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Many older adults do not engage in sex because of shame and feelings of guilt or simply because they think they are “too old for sex.” However, it would be wrong to assume that older adults are not interested in engaging in sex.Few people talk with their doctors about their sexual problems.
For example, heart disease patients often avoid sex because they are afraid of a heart attack.
Google the words "marriage and affair" and you get more than 17 million variations on how to heal.
That's because "fidelity in marriage"—which only gets about 3½ million hits—is a hard thing to come by these days.
Yet while some doctors may be afraid to ask about sex with patients, research has shown that patients appear to be willing to provide a response if asked.
This means that their sexual problems are not being addressed unless the doctor brings it up. To take just one example, patients with arthritis and low back pain need information and advice from their health care provider about recommended intercourse positions so as to avoid pain.
Personality disorders, addiction and substance abuse and poor sleep quality all play major roles in sexual interest and abilities.