老年人口的性健康。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2020-12-01 Epub Date: 2020-10-29 DOI:10.1007/s11930-020-00278-0
John S Fisher, Andrew Rezk, Elie Nwefo, John Masterson, Ranjith Ramasamy
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引用次数: 9

摘要

综述目的:在不断增长的老年人口中,性健康仍然是个人和夫妇关注的重要问题。了解随着年龄增长的预期变化和照顾老年男性和女性对治疗性功能障碍很重要。与衰老有关的性健康问题既可以与男女有关,也可以独立存在。这项研究的目的是确定影响这一人群中男性和女性性满意度的最重要因素。最近的研究发现:许多因素影响着男性和女性的整体性健康。性腺功能减退和勃起功能障碍都需要彻底的评估和考虑治疗,以提高性满意度。潜在的心血管问题可能存在于有这些担忧的男性中。除了激素替代和传统的治疗勃起功能障碍的方法外,治疗性干细胞注射也显示出一些希望。更年期、阴道干燥和性交困难在女性的性满足中起着重要的作用。阴道保湿剂、局部雌激素和蒙娜丽莎触摸激光疗法都有助于改善这些症状,最终改善性生活。研究还表明,在老年人中可能出现的觉醒障碍人群中也有一些益处。总结:男性患者经常描述与勃起功能障碍和性腺功能减退有关的问题,以及性欲问题。病理生理学是这些条件之间的联系和治疗的一个组成部分可以提供更大规模的症状缓解。睾酮治疗、生活方式改变和勃起功能障碍治疗的结合与男性的性满足有关。在女性中,了解更年期的生理过程并在需要时提供治疗可以提高性健康质量,并为患者和伴侣提供满意度。虽然衰老会减少动力和欲望,但适当的咨询和治疗可能会使一些患者显著受益。包括医生、病人和伴侣在内的多模式方法将优化护理,并可能提高老年人的生活质量。这篇综述概述了一些由于衰老而引起的正常变化,并确定了一些目前的治疗方案,这些方案适用于性健康经常被忽视或忽视的人群。通过了解可用的工具,可以采取更全面的方法来实现夫妻和个人的满意度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sexual Health in the Elderly Population.

Purpose of review: Among the growing elderly population, sexual health remains an important concern for individuals and couples. An understanding of the expected changes with aging and taking care of aging men and women is important for treating sexual dysfunction. Sexual health issues related to aging can be both linked between men and women and independent. The aim of this study is to determine the most important considerations that contribute to sexual satisfaction in men and women in this population.

Recent findings: Many factors contribute to the overall sexual health of men and women. Hypogonadism and erectile dysfunction both warrant thorough evaluation and consideration of treatment to improve sexual satisfaction. Underlying cardiovascular issues may be present in men presenting with these concerns. In addition to hormone replacement and traditional therapy for erectile dysfunction, therapeutic stem cell injection has shown some promise. Menopause, vaginal dryness, and dyspareunia play important roles in sexual satisfaction in women. Vaginal moisturizers, topical estrogen, and MonaLisa Touch laser therapy all may aid in improving these symptoms and ultimately sex lives. Studies have also demonstrated some benefit in populations with arousal disorders, which can be present in the elderly.

Summary: Male patients often describe issues related to erectile dysfunction and hypogonadism, and issues with sexual drive. The pathophysiology is linked between these conditions and treatment of one component can provide symptom relief on a larger scale. A combination of testosterone therapy, lifestyle modifications, and therapy for erectile dysfunction relates to sexual satisfaction in men. In women, an understanding of the physiological process of menopause and offering therapy when indicated can improve the quality of sexual health and provide satisfaction to both patient and partner. While aging can diminish drive and desire, proper counseling and treatment may significantly benefit some patients. A multimodal approach involving the physician, patient, and partner will optimize care and may improve the quality of life in the elderly. This review outlines some normal changes due to aging and identifies some current treatment options for a population in which sexual health can be often ignored or dismissed. By understanding the available tools, a more comprehensive approach can be taken to achieve satisfaction in couples and individuals alike.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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