Fisher John S, Rezk Andrew, Nwefo Elie, Masterson John, Ramasamy Ranjith
Department of Urology, University of Tennessee-Knoxville, Knoxville, TN, USA.
Department of Urology, University of Miami, Miami, FL, USA.
Curr Sex Health Rep. 2020 Dec;12(4):381-388. doi: 10.1007/s11930-020-00278-0. Epub 2020 Oct 29.
Among the growing elderly population, sexual health remains an important concern for individuals and couples. An understanding of the expected changes with aging and taking care of aging men and women is important for treating sexual dysfunction. Sexual health issues related to aging can be both linked between men and women and independent. The aim of this study is to determine the most important considerations that contribute to sexual satisfaction in men and women in this population.
Many factors contribute to the overall sexual health of men and women. Hypogonadism and erectile dysfunction both warrant thorough evaluation and consideration of treatment to improve sexual satisfaction. Underlying cardiovascular issues may be present in men presenting with these concerns. In addition to hormone replacement and traditional therapy for erectile dysfunction, therapeutic stem cell injection has shown some promise. Menopause, vaginal dryness, and dyspareunia play important roles in sexual satisfaction in women. Vaginal moisturizers, topical estrogen, and MonaLisa Touch laser therapy all may aid in improving these symptoms and ultimately sex lives. Studies have also demonstrated some benefit in populations with arousal disorders, which can be present in the elderly.
Male patients often describe issues related to erectile dysfunction and hypogonadism, and issues with sexual drive. The pathophysiology is linked between these conditions and treatment of one component can provide symptom relief on a larger scale. A combination of testosterone therapy, lifestyle modifications, and therapy for erectile dysfunction relates to sexual satisfaction in men. In women, an understanding of the physiological process of menopause and offering therapy when indicated can improve the quality of sexual health and provide satisfaction to both patient and partner. While aging can diminish drive and desire, proper counseling and treatment may significantly benefit some patients. A multimodal approach involving the physician, patient, and partner will optimize care and may improve the quality of life in the elderly. This review outlines some normal changes due to aging and identifies some current treatment options for a population in which sexual health can be often ignored or dismissed. By understanding the available tools, a more comprehensive approach can be taken to achieve satisfaction in couples and individuals alike.
在不断增长的老年人口中，性健康仍是个人和夫妻关注的重要问题。了解衰老带来的预期变化并照顾好老年男性和女性对于治疗性功能障碍很重要。与衰老相关的性健康问题在男性和女性之间既有关联又相互独立。本研究的目的是确定影响该人群中男性和女性性满意度的最重要因素。
许多因素影响着男性和女性的整体性健康。性腺功能减退和勃起功能障碍都需要进行全面评估并考虑治疗以提高性满意度。存在这些问题的男性可能有潜在的心血管问题。除了激素替代疗法和传统的勃起功能障碍治疗方法外，治疗性干细胞注射已显示出一定的前景。更年期、阴道干燥和性交困难在女性性满意度中起重要作用。阴道保湿剂、局部雌激素和蒙娜丽莎激光治疗都可能有助于改善这些症状并最终改善性生活。研究还表明，对老年人群中可能存在的性唤起障碍患者有一定益处。
男性患者常描述与勃起功能障碍、性腺功能减退及性欲有关的问题。这些情况的病理生理机制相互关联，治疗其中一个方面可在更大程度上缓解症状。睾酮治疗、生活方式改变和勃起功能障碍治疗相结合与男性的性满意度相关。在女性中，了解更年期的生理过程并在必要时提供治疗可改善性健康质量，使患者及其伴侣都感到满意。虽然衰老会降低性欲，但适当的咨询和治疗可能会使一些患者显著受益。涉及医生、患者及其伴侣的多模式方法将优化护理，并可能改善老年人的生活质量。本综述概述了一些因衰老而出现的正常变化，并确定了一些当前针对性健康常被忽视或轻视人群的治疗选择。通过了解可用的方法，可以采取更全面的方法来实现夫妻和个人的性满意度。
