Resumen
Knowledge regarding sexuality among older Americans is limited as it encompasses aspects including function, behavioral activity, partnership attitudes, and general health. As men and women grow older, they are more susceptible to medical comorbidities that can affect sexual health. Although illness and increasing age can decrease the prevalence of sexual activity, numerous studies show that a substantial number of older people engage in intercourse and other sexual behavior s even into their eighth and ninth decade of life. This chapter reviews a wide spectrum of research and clinical information related to sexual health in older men and women. Epidemiology, clinical evaluation and treatment options are discussed in detail. Other issues related to sexual health including hormone replacement therapy, sexually transmitted disease and HIV/AIDS in the geriatric population are also reviewed. Concepts of geriatric sexuality are also placed in social and cultural context with consideration of sexual orientation, personal beliefs, and other issues. This information is valuable for all urologists and others who provide healthcare for geriatric patients.