 Kavanaugh, T. and Sheppard, R. J., Sexual activity after myocardial infarction. Canad. Med. Ass. J., 116 (1977), 1250–1253.Google Scholar
29 Glover, G. H., Sex counselling of the elderly. Hospital Practice 12 (1977), 101–113.CrossRefGoogle ScholarPubMed
30 Scheingold, L. D. and Wagner, N. N., Sound Sex and the Aging Heart. Human Sciences Press, New York, 1974.Google Scholar
31 Kent, S., Impotence as a consequence of organic disease. Geriatrics 30 (1975), 155–157.Google ScholarPubMed
32 Corby, N. and Solnick, R. L., ‘Psychosocial and physiological influences on sexuality in the older adult’. In Birren, J. E. and Sloane, R. B. (eds), Mental Health and Aging. Prentice-Hall, Englewood Cliffs, NJ, 1980.Google Scholar
33 Finkle, A. L. and Prian, D. V., Sexual potency in elderly men before and after prostatectomy. J. Am. Med. Ass., 196 (1966), 139.CrossRefGoogle ScholarPubMed
34 Gold, B. M. and Hotchkiss, R. S., Sexual potency following simple prostatectomy. NY State J. Med., 69 (1969) 2987.Google ScholarPubMed
35 Holgrewe, H. L. and Valk, W. L., Late results of transurethral prostatectomy. J. Urol., 92 (1964), 51–57.CrossRefGoogle Scholar
36 Zohar, J., Meiraz, D., Maoz, B. and Durst, N., Factors influencing sexual activity after prostatectomy: a prospective study. J. Urol. 116 (1976), 332–334.CrossRefGoogle ScholarPubMed
37 Small, M. P. and Carrion, H. M., A new penile prosthesis for treating impotency. Contemp. Surg. 7 (1975), 29–33.Google Scholar
38 Loeffler, R., Penile prostheses do not inhibit partial erectile ability. Family Practice News, 6 (1977), 125–132.Google Scholar
39 Furlow, W. L., Surgical management of impotence using the inflatable penile prosthesis. Mayo Clinic Proc., 51 (1977), 325–332.Google Scholar
40 Vestal, R. E., McGuire, E. A., Tobin, J. D., Adres, R., Norris, A. H. and Mazey, E., Aging and ethanol metabolism. Clin. Pharmacol. Ther., 31 (1977), 348–354.Google Scholar
41 Shakespeare, W., Macbeth, II, iii, 34. Signet Classics, New York, 1963.Google Scholar
42 Rubin, E., Lieber, C. S. and Altman, K., Prolonged ethanol consumption increases testosterone metabolism in the liver. Science, 191 (1976), 563–564.CrossRefGoogle ScholarPubMed
43 Van Thiel, D. H., Gaveler, J. and Lester, R., Ethanol inhibition of vitamin A metabolism in the testes: possible mechanism for sterility in alcoholics. Science, 186 (1974). 941–942.CrossRefGoogle ScholarPubMed
44 Lemere, F. and Smith, J. D., Alcohol-induced sexual impotence. Am. J. Psychiatry, 130 (1973). 212–213.CrossRefGoogle ScholarPubMed
45 Lemere, F., Sexual impairment in recovered alcoholics. Medical Aspects of Human Sexuality, 10 (1976), 69–70.Google Scholar
46 Cogen, R. E., Steinmann, W. C. and Johnson, J. C., Sexual activity in elderly men of lower socio-economic status. J. Am. Geriat. Soc., 32 (suppl.) (1984), 525.Google Scholar
47 Schonfield, D., Who is stereotyping whom and why? The Gerontologist, 22 (1982), 267–272.CrossRefGoogle Scholar
48 Griggs, W., Sex and the elderly. Am. J. Nursing 78 (1978), 1352–1354.Google ScholarPubMed
49 McCarthy, P., Geriatric sexuality: capacity, interest, and opportunity. J. Gerontol. Nursing, 5 (1979), 20–24.CrossRefGoogle ScholarPubMed
50 Verwoerdt, A., Clincial Geropsychiatry, 2nd edition. Williams and Wilkins, Baltimore, 1981.Google Scholar
51 Damrosch, S. P., Graduate nursing students' attitudes toward sexually active older persons. The Gerontologist, 24 (1984), 259–302.CrossRefGoogle ScholarPubMed
52 Pfeiffer, E., ‘Sexuality in the aging individual’. In Gordon, C. and Johnson, G. (eds), Readings in Human Sexuality: Contemporary Perspectives, 2nd edition. Harper & Row, New York, 1980.Google Scholar