Geriatric sexuality and chronic diseases.

The age-related changes in sexual behavior are often the result of coexisting systemic illness. The elderly as a group are more likely to have chronic diseases. They are prescribed drugs that often interfere with sexual activity. They are also more likely to undergo surgical procedures that may result in bodily disfiguration and that are often accompanied by psychologic sequelae that prevent the patient from achieving sexual satisfaction. In addition to psychosocial sequelae of chronic illness, many diseases alter sexual activity through interference with vascular or neural integrity of the genitalia. In addition, limitation in cardiovascular and pulmonary functions may force the patient to avoid sexual contact. Many elderly patients would benefit if, in addition to optimization of their underlying physical condition, they receive instructions on alternate sexual techniques or coital positions. In many, referral to a specialized sex therapist may be helpful.