It should be noted that the FSFI is not a disease specific instrument to measure sexual function in women with prolapse and urinary incontinence and coital leakage as well as fear of coital leakage may be the most important sexual improvement a women undergoing treatment for urinary incontinence should expect [ 36 ]. Testosterone administration in early studies included oral, intramuscular injection, and subcutaneous implants, all of which resulted in increases in sexual desire in postmenopausal women. Posterior repair and sexual function. A study of Sexuality and Health among older adults in the United States sampled US adults, women and men, aged 57 to 85 years, and described the association of sexual activity, behaviors, and problems with age and health status. Support Center Support Center. Additionally, chronic estrogen deprivation causes the labia to become less sensitive to tactile stimulation. When hyperprolactinemia is associated with panhypopituitarism, a reduction in androgens, estrogens, glucocorticoids, and thyroxine can compound sexual dysfunction.
Addressing fears and avoidance behaviors Another area in which psychologists can intervene with patients is in addressing anticipatory fear and concurrent avoidance behaviors to engagement of intimacy with the partner [ 10 ] and [ 63 ].
Sexual Function in Elderly Women: A Review of Current Literature
Sexual function improvement following surgery for stress incontinence: Female sexual dysfunction is a multicausal and multidimensional problem combining biologic, psychologic, and interpersonal determinants. Sen and colleagues recently investigated the effects of different types of urinary incontinence on female sexual function using the Female Sexual Function Index Questionnaire FSFI. Antipsychotics eg, olanzapine or risperidone Antiepileptics lamotrigine, gabapentin, and topiramate Antihypertensives: A community-based epidemiological survey of female urinary incontinence: Sexual activity and function in middle-aged and older women.