aging and sexuality 4-6 Q

Question 1

What may the slowing of the sexual response cycle lead to?

Answer 1

• increased pleasure in less hurried sexual activity
• may result in impotence in males
• may result in painful intercourse in females

Question 2

What gender is more often widowed?

Answer 2

women

Question 3

Age related physiological changes in males

What happens to the erection?

Answer 3

slower, less full, disappears quickly after orgasm

Question 4

Age related physiological changes in males

What happens to the refractory period?

Answer 4

12-24 hours

Question 5

Age related physiological changes in males

What happens to the testicles?

Answer 5

don’t achieve full elevation and don’t increase in size

Question 6

Age related physiological changes in males

What happens to the volume of the sperm?

Answer 6

decreases

Question 7

Age related physiological changes in males

What happens to fertility?

Answer 7

decreased but males don’t become sterile

Question 8

Age related physiological changes in males

What happens to the orgasm and ejaculation?

Answer 8

orgasm is often less intense

ejaculation is less powerful

Question 9

Age related physiological changes in males

When does the gradual decrease in testosterone begin?

Answer 9

20-60 years of age

Question 10

Age related physiological changes in males

What happens to the urgency of sexual desires?

Answer 10

decreases

Question 11

Age related physiological changes in males

What does the increased control of orgasm lead to?

Answer 11

• increased sexual pleasure

- concern and impotence

Question 12

Age related physiological changes in females
What happens to the rate and amount of vaginal lubrication?
What does this cause?

Answer 12

Decreased

painful intercourse

Question 13

Age related physiological changes in females

What are the orgasmic changes?

Answer 13

• decreased # of involuntary contractions by 50%

- an acceleration of return to pre-arousal state

Question 14

Age related physiological changes in females

What are the structural changes?

Answer 14

• atrophy of labia and uterus

- reduction in expansion of vaginal width

Question 15

Age related physiological changes in females

What happens to the vaginal lining?

Answer 15

it thins and loses elasticity

this can result in irritation and painful intercourse

Question 16

Age related physiological changes in females MENOPAUSE

What hormone levels are affected and how are they affected?

Answer 16

estrogen and progesterone

levels decrease

Question 17

Age related physiological changes in females MENOPAUSE

What happens to menstruation?

Answer 17

• period less frequent
• differences in blood flow
• may cease completely

Question 18

Age related physiological changes in females MENOPAUSE

What are some side effects?

Answer 18

• headaches
• insomnia
• dizziness
• irritability
• weight gain
• night sweats
• hot flashes

Question 19

Hormone replacement therapy

When did hormone replacement therapy become popular?

Answer 19

1960s

Question 20

Hormone replacement therapy

What hormone was initially given and what was it found to cause?

Answer 20

estrogen and increased risk of uterine cancer

Question 21

Hormone replacement therapy

What 2 hormones are given together and what does this decrease the risk of?

Answer 21

estrogen and progesterone

uterine cancer

Question 22

Hormone replacement therapy

When did HRT use increase?

Answer 22

after 1980

Question 23

Hormone replacement therapy

What side effects did recent studies find?

Answer 23

• increased risk of heart disease
• increased risk of breast cancer
• increased risk of stroke
• increased risk of blood clots
• increased risk of dementia

Question 24

Hormone replacement therapy

What is the new guideline for how long you can be on HRT

Answer 24

5 years max

Question 25

Hormone replacement therapy

What are the alternative medications called?

Answer 25

effexon
clondine
paxil
topical creams