Sexual Function - Age Related Changes & Rish Factors Flashcards
Age related changes that affect sexual function for older women?
- Perimenopause, menopause, post menopause
- decreased estrogen
- estrogen becomes derived from fat and skin tissues (whereas prior to menopause it was derived from ovaries)
- vaginal dryness
- atrophy (reduce in size) of sexual organs
- increased stimulation for orgasm
- increased potential for infection
- raised vaginal pH
What is dyspareunia?
Painful intercourse because of dryness/atrophy
Age related changes that affect sexual function in older men?
- decline in testosterone production (starts at 25)
- more stimulation required for ejaculation
- greater time required between ejaculation
- slower and less forceful ejaculation
- testes atrophy and soften
- decrease sperm mobility (not sperm count)
Effects of dementia on sexual expressions?
- capacity to consent is effected
- sexually inappropriate (ex: public masturbation)
- hyper sexuality
- loss of sexual desire
Interventions for dementia patients?
- encourage intimacy from family/friends
- provide privacy for masturbation
- promote privacy/autonomy in consensual relationships
Environmental risk factors that affect sexual function?
- privacy
- ability and availability of partner
- physical barriers
Adverse meds, alcohol and nicotine risk factors that affect sexual function
Medication - decrease libido, erectile dysfunction, inability to achieve orgasm, vaginal dryness
Alcohol - may interfere with sexual performance
Nicotine - interferes with circulation to sexual orgasm
Chronic conditions risk factors that affect sexual function?
- pain
- cancer
- diabetes
- depression
- obesity
Female sex dysfunction risk factors that affect sexual function?
Urethritis - inflammation of urethral
Vaginitis - inflammation of vagina
Arousal disorders - med effects
Functional consequences affecting sexual wellness?
- reproductive ability diminishes
- response to sexual stimulation is slower and less intense
- sexual dysfunction
- decreased opportunities for sexual activity
Pathological conditions - male sex dysfunction?
- prostate hyperplasia
- enlarged prostate causing erectile dysfunction
- urethral compression
- urinary incontinence
What is erectile dysfunction?
Inability to achieve and maintain an erection more than 50% of attempts
What is erectile dysfunction caused by?
Vascular, nervous, or hormonal system affected by diabetes, alcohol use disorder, depression, meds, prostate disease
Pathological conditions - human immunodeficiency virus? Is number increasing in older people?
Increasing number of adults aged 50 years and older living with HIV/AIDS?
Risk factors for HIV/AIDS in older adults?
- less likely to be tested
- less likely to practice safe sex
