Sexual functioning is a sensitive topic amongst the elderly population, and one that is often neglected. Examinations for disorders of pelvic floor functioning should include questions as to the patient’s engagement in sexual activity of any sort, difficulties in this area, and interest in solutions. It is important to remember that treatment involves both partners. With age, decreased sexual desire and erectile dysfunction may present challenges. Solving issues such as vaginal dryness and atrophy, pelvic organ prolapse, and urinary or fecal leakage during intercourse can improve the quality of sexual activity and have a positive impact on the relationship.
Sexual dysfunction should be addressed by a licensed sexologist. Treatment is mainly psychological and requires the cooperation of both partners. Sexual functioning can be improved through the use of vaginal estrogen preparations, lubricants, and medications to improve erectile function.