EFFECTS OF AGEING AND MENOPAUSE

ON SEXUAL FUNCTION IN WOMEN

CAUSES OF PROBLEMS


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Causes of problems:

  1. myths and misinformation imply that older people are no longer sexual
  2. age, illness or dysfunction of partner
  3. low self esteem, poor body image, performance anxiety and fear of failure
  4. monotony, repetitiveness, boredomwith sexual activities, lack of privacy
  5. length and quality of relationship, previous sexual problems
  6. obesity, loss of mobility and vigour, finan­cial concerns, fatigue
  7. unpleasant menopausal symptoms, vaginal dryness, the skin and clitoris may feel irritable and not receptive to touch
  8. thinning and dryness of the vagina [atrophic vaginitis] may make intercourse uncomfortable, and if not treated may lead to pain, vaginismus and sexual avoidance
  9. alcohol or drug abuse
  10. Chronic illnesses: disability, pain, cardio-vascular diseases, cancer, arthritis, diabetes, thyroid, stroke, multiple sclerosis, Parkinson’s disease, pelvic surgery, prolapse of the genitals, depression, urinary tract infection, drug treatments [for hypertension, depression, cancer], are more prevalent than among younger people.
  11. Age: a woman’s sexual function declines with age starting in the late 20’s  to late 30’s, specifically desire, frequency of orgasm and frequency of intercourse [4].

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