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A growing body of evidence is available to guide care for women with sexual concerns. This article considers the case of a year-old woman who with menopause developed decreased libido, rapidity of sexual arousal, and intensity of orgasm. She requests information about strategies to optimize sexual function. Effects of aging and menopause on female sexual response are reviewed and an evaluation approach presented to help clinicians respond productively to women who request intervention. The effectiveness and safety of different treatment options are discussed, including education, lifestyle changes, counseling, medications, mechanical devices, and pelvic floor exercises; recommendations are made to help postmenopausal women maximize sexual pleasure and satisfaction.
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Sexual Function in Elderly Women: A Review of Current Literature

Sexual desire is a major component of sexuality at any age, and inhibited desire is one of the main sexual dysfunctions reported by older women. Aging is a physiological, psychological, and social transition that typically affects sexuality. Continual sexual activity carries numerous health benefits throughout the life span: because sexual intimacy impacts sexual desire necessary for ongoing healthy sexual interactions in human relationships, problems in any area of the sexual experience should be addressed as part of a holistic health assessment as discussed by Yee and Sundquist [ 1 ]. Sexuality and older women are issues, however, that are typically dichotomized rather than considered a naturally occurring combination to be explored and nurtured in their intersection. A seemingly perpetual belief is that sexual interest wanes considerably or completely with age [ 2 ]. This was done in order to complement the knowledge of clinical practitioners who have been heavily influenced by the medicalization of sexuality in terms of physiological responses. This overt medicalization could lead health care professionals to use an exclusively functional diagnostic approach.
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Sexual Function in Elderly Women: A Review of Current Literature

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Although sexuality remains an important component of emotional and physical intimacy that most men and women desire to experience throughout their lives, sexual dysfunction in women is a problem that is not well studied. Increasing recognition of this common problem and future research in this field may alter perceptions about sexuality, dismiss taboo and incorrect thoughts on sexual dysfunction, and spark better management for patients, allowing them to live more enjoyable lives. This need is especially acute for physicians who will increasingly encounter patients trying to maintain a high quality of life as their bodies and life circumstances change, and as advances in nutrition, health maintenance, and technology allow many to extend the time midlife activities are maintained. One quality-of-life issue affected by these changes, for both men and women, is sexuality.
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