Elderly: urologists break the "taboo" of sexuality in old age
"A misunderstanding" doctors on the subject
Sexuality - including sexuality and the elderly - was one of the dominant themes of the annual congress of the French Association of Urology (AFU), which took place from November 21 to 24 at the Palais des Congrès in Paris.
The report on "Sexual Medicine" presented Saturday, November 24, examines the state of medical knowledge on the subject to help urologists, specialists in the urinary tract, to deal with issues more numerous and precise their patients.
"People do not die of sexuality, but when it does not work you can be very poor and there is a growing demand on the part of men and women in this area," says urologist François Giuliano (Raymond Poincaré Hospital, Garches) , one of the report's authors.
"Disorders of desire and orgasm in women," side effects ("iatrogenic") drugs on sexuality, "surgery of female genital mutilation" or "sexuality of the elderly couple" are some of the topics that have been addressed in this report.
"Over the past decade, there has been considerable progress in understanding the mechanisms of sexual dysfunction in their treatment, and there is a waiting population growth," says Dr. Giuliano.
A majority of urologists, whose average age is 50 years, had no specific training in this field while in office and places a growing sex life.
Good example of this trend: the arrival of "expected" in 2013 in France, the first specific treatment against premature ejaculation. The Dapoxetine (brand name Priligy, laboratories Janssen / Furiex / Menarini) which acts on the hormone serotonin, would "multiply by three or four times for the ejaculate," according to Prof. Giuliano.
This product should be taken "on demand", as well as against male impotence pills like Viagra, is a "new" drug as far prescribed antidepressants, did effect after 15 days.
Another area of growing importance for urologists: the "iatrogenic sexual drug", ie the side effects of the treatment on sexual life. "Numerous drugs may induce sexual problems such as erectile dysfunction caused by anti-hypertensives" says Dr. Giuliano.
"But there is a great ignorance about this although it is a major cause of non-adherence" by men, he says.
Urologists also need to know to answer the questions "less exceptional" couples aged 75 to 80 years who want to "have sex more satisfying."
According to figures released by Afu, nearly 90% of women over the age of 50 living couple now say sexually active against 77% in 1992 and 53% in 1970.
"The acceptance of the other aging is essential to continue to project themselves into a sexual relationship" says Dr. Giuliano to that specialist advice can be valuable in these cases.