(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...
Geriatric sex
1. Sexual Activities in old age
improves general health, prolongs lifespan
DR AJAYAN VARUGHESE
DIRECTOR ISRM
M.B.B.S,
M.Sc. Applied Psychology
P.G.C.C (Psychiatry and Psychosexual Medicine)
P.G.D.H.Sc ( Reproductive and Sexual medicine)
2. In Indian society, reproductive age is synonymous to
that of sexual age. Purposeful sex i.e. sex done only
for reproduction is what our society believes in .
3. The stigma that our society has with the word sex, the
act sex, has made many of its benefits hidden.
4. The reproductive age being 20-45, we often mentally
tend to note the fact that the ages above it and below
the age should never have sex and when it comes to
ages above 60 the act itself is ‘forbidden’.
5. This is what our society believes in. Given that SEX is
taboo for the geriatric group, People often never tend
to discuss the benefits that sex can bring to this
particular population
HEALTH
BENEFITS
6. and it is often hidden due to the various health
problems and other hurdles that the ‘old people’ has
to face .
7. .If being old is the problem we often have to take into
consideration that from old times sex has often been
proposed as a medicine to bring back youth.
8. When we often tend to think about geriatric sexual
life we cannot ignore the elephant in the room, that is
the hurdles that they have to face when they have do
the process of sex .
9. we have to confront these barriers in sex, then only
can we move forward with the benefits that it brings
to them.
10. What are these barriers?
Can we move beyond them?
we are taking into
consideration an age above 60, the age
where, the patient/person
has ample of time,
yet he/she have no energy,
11. he / she is often chased by frequent illnesses, forget
the fact about sex benefit, for :they might be at a
stage where it is too late to go in a path for benefits .
12. But today we go retrospectively
to modify their life,
Of what it would have been before
thinking about what it is now,
Before we put our foot into the benefits of sex.
13. Let us discuss about the hurdles that they face,
we must always think that we are talking about age of
debility and not age of prime. Where we can just
Older adult lack knowledge and comfort with sexual
issues
14. They are not familiar with safe sex practices and not
aware of alternative sexual acts and positions .
15. Even if there is no penetrative sex ,
Touching ,hugging, cuddling could benefit them.
16. Other barriers
old habits
poor experiences
fear of discussing sexuality
Victorian attitudes
toward sex
Lack of opportunity
that is loss of partner or
lack of privacy
17. cultural attitudes
Physical barriers to sexual health
normal aging changes
pathological aging changes
chronic pain
cognitive impairment
environmental restrictions
body image
Adverse medication effects
18. Normal Changes of Aging
Female Sexual Response
After menopause,
a loss of estrogen in
women results in
significant sexual changes,
including: thinned
vaginal walls ,
delayed vaginal lubrication
which leads to
pain during intercourse ,
19. labia atrophy ,
cervix descending to vagina,
loss of the pad of
fat over the pubic symphysis
that may lead to
pain from direct pressure
over the bone these are
some of the problems
that women face .
20. Also after sexual intercourse the women return to
pre aroused stage faster than they would at an earlier
age.
21. What are the problems that men face?
Where the women struggles with a decreased
estrogen level Men also experience decreased
testosterone hormone levels with aging,
22. but the impact on sexual functioning is not as
significant as in women.
23. In older men: More direct stimulation of the penis is
required to experience a somewhat weaker erection.
Orgasms are fewer and weaker in older men.
24. The force and amount of ejaculation is reduced. The
refractory period after ejaculation is increased.
25. Medical conditions that cause sexual dysfunction
among older people,
There are a number of medical conditions that cause
sexual dysfunction among older people,
Medications
27. Benefits of sex
Once we have taken into consideration the hurdles
that they face, let us discuss about the benefits of sex
28. Physical Aspects
Sex burns 5 calories. We all know that energy is burnt
during the process. And in old age when people are
reluctant to go out for exercises ,
29. They can be encouraged to have sex at least twice a
week, though it might be of no comparison to the
other exercises that they should be doing ,at least
something is better than nothing.
SEXERCISE is a better motivation than plain ordinary
Exercise
30. It bumps up heart rate and uses various muscles
hence reducing the heart attack rate. It also lowers
the systolic blood pressure.
