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Sexuality in the Aging Couple, Part II: The Aging Male

Irwin W. Kuzmarov, MD, FRCSC, Assistant Professor, Department of Surgery (Urology), McGill University; Director of Professional and Hospital Services, Santa Cabrini Hospital, Montreal, QC; Past President, Canadian Society for the Study of the Aging Male.
Jerald Bain, BScPhm, MD, MSc, FRCPC, CertEndo, BA, Professor Emeritus, Department of Medicine, Division of Endocrinology and Metabolism, Mount Sinai Hospital; University of Toronto, Toronto, ON; Past President, Canadian Society for the Study of the Aging Male.

Sexual desire and activity continue well into later life, and advanced age alone is not a deterrent to a happy and healthy sex life; however, clinicians should be aware that the normal sexual response of men and women may change with aging. When sexual dysfunction occurs, studies show that men and women tend to view sexual dysfunction differently. Part I (which appeared in the November-December 2008 issue of Geriatrics & Aging) addressed sexual function and dysfunction with age in females. Part II of this two-part article series addresses sexuality and sexual dysfunction in aging men. For the emotional well-being of their patients, it is crucial that family doctors be aware of sexuality in the aging couple, and be able to evaluate and manage problems that may arise.
Key words: aging, sexual activity, sexual dysfunction, men, testosterone therapy.