Question

Describe the major changes in sexual functioning among older males.

Following are the changes observed in sexual functioning among older males:

Orgasm becomes less frequent in males with age, occurring in every second to third attempt rather than every time. More direct stimulation usually is needed to produce an erection. From 65 to 80 years of age, approximately one out of four men have serious problems getting and/or keeping erections, and after 80 years of age the percentage rises to one out of two men. However, with recent advances in erectile dysfunction medications such as Viagra, an increasing number of older men, especially the young-old, are able to have an erection. Also, recent research suggests that declining levels of serum testosterone, which is linked to erectile dysfunction, can be treated with testosterone replacement therapy to improve sexual functioning in males. However, the benefit-risk ratio of testosterone replacement therapy is uncertain for older males.


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