Middle Adulthood (Ch. 15/16) Flashcards
the climacteric
midlife transition (when fertility declines)
men: reproductive capacity diminishes
women: reproductive capacity comes to an end
our culture has viewed menopause as a ________ rather than a ________
disease; natural process
menopause
when ovulation/period comes to a stop
three stages:
perimenopausal, menopause, postmenopausal (don’t have period for a year, ovulation becomes sporadic)
signs of menopause
cessation of periods/sporadic ovulation
hot flashes
- racing heart, flushed face, similar symptoms of a panic attack/loss of control
vaginal changes
- thinning of vaginal wall and dryness, sex can become painful
HRT and controversy
hormone replacement therapy
solution to menopause/its symptoms, marketed as fountain of youth
developed it from pregnant horse urine
advantages to HRT
short term management of severe discomfort
may reduce risk of osteoporosis (lose of bone density)
may reduce risk of colon cancer
disadvantages of HRT
increase risk of:
- endometrial (uterus lining) cancer
- breast cancer
- heart disease (thought to reduce this before 2003)
- stroke (thought to reduce this before 2003)
- dementia (thought to reduce this before 2003)
HRT is still used for ________, but avoid use for women with _______
hot flashes w/ women @ risk for osteoporosis; history of breast cancer/women over 60 yrs of age
when to get first mammogram?
low risk: mid 40’s
high risk: 40
1:___ women get breast cancer
8
what vaccination is decreasing the need for the pap test/annual screening/prevalence for cervical cancer
HPV
what age do men see a decrease in quantity of sperm/semen
40
viagra/cialis
v: produced accidentally but then largely marketed, opened up conversation about this problem
c: insurance paid for this but not BC, caused uproar
both usually have no/less severe side effects
how to prevent ED for men
stop smoking/limit alcohol
see doctor regularly
exercise regularly
take steps to reduce stress
get help for anxiety, depression, etc.
who believed in a mid-life crisis and who didn’t? what idea does research support?
did: levinson
didn’t: vaillant
research supports vaillant, thought to be a metamorphosis not crisis
levinson’s seasons of life
coincided with erikson’s stages
importance of mentorship
showed men settle into adult roles faster than women
vaillant’s adaption to life
built around erikson as well
- intimacy - 20’s
- career - 30’s
- generative/contributing to families - 40’s
- keepers of meaning/traditions - 50’s and 60’s
- spiritual and reflective - 70’s
(t/f): sex is not important in the lives of the elderly
false
how does aging affect sexuality?
men: ED
women: menopause
both: chronic pain and other body images
______% of older adults are sexually active and experience a ______ satisfaction with sexual activity
70-80; higher
women prefer ___ partners while men prefer ____ partners
older; younger
older unmarried women are _____ sexually active than older married women
less