The general perception and prejudices of an ‘asexual’ old age, of sex in older people being disgusting, or simply funny. Research suggests, that many older people enjoy an active sex life although they may face several problems. If doctors do not accept that older people may enjoy sex, then it is unlikely that sexual problems will be effectively explored, diagnosed and treated. This article aims to discuss senior couples intimacy and dispel the myth of a totally ‘asexual’ old age.

Available research suggests that increasing age is associated with a decreased interest in sex. A survey showed that older respondents had less interest in sex, with 98% of 50–59 year olds giving it at least ‘some importance’ compared with 72% of 70–80 year olds. It is interesting, however, that the centenarians did report greater satisfaction with life and family relationships than the younger age groups. A large study using face-to-face interviews showed 59% of 75–85 year olds still attributed some importance to sex.

In general, the responses showed that those aged >70 placed less importance on sex than the younger participants.There are also gender differences, with the greatest difference being in the older age groups 41.2% of males aged 75–85 stated an interest in sex compared with 11.4% of females the same age, the men nearly always initiated the sexual interactions rather than the women. Interest in sex among older men has increased over the last 10 years possibly due to the effective and well-publicised drugs for erectile dysfunction (ED) starting with Viagra in 1998.

Looking  at sexual function across four domains (desire, erection, orgasm and ejaculatory functions) and found a decrease in all with increasing age. However, even among the oldest men (aged 70–80), 46% reported orgasm at least monthly.

What causes the decrease in sexual interest and function in older adults?

• General physical health
• Psychological causes
• Male sexual dysfunction
• Female sexual dysfunction
• Practical problems such as loss of partner
• Delay in seeking help from Sexologist due to embarrassment 

Educating old age patients is an important task. This includes educating about ‘lifestyle factors’ (e.g. smoking, obesity, diabetic control) which can affect sexual functioning—using the concept of remaining sexually active life years may assist patients in making healthier choices. Patients should also be educated about the changes they can expect in sexual functioning as they age, and the options available to help them. Sexologist also need to be educated to increase awareness of sexuality in older age and improve communication skills. A multidisciplinary approach when possible should be used.

Finally words are that senior citizens are also sexual and not asexual, but due to the above problems and aging factors there is a decline in interest which is natural, however, minimal interest is definitely there and sexologist can educate and treat any dysfunction that they might be having unless it’s due to another disorder like cancer, or enlarged prostrate, high diabetes, etc.

Dr. Sharmila Majumdar

Director & Chief Sexologist Sexual and Mental Health Clinic, Avis hospital.

Make an Appointment with Dr. Sharmila Majumdar