Sexuality Through the Lifespan

Question 1

when does main surge in sexual interest occur

Answer 1

adolescence

Question 2

sexuality of the adult originates in _________

Answer 2

childhood

Question 3

frequency of coitus decreases in sexuality in middle adulthood, which is not a major problem if

Answer 3

the overall relationship is good

Question 4

majority of men and women 50-80years are or are not still interested in sex even though sexual activity drops

Answer 4

still interested in

Question 5

does aging change sexual performance

Answer 5

yes & continual need to accommodate changes physical changes and needs

Question 6

decreased sexual activity in late adulthood has a correlation with (2)

Answer 6

• decreases in mobility
• presence other diseases

Question 7

in late adulthood, sexual responses are ____ but not _____ & there is in fact greater ______

Answer 7

• slowed
• terminated
• enjoyment

Question 8

more satisfaction in life in older adults engaging in ___ ______, intimacy, companionship

Answer 8

sexual activity

Question 9

is impotence a natural process as age

Answer 9

yes

Question 10

sex drive for only men decreases with advancing age - T or F

Answer 10

F
for both

Question 11

sex is not dangerous for the elderly - T or F

Answer 11

T

Question 12

[sexuality in late adulthood men] does time for erection slow as men get older

Answer 12

yes

Question 13

[sexuality in late adulthood men] 1 in _ men between 65-80yo (increasing more after 80) will have severe problems getting an erection

Answer 13

4

Question 14

[sexuality in late adulthood men] differences in erection in later men (2)

Answer 14

• not as firm
• don’t last as long
  (accommodated by increased manual stimulation)

Question 15

[sexuality in late adulthood men] what might be required to achieve erection

Answer 15

• require more foreplay ie/ manual and direct stimulation to produce erection

Question 16

[sexuality in late adulthood men] are they able to have an erection for longer without ejaculation & why

Answer 16

yes
due to vaso-congestion (incr blood flow causing them to become engorged with blood)

Question 17

[sexuality in late adulthood men] 2 differences in ejaculate

Answer 17

• decr force of ejaculatory response
• decr ejaculatory volume

Question 18

[sexuality in late adulthood men] is the erection lost quicky or slowly after ejaculation

Answer 18

quickly

Question 19

[sexuality in late adulthood men] what can result in less sexual activity

Answer 19

longer refractory periods

Question 20

[sexuality in late adulthood men] 2 changes to orgasm

Answer 20

• orgasm less frequent
• loss of sensation of pending orgasm

Question 21

[sexuality in late adulthood - women] as women age there is decreased hormone _____ which leads to decreased ____ which can cause painful intercourse (____________)

Answer 21

• oestrogen
• lubrication
• dyspareunia

Question 22

[sexuality in late adulthood - women] increased or decreased erection of nipples and areola

Answer 22

decreased

Question 23

[sexuality in late adulthood - women] what happens to vaginal contractions

Answer 23

decreased
(vaginal contractions are involuntary muscle contractions of vaginal walls that can occur with sexual arousal, orgasm, or other physiological response; play role in sexual pleasure and reproductive processes)

Question 24

[sexuality in late adulthood - women] muscle contractions during orgasm may be _____ and hence uterine contractions may be ____

Answer 24

• spastic
• painful

Question 25

physical factors affecting sexuality in late adulthood

Answer 25

- stress incontinence - reduced mobility - decr muscle tone - uterine prolapse - skin tone and sensitivity - diabetes - CVD - arthritis - cancer

Question 26

drugs associated with sexual dysfunction are often used in _______ ________

Answer 26

late adulthood

Question 27

drug classes associated with sexual dysfunction include

Answer 27

- diuretics - antihypertensives - antidepressants, anti-anxiety drugs - antiepileptic drugs - antihistamines - NSAIDs - Parkinson's disease medications - antiarrhythmics - histamine H2-receptor antagonists - muscle relaxants

Question 28

is sex itself essential for healthy ageing

Answer 28

no

Question 29

why is sex important in late adulthood

Answer 29

sex as important for older people as it is for the rest

Question 30

reasons why sex is important

Answer 30

- what makes us human - part of who we are - allows connection with others - it is pleasurable

Question 31

list some strong predictors for sexual satisfaction as one ages

Answer 31

- being sexually active - good mental health - good general functional status

Question 32

is age a cause of sexual dysfunction

Answer 32

no, not age itself

Question 33

if couples accommodate to normal changes in ageing it can lead to

Answer 33

sexual satisfaction

Question 34

proposed benefits of sex

Answer 34

- stress reduction - better sleep - greater contentment - decr bp - improved sense of smell - decr risk prostate carcinoma - bonding and trust building (sexual intimacy - orgasms - increase oxytocin levels)