Wenderlein J M
Frauenklinik, Universität Ulm.
Fortschr Med. 1991 Jun 20;109(18):369-71.
In the doctor's office, counseling in matters of sexuality in the aged is rare, and scientific data are sparse. Speculative literature is of little use. Normative ideas from earlier decades need to be checked for their present-day validity. Sexuality as a learning process and form of communication is relatively constant, so that few generalizations are possible. A widely accepted theory is that of non-use, which means in analogy to the mental faculties in aging a steady decline of sexual functions. The possibilities for sexual activity in age are impaired not only by illness and the side effects of drugs; rather, the difference in life expectancy in men and women is also becoming ever more relevant. Thus, today, 1/7 of the 70-75 men are widowed compared with 50% of the women of the same age--three times as many. By the year 2000, 15% of the population will be aged 85 or older. The expected ratio of women to men is 2:1. Elderly women suffer from depression that lasts for weeks about three times as often as men. Possible consequences in the sexual area should be considered.
在医生办公室里，针对老年人性问题的咨询很少见，科学数据也很匮乏。推测性的文献用处不大。过去几十年的规范性观念需要根据其当下的有效性进行审视。性作为一种学习过程和交流形式相对稳定，因此很难进行概括总结。一种被广泛接受的理论是性功能废用理论，这类似于衰老过程中智力功能的逐渐衰退。老年人进行性活动的可能性不仅受到疾病和药物副作用的影响；此外，男女预期寿命的差异也日益凸显。如今，70至75岁的男性中有七分之一丧偶，而同龄女性丧偶比例为50%，是男性的三倍。到2000年，15%的人口将年满85岁及以上。预计女性与男性的比例为2比1。老年女性患持续数周抑郁症的频率约为男性的三倍。应考虑这在性方面可能产生的后果。
