Sexual problems, women and aging: an overview

Expression of one's sexuality is a fundamental mental health need of all individuals, regardless of age and gender. While the popularity and widespread use of Viagra and similar medications for male erectile dysfunction have helped many individuals, it has also reinforced a more male dominated view of sexuality-one that focuses more on genital function, and less on the relationship and issues of intimacy and meaning. Highlighting important issues and recent trends, the paper provides an overview of the diagnosis, description, etiology, assessment and treatment of women's sexual problems. A broad perspective on sexuality is emphasized, along with an understanding of the sexual response cycle. A selected review of the literature on older women and sexual dysfunction shows wide variability and the important role of biomedical, health and relational factors. In working with the sexual needs of older women, any therapeutic intervention should be based upon a solid understanding of the myths and realities of the sexual aging process, a keen understanding of the sexual challenges faced by older women, and a respect for the continuity of one's sexual lifestyle.