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Related Experiment Videos

Office evaluation of sexual function and complaints.

E W Kligman1

  • 1Department of Family and Community Medicine, University of Arizona College of Medicine, Tucson.

Clinics in Geriatric Medicine
|February 1, 1991
PubMed
Summary

Sexual health is crucial for aging patients, with most issues manageable in primary care. Physicians should integrate sexual health into routine exams, considering a broad definition of sexual activity and addressing multifactorial causes of dysfunction.

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Area of Science:

  • Geriatrics
  • Sexual Medicine
  • Primary Care

Background:

  • Sexual function maintenance is a growing concern for the aging population.
  • Over 80% of sexual complaints are treatable in primary care settings.
  • Physicians must recognize the broad spectrum of sexual function in older adults, including emotional intimacy and various forms of physical contact beyond intercourse.

Purpose of the Study:

  • To emphasize the importance of evaluating sexual health in routine geriatric examinations.
  • To outline effective strategies for physicians to assess and manage sexual dysfunction in older patients.
  • To address barriers physicians face in discussing and treating sexual health issues in the elderly.

Main Methods:

  • Conducting a non-threatening sexual history, starting with general questions and progressing to specifics, including a medication review.

Related Experiment Videos

  • Performing a physical examination focused on identifying hormonal imbalances (androgen deficiency, estrogen excess), vascular, and neurologic issues.
  • Utilizing a problem-oriented evaluation to identify causes such as normal aging, disuse, physical/psychological illness, or iatrogenic factors.

    • Main Results:

    • Common sexual complaints in the elderly are often multifactorial, influenced by partner availability, comorbidities, and medication interactions.
    • A thorough sexual history and targeted physical exam are usually sufficient for diagnosis, requiring few laboratory tests.
    • Initial management often involves counseling, education, medication review, and lifestyle adjustments.

    Conclusions:

    • Primary care physicians play a vital role in managing sexual health concerns in older adults.
    • Addressing physician-related barriers and patient comfort is essential for effective sexual health evaluation.
    • Empowering patients with information and permission for diverse sexual expression can improve quality of life in aging.