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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
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Sexual counseling in elderly couples.

Johannes Bitzer1, Giacomo Platano, Sibil Tschudin

  • 1Division of Psychosomatic Obstetrics and Gynecology and Sexual Medicine, Department of Obstetrics and Gynecology, University Hospitals Basel, Basel, Switzerland. jbitzer@uhbs.ch

The Journal of Sexual Medicine
|July 22, 2008
PubMed
Summary

Sexual dysfunction is common in older adults, affecting both men and women. A comprehensive, multidisciplinary approach is crucial for diagnosing and treating sexual health issues in the aging population.

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Area of Science:

  • Gerontology
  • Sexual Medicine
  • Psychiatry

Background:

  • Sexual health in the elderly was historically marginalized, viewed as taboo or a lifestyle luxury.
  • Increased longevity and a broader understanding of sexual health as integral to overall well-being have shifted attitudes.
  • This has led to a rise in demand for sexual health services among the aging population and healthcare providers.

Purpose of the Study:

  • To inform caregivers about the prevalence and factors influencing sexual health in the elderly.
  • To outline a comprehensive diagnostic and therapeutic strategy for aging individuals and couples.
  • To address the specific biological, psychological, social, and interactional aspects of geriatric sexual health.

Main Methods:

  • A review of relevant literature was conducted.
  • Case analyses and multidisciplinary discussions of elderly couples with sexual problems were performed.
  • A diagnostic and therapeutic algorithm integrating biopsychosocial profiles and couple interaction dynamics was developed.

Main Results:

  • Sexual dysfunction is highly prevalent in the aging population, with specific common issues for men (premature ejaculation, erectile dysfunction) and women (hypoactive sexual desire disorder, pain disorders).
  • Key characteristics of sexual ill-health in elderly couples include intertwined physical/mental morbidities, multidimensional dysfunctions, developmental asynchrony, and rigid interactional patterns.
  • A comprehensive diagnostic approach requires integrating individual sexological assessments, biopsychosocial profiles, and couple dynamics, leading to tailored, multidisciplinary therapeutic strategies.

Conclusions:

  • The growing need for sexual health support among elderly couples necessitates a multidisciplinary approach.
  • Effective diagnosis and therapy require collaboration among urologists, gynecologists, internists, and mental health professionals.
  • Individualized, age-appropriate care is essential for addressing the complex sexual health needs of the aging population.