31. Sex increases the Human Growth Hormone which
helps to increase the muscle mass
32. Stress
Though old age is not often an age where stress is
often a problem, yet there are things that affect every
senile age.
33. The best way to ward away stress is to have
companionship, being close to your partner can
soothe stress and anxiety,
34. Cuddling and hugging releases endorphins and
dopamine, which helps the brains pleasure and
reward system. In short it boosts self esteem and
happiness
35. Pain
Orgasms block pain. It increases the pain threshold.
This is extremely important in case of old age where
patient is often haunted by many kind of pain-
Chronic back pain, arthritic pain and all.
36. Improves bladder control of women
In old age the pelvic muscles, the pelvic s diaphragm
begins to get week.
37. Which will lead to urinary incontinence, a good sex is
a good workout for the pelvic muscles During orgasm
there is contraction to the muscles which makes them
strengthen.
38. Skin
Good sex increases level of oxytocin in the body and
promotes skin renewal ,sweating during the sex
cleanses the skin pores making the skin brighter and
helps to get a better skin glow.
40. Prostrate Cancer
Old age is the time when every single problem that is
associated with prostrate comes into light with Benign
Prostrate Hypertrophy to Prostrate Cancer it all
surfaces at this time , this makes the already tired of
diseases’ patient at their wills end
41.
42. Prostrate complications makes daily life hard. with
problems in micturition which continue onto problem
of Kidneys they are just invitations to more
complications.
43. It has been a proved theory that Sex can help with
Prostrate Cancer. Prostrate secretions play a part in
semen, and as old age comes these secretions are of
no use and prostrate sort of goes into an organ of no
use.
44. But it is said that more the secretions are produced it
sort of acts like ‘cleaning the pipes’ that is any cell
that might go into an aplasia is carried out by the
currents of secretions and poured out.
45. SO frequent sex helps in warding off the unwanted
useless threatening cells off the body.
46. The role of DHEA
DHEA is the hormone that is released from the
adrenal gland, Dihydroepiandrosterone, is the most
abundant steroid in the bloodstream and is present at
a higher level in brain.
C19H28O2
47. in old age only 10%of it remains. It s a precursor of
many sex hormones-Oestrogen and testosterone.
48. DHEA plays a
significant role.
it increases the
immune
response as it
improves the
macrophage
function by
correcting the
pathways of cell
to cell
transduction
49. It also boosts the beneficial interleukin2 and
supresses the damaging interleukin 6 levels ,as IL6
levels increases in old age –which further leads to the
autoimmune dysfunction, osteoporosis etc.
50. Sex increases the level of DHEA and which will help in
this destructive process. DHEA also elevates the
insulin like growth factor ,
51. which decreases in old age which leads to loss of lean
body mass as well as fat accumulations ,neurological
impairment and age associated immune dysfunctions.
52. DHEA is a protective factor against Alzheimer's
Disease by blocking the effect of cotisol and boosting
IGF levels.
54. -inhibit the abnormal platelet aggregation
-inhibits the tumour proliferation by blocking the
cancer promoting enzyme glucose 6 phosphate
dehydrogenase
56. RESULT
From 32 samples selected above the age of 60 years
those who were leading asexual life due to various
sexual dysfunctions ,spouses of all these individuals
also included in the study,
57. From 32 samples selected
24 male partners with ED
2 cases were paraplegic
Age of female partner ranges from 44 -
58 years
These 24 couples were leading
Asexual life more than 2 years
58. When we treated sexual dysfunction of the partner
,Educated the benefits of sexual activities in old age
both of them improved their general and
psychological conditions.
21 patients were treated with PDE 5 inhibitors
3patients treated with ICI –papaverine
59. Paraplegic male partners could attain erection
by direct stimulation of penis
PDE5 inhibitors used for rigid erections
Health and Psychological issues evaluated pre
and post treatment
We could notice considerable changes in both
partners
The severity of present illness cold be reduced,
The DHEA level increased in male and female
partner
60. FSD,Dyspareunia ,Lack of interest
diminished vaginal lubrication, pain and
discomfort with intercourse, decreased
arousal, and difficulty achieving orgasm
were the major complaint of Other 6
couples
appropriate treatment provided for
female partners
