Sexuality in older men with mental health problems

Sexuality in elderly men is a neglected area, surrounded by myths and strongly influenced by psychosocial factors. Despite physiological changes in sexual functioning, many men continue healthy sexuality into late life. Sexual problems are common in the dementias and in depressive illness. They may generate difficult ethical dilemmas for health and social care staff. Various treatments, psychological, environmental and pharmacological, may be of benefit. Although prescribed drugs may be used to treat sexual dysfunction, they may also cause it. Attitudes towards sexuality in elderly men have a powerful influence in determining whether sexual behaviours are regarded as dysfunctional, and in the recognition and treatment of sexual dysfunction.