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Contrary to stereotypes, aging does not eliminate a person’s sexuality. Mid-life and elderly Americans care deeply about their sexual experiences and relationships. Not uncommonly, as a result of the aging process, men past midlife experience a reduction in sexual desire as a result of decreased levels of testosterone and sexual disorders such as erectile dysfunction and prostate problems. Men with erectile difficulties often react with feelings of failure, anxiety, depression, and loss of self-esteem. These feelings may be compounded by their partner’s disappointment or anger.
In older women, while the hormonal and physiological changes associated with menopause are factors, the predominant correlation with decreased libido, arousal, orgasm, and sexual enjoyment is relationship difficulties. Most female sexual problems are associated with anxiety, depression, and the loss of a partner. Sex therapy is useful in helping individuals and couples adjust to the various physical changes and the effects of medical treatments that come with aging.