Stop Sex At Sixty (and other old age myths)
September 7, 2004 | 12:00am
More and more, science has been challenging many assumptions that we have long taken for granted about aging and the aged. After all, there are numerous myths that have long existed about older people which we have accepted as absolute truths but which research have subsequently shown to be false. Here are some of them.
"Many simply assume that the game is over somewhere in late midlife or early later life," writes Robert N. Butler, MD, co-author of The New Love and Sex After 60. "They couldnt be more wrong."
In fact, "given the blockbuster sales of Viagra, we know that older people are interested in sex," he commented in an interview. Whats more, the percentage of people who view their partners as romantic and/or physically attractive may actually increase with age, according to a 1999 sexuality survey commissioned by the American Association of Retired Persons and Modern Maturity magazine. In that poll, two out of three people with partners reported that they were "extremely" or "somewhat" satisfied with their sex lives.
Unfortunately, some older people may mistakenly blame a lackluster sex life on aging and accept it when decline could be turned around with the right treatment. For instance, antidepressants and medications for high blood pressure are notorious for impairing erections in men (their effects on women havent been as well-studied), but doses can be lowered or the medications changed altogether to lessen the impact. Overuse of alcohol is also often an overlooked factor in sexual problems for both men and women; cutting back or abstaining from drinking can frequently improve performance and desire.
Sometimes, theres no problem per se just a lack of good information. For instance, a man may think hes becoming impotent when it takes him longer to have an erection. But slower response is a normal age-related change, not a sign of impotence, says Dr. Butler. Given the fact that fear of impotence often causes impotence, its a piece of knowledge that might make all the difference.
Whatever the medical or psychological issues at hand in sexual difficulties, it takes a good conversation with your doctor to address them, along with a willingness on both sides to discuss specific problems and look for solutions. "Theres a myth of sexlessness thats sometimes believed by older people, that it just goes along with accepting all the trials and tribulations of old age," Dr. Butler says. "But this is changing a lot. People now see arthritis and heart problems as fixable," so why not sex?
"Its not quite as marked as it used to be, but theres still a false idea out there that growing older means you cant learn as well," says Dr. Butler, who is also the founding director of the National Institute on Aging.
Granted, diseases, drugs, and even nutritional deficiencies can diminish brain function "but thats true at any age," Dr. Butler comments. And while aging does affect cognitive or mental function by slowing reaction time and retrieval of information from memory, that simply means it may take an older person a few more seconds to remember a piece of information.
In fact, in certain ways, older people make better learners. "They have a broader knowledge, a better vocabulary, and more perspective" than younger adults, says Dr. Butler. "That means they can integrate knowledge and see connections that a teenager might not," such as, say, linking a painting or a piece of music with its historical context.
Older people themselves do much to dispel any notion that theyre withering away in retirement. Many continue learning by joining clubs and attending classes, even in degree programs. Such participation is incredibly important. The brain is a "use it or lose it" organ that needs to be kept in shape the same way that muscles and tendons do, and research has shown that people who stay mentally active have less risk for dementia and memory loss than those who let mental activities go.
What kinds of learning work best to exercise the brain? Anything that involves problem solving, such as doing crossword puzzles, is a good bet. Reading (and discussing what youve read with others), learning a new language, and figuring out how to use a new computer count, too.
Many people, as they grow older, are afraid of the rapid heart beating, the heavy breathing and the profuse sweating that accompany exercise. They fear that their heart will give out. But research has consistently shown that those who push themselves as they age are the most likely to be able to live independently.
To be sure, exercising intensely is different for a 90-year-old and a 50-year-old, and working up a sweat is different for a 50-year-old and a 20-year-old. It might take much less brisk walking or heavy lifting to get a "glow." And whats brisk or heavy exercise for a certain age changes as the body does. In addition, anyone who starts exercising in later years who has been inactive for some time must get a doctors okay first since vigorous physical activity is safe for most, but not all, older people. However, for the large majority of individuals who want to be able to get down on the floor with their grandchildren, ride a bike, or take ballroom dancing lessons, working up a sweat in aerobic activities several days a week and engaging in strength training twice a week is the way to go.
"Older people do feel pain, and it does interfere with great consequence in their activities of daily living," says Perry Fine, MD, associate medical director of the Pain Management Center at the University of Utah.
But, he says, its a myth that "pain is an inevitable part of aging, that people just need to expect it and to suffer it. There is much that can be done to relieve pain and improve quality of life." That is, no one, no matter what his or her age, should avoid asking for pain relief out of fear of being ignored or told theres nothing that can be done.
Older people tend not to get as much sleep as they used to, but they certainly need it. Contrary to popular belief, sleep needs do not decline with age. A couple of things that might keep some older people up are:
Medications. Even commonly prescribed drugs like diuretics can keep people up by making them run to the bathroom all night. Co-director of the Center for Sleep Medicine at the Tufts New England Medical Center, Bruce Ehrenberg, MD sometimes advises people "to get one or two trips to the bathroom out of the way before trying to fall asleep" even a few hours before bedtime.
