Sexuality in older women with mental health problems

As women age, physiological, anatomical and psychological changes may affect sexual function. They may develop physical illnesses or take prescribed drugs which also affect their sexual functioning. Heterosexual women may be disadvantaged by the relative unavailability of partners. Sexual dysfunction may occur in the context of mental ill-health, particularly the dementias and depressive illnesses. Consent to sexual activity may present ethical dilemmas. Education is an important aspect of management. Psychological and social treatment approaches are often appropriate before consideration of drug treatments. The recognition, assessment and treatment of sexual dysfunction in elderly women with mental health problems may improve their quality of life.