Last Update: Wednesday, July 23, 2014

More and More Baby Boomers Are Experiencing Sexual Dysfunction PDF Print E-mail
Written by Dr. David Lipschitz, Creative Syndicate   
Wednesday, 11 June 2014 22:26

A major misconception is that a decline in sexual function with advancing age is inevitable. The majority of couples remain sexually active throughout life, with only 15 percent of men and women experiencing sexual problems. Things may not be the same as they once were, but there is no reason for the elderly not to remain sexually active.

Sexual dysfunction is often neglected. Much has been written about sexual dysfunction -- also called erectile dysfunction -- in men, but problems occur in women as well. Unfortunately, few health care providers attempt to identify or treat sexual difficulties. Both physician and patient may be embarrassed to raise the issue, which is a big mistake.

In both men and women, loss of libido and an inability to become aroused are frequent features of sexual dysfuncton.

Apart from loss of libido or sex drive, low T is blamed for depression, insomnia, increasing weakness and decreased exercise tolerance. Needless to say, there are many causes for these nonspecific symptoms. However, the only universal symptom of low testosterone is decline in libido. Testosterone does not affect arousal, and deficiency does not cause an inability to have an erection.

The actual number of men with testosterone deficiency is very small. Many men with values in the lower limit of the normal range now receive replacement therapy with testosterone. Unless loss of libido is a major issue, this approach is questionable, as hormone replacement therapy is not without its problems.

Women also have small amounts of the male hormone testosterone. In combination with low levels of estrogen, reductions in testosterone can affect libido in women.

In some circumstances, physicians may measure testosterone level in women, and small replacement doses can be very beneficial.

Vaginal dryness and resulting pain with penetration account for most of the sexual dysfunction that occurs in women. The usual cause is hormonal loss associated with aging. This can be treated readily with hormone replacement therapy, estrogen creams and lubricants. Sexual problems also can occur because of weakness of the vaginal wall, caused by multiple pregnancies. Sometimes the uterus can prolapse (fall down and protrude through into the vagina), making an active sex life difficult. These problems are amenable to surgical correction.

Problems in men are more easily identified, because ED is defined as an inability to develop or maintain an erection.

Why does it occur? Well, first comes arousal, so libido is important. A message must then go from the brain to the penis for an erection to develop. For this to happen, the nerve supply to the penis must be normal. If the message is received, an erection occurs when the penis fills with blood. So ED can occur because of a lack of libido, or interference of the nerve or blood supply to the penis.

These days, billions are spent on medications to treat erectile dysfunction. The most frequently used one is now generic. These drugs do not cause but facilitate an erection, and are of no value without adequate libido and arousal. Sadly, for most older men, the presence of vascular or nerve problems makes these drugs ineffective.

At the end of a long visit, and as I am about to say goodbye, not uncommonly a patient will ask me, "By the way, Doctor, do you think Viagra will help me?' I have become so aware of this problem that, in the appropriate setting, I always ask about sexual issues. And if there is a problem, it is important to engage both partners in the discussion.

Regrettably, an alternative word for ED is impotence -- lack of power and weakness. It often causes couples to become more separate, never touch and sleep apart. In counseling, any couple who has sexual dysfunction, the critical importance of intimacy, closeness and touch must be emphasized. Concentrating on intimacy, kissing and loving must always be the initial step in solving the problem.

Dr. David Lipschitz is the author of the book “Breaking the Rules of Aging.” To find out more about Dr. David Lipschitz visit


Team members care for thousands of the region's sickest children with heart conditions, including fetuses, newborns, infants, children, adolescents, and adult, long-term patients with pediatric cardiovascular conditions. At Children's families experience coordinated, next-generation care, delivered by a compassionate, multidisciplinary team of leaders in the pediatric cardiology field. One of the largest pediatric cardiovascular programs in the region. Studies have shown that high volumes are associated with high quality and better outcomes, because experience is a major factor in quality of care. Wort was traditionally prescribed in parts of Europe for depression (in addition to use as a general-purpose tea), and Chinese medicine developed elaborate lists of herbs and preparations. With the scientific revolution in Europe and the United States, the use of traditional herbal remedies fell out of favor with the mainstream medical establishment, although a few people continued to use and maintain knowledge of traditional European herblore. In the early 20th century, scientists began reassessing this rejection of traditional herbs in medicine. Vorzüge eines intakten und lebendigen Gemeinschaftslebens bewahren. Dafür sorgen nicht zuletzt gut 120 lokale Vereine. Als wichtiger Faktor im Kulturleben haben sich die zahlreichen Museen und einige Kunstgalerien erwiesen. Descriptive and quantitative transcriptome analyses are important for interpreting the functional elements of the genome and revealing the molecular constituents of cells and tissues. It is known that sperm function can be affected by ASG proteins, including the processes of capacitation and the acrosome reaction, as well as canadian pharmacy accutane sperm motility, DNA integrity and interaction with the oocyte. BSPs (bovine seminal plasma protein, unigene 64,588 and unigene 69,768), fertilin (unigene 17,270 and unigene 27,136), ACE (Angiotensin converting enzyme, unigene 7,164 and unigene 21,069), GPX5 (glutathione peroxidase, epididymal secretory glutathione peroxidase, unigene15860), Spermadhesin-1 (Acidic seminal fluid protein, aSFP). The reproduction-related transcripts identified in the ASG and testis transcritptomes in E. This interaction of PDC-109 with the sperm cell membrane results in an efflux of cholesterol and choline phospholipids, that appears to be important for capacitation. The main changes in spermatozoa that occur during epididymal maturation are the ability to move, recognize and bind to the ZP, and to fuse with the plasma membrane of the oocyte.. Oct 2004, Adelaide, Australia. Ziaian T, Augostinos, M. Relationship Between Acculturation and Mental Well-being Among Young Persian Women Living in Australia. Paper presented at the Educational Research conference, 18th November 2004, Adelaide, Australia. Ziaian T, Stress Management: an introduction of holistic coping strategies. A Four day Course for the higher degree students. Targeted molecular therapy for advanced epithelial ovarian cancer. Minimally invasive surgery for gynecological cancer. Pharmaceutical Sciences from Shizuoka College of Pharmacy (1976, Japan). He has completed his B. Prophylactic removal of nevi without clinically worrisome characteristics is not recommended. The reasons for this are practical: many individuals in these families have a large number of nevi, and complete removal of them all is not feasible, since new atypical nevi continue to develop. In addition, individuals with increased susceptibility to melanoma may have cancer arise de novo, without a precursor lesion such as a nevus. The disadvantages of screening include the limitations of available noninvasive testing methods and the risks associated with invasive screening procedures. ERCP is the gold standard for identifying early cancers and precancerous lesions in the pancreas..