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Geriatric sexual dysfunction: a case survey

L Kofoed, J D Bloom

    Journal of the American Geriatrics Society
    |July 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Older adults with sexual dysfunction often face physician bias. Many men experienced erectile failure, with older patients reporting disinterested or pessimistic doctors, highlighting a need for improved geriatric care.

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    Area of Science:

    • Gerontology
    • Sexual Medicine
    • Psychiatry

    Background:

    • Sexual dysfunction is prevalent in older adults.
    • Physician attitudes and patient-doctor relationships can impact treatment seeking and outcomes.
    • Older individuals may face unique challenges in addressing sexual health concerns.

    Purpose of the Study:

    • To examine the characteristics and experiences of older adults with sexual dysfunction seeking help.
    • To identify factors influencing patient-physician interactions and treatment perceptions.
    • To explore potential age-related biases in medical care for sexual dysfunction.

    Main Methods:

    • Analysis of questionnaire data from 35 older adults (28 men, 7 women) with self-reported sexual dysfunction.
    • Inclusion criteria: age (43-82 years), symptomatic sexual problems, willingness to share experiences.

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  • Data collection focused on patient demographics, sexual issues, physician consultations, and attitudes.

    • Main Results:

    • Erectile failure was common, particularly in men, negatively impacting their quality of life.
    • Older patients were more likely to be abstinent, experience total erectile failure, and perceive physicians as uninterested or pessimistic.
    • Couples with long-term marriages, medically ill wives, or a non-affective view of sexuality were less distressed by sexual difficulties.

    Conclusions:

    • Physicians may exhibit age-related biases in managing sexual dysfunction in older patients.
    • Factors such as physician attitude, duration of patient-doctor relationship, and patient-specific circumstances influence care.
    • Findings can aid clinicians in counseling and identifying at-risk subgroups, suggesting directions for future research.