[Sexuality in the aged]

Sexuality in advanced age should not be investigated as an isolated phenomenon but rather looked at in context with recent findings concerning alteration of general functions concomitant with senescence. It has to be emphasized that there may well be augmentation of abilities and not only decline. In the elderly, sexual behaviour shows a tendency of shifting the emphasis more towards sexual fondness and tenderness and not merely to sexual performance. Up to now, the general attitude of the social environment is characterized by not taking notice of the sexual needs of the elderly. This can be demonstrated, for example, in the systems of organization of homes for old age pensioners as well as in the attitudes towards the elderly within families. Progress in this respect can be expected from a general stimulation of geriatric research and increasing emancipation of elderly people. By analogy with the therapy of sexual dysfunction in younger people, the treatment of similar disorders in the elderly has mainly to deal with plain information and with sexual techniques. Prognosis is favorable. Essential for success is the therapist's relevant knowledge and his preparedness to tackle the problems of sexuality in advanced age seriously.