Sexuality in Older Adults

  • António Pacheco Palha


The author presents some reflexions on sexuality in older adults having in mind that advanced age is not an undifferentiated experience. It is pointed out that some stereotypes are associated with ageing like social isolation, pain problems, difficulties to manage one’s own life and inability for sexual life.

Some comments related with the body are done, and it is suggested a concept of timeless body, considering the importance of nonverbal communication in the recreation of sex interest. So, the satisfaction in personal relationship and satisfaction in sexual performance can be achieved in this age. It was concluded that is fundamental for the promotion of sexual health, an active role of the primary care physicians that should be prepared to understand the sexuality of older adults.


Advanced age Successful ageing Timeless body Sexuality in old people Recreating sex Nonverbal communication Promotion of sexual health in older adults 


  1. 1.
    WHO. The world health report 2001. Mental health: new understanding, new hope. Geneva: World Health Organization; 2001.Google Scholar
  2. 2.
    WHO. The world health report 1975. Education and treatment in human sexuality: the training of health professionals. Geneva: WHO; 1975. Technical Report Series No. 572.Google Scholar
  3. 3.
    Mezzich J, Hernandez-Serrano R. Psychiatry and sexual health: an integrative approach. Edwardsville: RLP Group, Inc; 2006.Google Scholar
  4. 4.
    WPA. Programa educacional de saúde sexual. N.Y. 2001.Google Scholar
  5. 5.
    Strehler B. Time, cells and aging. New York/London: Academic; 1962.Google Scholar
  6. 6.
    Rowe JW, Kahn RL. Successful aging. New York: Pantheon/Random House; 1998.Google Scholar
  7. 7.
    Magalhães CS. A importância do domicílio para o idoso – O contributo do Serviço de Apoio Domiciliário. Dissertação de Mestrado. Polo Braga: Universidade Católica Portuguesa. 2012.Google Scholar
  8. 8.
    Lypovetsky G. A era do vazio – ensaio sobre o individualismo contemporâneo. Lisboa: Relógio D’Agua; 1997.Google Scholar
  9. 9.
    UNFPA. United Nations Population Fund. 2012. ISBN: 978-0-89714-007-2.Google Scholar
  10. 10.
    World Population Prospects: The 1998 Revision. Volume 3. United Nations Publications. 2000.Google Scholar
  11. 11.
    Hilditch JR, Lewis J, Peter A, et al. A menopause-specific quality of life questionnaire: development and psychometric properties. Maturitas. 1996;24:161–75.CrossRefGoogle Scholar
  12. 12.
    Payer L. The menopause in various cultures. In: Burger H, Bullet M, editors. A portrait of menopause. Park Ridge: Parthenon; 1991. Portuguese Society of Menopause (2006). Portugal.Google Scholar
  13. 13.
    Masters W, Johnson V. Human sexual response. Boston: Brown and Company; 1966.Google Scholar
  14. 14.
    Kaplan HS. The new sex therapy. London: Baillière-Tindall; 1974.Google Scholar
  15. 15.
    Kaplan HS. Hypoactive sexual desire. J Sex Marital Ther. 1977;3:3–9.CrossRefGoogle Scholar
  16. 16.
    Masters W, Johnson V. Human sexual incompatibility. Buenos Aires: Inter Médica; 1976.Google Scholar
  17. 17.
    American Psychiatric Association (APA). Diagnostic and statistical manual of mental disorders. 3rd ed. Washington, DC: American Psychiatric Association; 1980.Google Scholar
  18. 18.
    Ellis H. Psychology of sex. 2nd ed. London: Heineman Publisher; 1933.Google Scholar
  19. 19.
    Kraft-Ebing. Psychopathia sexualis. 1st ed. Stuttgart: Verlag von Ferdiand Enke; 1886.Google Scholar
  20. 20.
    Kinsey A, Pomeroy W, Martin C. Sexual behavior in the human male. Philadelphia: Saunders; 1948.Google Scholar
  21. 21.
    Kinsey A, Pomeroy W, Martin C, et al. Sexual behavior in the human female. Philadelphia: Saunders; 1953.Google Scholar
  22. 22.
    Dominguez A. La Sexualidade en un adulto mayor. 2005.Google Scholar
  23. 23.
    Osborn M, Hawton K, Gath D. Sexual dysfunction among middle aged women in the community. Br Med J. 1988;296:959–62.CrossRefGoogle Scholar
  24. 24.
    Janus S, Janus C. The Janus report on sexual behaviour. New York: Wiley; 1993.Google Scholar
  25. 25.
    Palha AP, Lourenço MF. Psychological and cross-cultural aspects of infertility and human sexuality, vol. 31. Basel: Karger Publishers; 2011. p. 164–83.Google Scholar
  26. 26.
    Butler R. Age-ism: another form of bigotry. The Gerontologist. 1969;9:243–6.CrossRefGoogle Scholar
  27. 27.
    Vega W. Hisparüc families in the 1980s: a decade of research. J Marriage Fam. 1990;52:1015.CrossRefGoogle Scholar
  28. 28.
    Moody H. Ethics in aging society. Baltimore: John Hopkins University. Press; 1993.Google Scholar
  29. 29.
    Iacub R. Proyetar la Vida: El desafio de los Mayores. Buenos Aires: Ediciones Manantial; 2001.Google Scholar
  30. 30.
    Klingman EW. Office evaluation of sexual function and complaints. Clin Geriatr Med. 1991;7(1):15–39.CrossRefGoogle Scholar
  31. 31.
    Spector IP, Fremeth SM. Sexual behaviors and attitudes of geriatric residents in long-term care facilities. J Sex Marital Ther. 1996;22:235–46.CrossRefGoogle Scholar
  32. 32.
    Patterson CH. The therapeutic relationship. Monterey. 1985Google Scholar
  33. 33.
    Berger RM. Realities of gay and lesbian aging. Soc Work. 1984;29(1):57–62.CrossRefGoogle Scholar
  34. 34.
    Lopes G. Sexualidade Humana. 2ª edição ed. Rio de Janeiro: Medsi; 1993. p. 77–81. ISBN: 85-7199-058-1.Google Scholar
  35. 35.
    Pasini W. O Amor e Tempo. Livraria Civilização Editora. 2000.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • António Pacheco Palha
    • 1
    • 2
    • 3
  1. 1.Department of Psychiatry, School of Medicine, University of Oporto (Jubilee)PortoPortugal
  2. 2.World Psychiatry Association (WPA)GenevaSwitzerland
  3. 3.European Federation of SexologyTilburgThe Netherlands

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