Older adult sexuality in the practice and training of geriatricians: a qualitative study

Abstract

OBJECTIVE: To understand the academic training of geriatrics residents and their supervisors regarding the sexuality of older adults, as well as practical approaches to the subject in their work routines. METHODS: This qualitative study was conducted with geriatrics residents and their supervisors at a public hospital in Recife, PE, Brazil in 2019 and 2020. RESULTS: A partial understanding of the respondents’ concept of sexuality was identified through statements that expressed confusion between sexual intercourse and sexuality, as well as a lack of knowledge about sexuality on an individual level. Although the respondents affirmed the importance of discussing the subject, they reported that they do not, except passively, depending on the patient’s questions, despite the fact that they perceive their patients’ difficulty in seeking out a health service to talk about sexuality-related issues. Finally, the lack of an approach to sexuality in geriatric consultations was linked with gaps in undergraduate and specialization programs about general care for older adults, resulting in a feeling of unpreparedness to face the taboos and prejudices associated with sexuality. CONCLUSION: Although professionals consider it important to address sexuality with patients, most of them do not do so in medical consultations due to a number of difficulties, including the lack of a protocol to follow, which leads to a passive approach. Therefore, professionals acknowledge the difficulty of addressing the subject and associate it with deficiencies in their academic training.

Prevalence of and Factors Associated with Hypersexuality in Patients with Dementia: A Retrospective Cross-Sectional Study

“…Sexuality continues to be an essential aspect in the quality of life and well-being of some individuals, although neurocognitive disorder, and physicians and other health professionals tend to consider any sexual behavior by patients as a disorder and restrict it, especially in long-term care facilities. 46,50 Using hormonal drugs to lower testosterone levels induces sexual dysfunction, and there is evidence that it can reduce inappropriate sexual behavior. 32,47 However, such therapy is controversial and should be considered only in specific cases due to its side effects, cost, the patient's inability to consent, and the social stigma associated with “chemical castration.” 47 Hormonal drugs may be considered a final measure after consent by the legal guardian.…”