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Sexual function of the ageing male
Abstract
With the progressive increase in the proportion of older people, there is an increasing interest in characterizing the modifications of sexual health and the effect of its perturbations as a function of the aging process. The aim of this review is to summarize the available evidence regarding the age-dependent modifications of male sexual function and their interaction with general health and age-dependent modification of endocrine function. Elderly patients are often affected by multiple organic diseases which can interfere with sexual function. Despite this evidence, several studies have indicated that, with advancing age, normal erections are not an absolute prerequisite to remain sexually active. Good physical health, the availability of a partner, and a regular and stable pattern of sexual activity earlier in life predict the maintenance of sexual activity in old age. Conversely, there are no convincing data that hormonal changes, associated with aging, have a primary role in underlying changes in sexual function in healthy aging men. Nonetheless, sexual dysfunctions especially in elderly people are poor investigated. Asking about sexual health remains difficult or embarrassing for many primary care physicians. In addition, many patients find it difficult to raise sexual issues with their doctor. This situation often results in sexual issues not being adequately addressed thus resulting in depression, social withdrawal and delayed diagnosis of underlying medical conditions often resulting in forthcoming cardiovascular events. Education and permission from a health care professional may help to alter such misconceptions. Information from physicians regarding normal age-related changes in sexuality and encouragement, together with advice on how to continue meaningful sexual relations, may play a key role in altering such negative attitudes.
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“Hence, older men may experience severe levels of impaired sexual function without significant distress.72”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [72]
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Yafi, F. A., Jenkins, L., Albersen, M., Corona, G., Isidori, A. M., Goldfarb, S., Maggi, M., Nelson, C. J., Parish, S., Salonia, A., et al. (2016) · Nature Reviews Disease Primers · doi:10.1038/nrdp.2016.3 · Cited by 853
Psychological and interpersonal dimensions of sexual function and dysfunction
Brotto, L., Atallah, S., Johnson-Agbakwu, C., Rosenbaum, T., Abdo, C., Byers, E. S., Graham, C., Nobre, P., & Wylie, K. (2016) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2016.01.019 · Cited by 439
Nappi, R. E., Martini, E., Cucinella, L., Martella, S., Tiranini, L., Inzoli, A., Brambilla, E., Bosoni, D., Cassani, C., & Gardella, B. (2019) · Frontiers in Endocrinology · doi:10.3389/fendo.2019.00561 · Cited by 196
Endocrinologic Control of Men’s Sexual Desire and Arousal/Erection
Corona, G., Isidori, A. M., Aversa, A., Burnett, A. L. “., & Maggi, M. (2016) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2016.01.007 · Cited by 174
Endogenous Testosterone Levels and Cardiovascular Risk: Meta-Analysis of Observational Studies
Corona, G., Rastrelli, G., Pasquale, G. D., Sforza, A., Mannucci, E., & Maggi, M. (2018) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2018.06.012 · Cited by 172
Metadata
- Authors
- Corona, G., Rastrelli, G., Maseroli, E., Forti, G., & Maggi, M.
- Affiliations
- Azienda USL di Bologna (IT)
- University of Florence (IT)
- Corresponding author
- Maggi, Mario
- Venue
- Best Practice & Research Clinical Endocrinology & Metabolism
- Publisher
- Elsevier BV
- Published
- 2013-08
- Volume
- 27
- Issue
- 4
- Pages
- 581-601
- ISSN
- 1521-690X (ISSN-L)
- OpenAlex
- W1998257707
- Cited by
- 121
- References
- 98
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 7 · 2023: 7 · 2022: 7 · 2021: 9 · 2020: 7 · 2019: 12 · 2018: 12 · 2017: 11 · 2016: 19 · 2015: 11 · 2014: 7
- FWCI
- 1.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Best Practice & Research Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Florence Research (University of Florence) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Keywords
- male sexual function, older men, sexual health, erectile dysfunction, endocrine aging, comorbidities, sexual dysfunction, physician-patient communication, primary care
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Aging, Ejaculation, Female, Humans, Erectile Dysfunction, Libido, Male, Middle Aged, Orgasm, Sexual Behavior, Testosterone, Hormone Replacement Therapy, Phosphodiesterase 5 Inhibitors, Premature Ejaculation
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