Late dinners. Eating raises the level of stomach acid, a particular problem at bedtime for people who suffer from heartburn. Eating earlier rather than later can do a lot to take care of it. When Swiss scientists fed a group of men and women dinner at 6 oclock, they found that their stomach acid averaged about 20 percent lower throughout the night than the acid of people who had dinner at 9 oclock.
Indeed, as the myths discussed in this article prove, some of the age-old wisdom about growing old, isnt so wise after all!
"Many simply assume that the game is over somewhere in late midlife or early later life," writes Robert N. Butler, MD, co-author of The New Love and Sex After 60. "They couldnt be more wrong."
In fact, "given the blockbuster sales of Viagra, we know that older people are interested in sex," he commented in an interview. Whats more, the percentage of people who view their partners as romantic and/or physically attractive may actually increase with age, according to a 1999 sexuality survey commissioned by the American Association of Retired Persons and Modern Maturity magazine. In that poll, two out of three people with partners reported that they were "extremely" or "somewhat" satisfied with their sex lives.
Unfortunately, some older people may mistakenly blame a lackluster sex life on aging and accept it when decline could be turned around with the right treatment. For instance, antidepressants and medications for high blood pressure are notorious for impairing erections in men (their effects on women havent been as well-studied), but doses can be lowered or the medications changed altogether to lessen the impact. Overuse of alcohol is also often an overlooked factor in sexual problems for both men and women; cutting back or abstaining from drinking can frequently improve performance and desire.
Sometimes, theres no problem per se just a lack of good information. For instance, a man may think hes becoming impotent when it takes him longer to have an erection. But slower response is a normal age-related change, not a sign of impotence, says Dr. Butler. Given the fact that fear of impotence often causes impotence, its a piece of knowledge that might make all the difference.
Whatever the medical or psychological issues at hand in sexual difficulties, it takes a good conversation with your doctor to address them, along with a willingness on both sides to discuss specific problems and look for solutions. "Theres a myth of sexlessness thats sometimes believed by older people, that it just goes along with accepting all the trials and tribulations of old age," Dr. Butler says. "But this is changing a lot. People now see arthritis and heart problems as fixable," so why not sex?
Granted, diseases, drugs, and even nutritional deficiencies can diminish brain function "but thats true at any age," Dr. Butler comments. And while aging does affect cognitive or mental function by slowing reaction time and retrieval of information from memory, that simply means it may take an older person a few more seconds to remember a piece of information.
In fact, in certain ways, older people make better learners. "They have a broader knowledge, a better vocabulary, and more perspective" than younger adults, says Dr. Butler. "That means they can integrate knowledge and see connections that a teenager might not," such as, say, linking a painting or a piece of music with its historical context.
Older people themselves do much to dispel any notion that theyre withering away in retirement. Many continue learning by joining clubs and attending classes, even in degree programs. Such participation is incredibly important. The brain is a "use it or lose it" organ that needs to be kept in shape the same way that muscles and tendons do, and research has shown that people who stay mentally active have less risk for dementia and memory loss than those who let mental activities go.
What kinds of learning work best to exercise the brain? Anything that involves problem solving, such as doing crossword puzzles, is a good bet. Reading (and discussing what youve read with others), learning a new language, and figuring out how to use a new computer count, too.
To be sure, exercising intensely is different for a 90-year-old and a 50-year-old, and working up a sweat is different for a 50-year-old and a 20-year-old. It might take much less brisk walking or heavy lifting to get a "glow." And whats brisk or heavy exercise for a certain age changes as the body does. In addition, anyone who starts exercising in later years who has been inactive for some time must get a doctors okay first since vigorous physical activity is safe for most, but not all, older people. However, for the large majority of individuals who want to be able to get down on the floor with their grandchildren, ride a bike, or take ballroom dancing lessons, working up a sweat in aerobic activities several days a week and engaging in strength training twice a week is the way to go.
But, he says, its a myth that "pain is an inevitable part of aging, that people just need to expect it and to suffer it. There is much that can be done to relieve pain and improve quality of life." That is, no one, no matter what his or her age, should avoid asking for pain relief out of fear of being ignored or told theres nothing that can be done.
Medications. Even commonly prescribed drugs like diuretics can keep people up by making them run to the bathroom all night. Co-director of the Center for Sleep Medicine at the Tufts New England Medical Center, Bruce Ehrenberg, MD sometimes advises people "to get one or two trips to the bathroom out of the way before trying to fall asleep" even a few hours before bedtime.
Late dinners. Eating raises the level of stomach acid, a particular problem at bedtime for people who suffer from heartburn. Eating earlier rather than later can do a lot to take care of it. When Swiss scientists fed a group of men and women dinner at 6 oclock, they found that their stomach acid averaged about 20 percent lower throughout the night than the acid of people who had dinner at 9 oclock.
Indeed, as the myths discussed in this article prove, some of the age-old wisdom about growing old, isnt so wise after all!
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