Sexual function in men between ages 40 and 79 years – Tips from Other Journals
Panser and colleagues assessed aspects of male sexuality to determine levels of sexual function and satisfaction among men.
A total of 2,115 men aged 40 to 79 years who were enrolled in the Olmsted County (N.Y.) Study of Urinary Symptoms and Health Status Among Men were randomly selected to participate in this study. The study group completed self-administered questionnaires that assessed urinary symptoms and general health and included questions about sexual concerns, performance, satisfaction, drive and erectile dysfunction.
Overall, approximately 82 percent of men reported unchanged or improved sexual performance compared with a year previously. Reports of worsening performance increased with age, as did reports of decreasing sexual drive. Among men aged 40 to 49 years, 77 percent experienced sexual drive more than one time per week, compared with 10 percent of men aged 70 years or greater. Erectile function decreased with increasing age: 77 percent of men aged 40 to 4.9 years were able to have erections all of b the time, compared with 18 percent of men aged 70 years or more. Concerns about sexuality also increased with age. Among men aged 40 to 49 years, 25 percent reported some sexual concerns, compared with 45 percent of men aged 60 years or more.
Significant predictors of sexual dissatisfaction included erectile dysfunction and libido, particularly among men with erectile function but decreased libido. Increasing age was not a significant predictor of satisfaction when the data were adjusted for age and sexual function parameters.
The authors conclude that sexual dissatisfaction and worry increase with increasing age, although dissatisfaction may be due to age-related declines in physiologic function and the potential failure to compensate psychologically for that loss. Panser LA, et al. Sexual function of men ages 40 to 79 years: the Olmsted County Study of Urinary Symptoms and Health Status Among Men. J Am Geriatr Soc 1995;43-1107-11.
COPYRIGHT 1996 American Academy of Family Physicians
COPYRIGHT 2004 Gale Group