YouTube episode by Anne Truong MD discussing sexual health among older adults. The speaker emphasizes that many seniors remain sexually active (citing U.S. and Swedish studies), outlines common age-related sexual problems (erectile dysfunction, low testosterone, vulvovaginal atrophy/genitourinary syndrome of menopause), notes rising STI rates in older adults, and offers practical treatments (lubricants, local estrogen, ED therapies including lifestyle changes and procedural options). The video also promotes the Modern Man Club, a coaching/community service for men with ED. Key numeric claims cited: U.S. 65+ population projection to 82 million by 2050; activity rates for ages 65–74; ED prevalence in older men; CDC gonorrhea incidence increase (2010–2020); low rate of older adults discussing sexual health with physicians.
Questions this video answers
From 58 million in 2022 to 82 million by 2050 (a 47% increase, ~23% of U.S. population).
42% of women and 60% of men aged 65–74 were sexually active.
About one third (a third) of those in their 70s and 80s.
An estimate that 70% of men over age 70 experience erectile dysfunction.
Increase from 3.5 cases per 100,000 to 17 cases per 100,000 (2010→2020).
Chapters
What's the situation with seniors and sex? If you are over 60 years old, stay tuned and listen to this episode. I'll see you on the inside. Hello there, modern man. Today we're going to talk about sex and seniors. Do you really have less sex when you get older? Not necessarily. Stay tuned to find out when what is the real truth? The average age of American has never been higher. According to the U.S. census Bureau projection, the population age 65 and above will surge from 58 million in 2022 to 82 million by 2050, marking a 47% increase expected to represent 23% of the total population in the U.S. so, contrary to popular belief, the elderly maintain a keen interest in sexual activity. In a study in 2023, 42% of women and 60% of men aged 65 to 74 are sexually active, with a third of them older in their 70s and 80s engaging in sex at least two times per month. Now, I remember when I was in my 30s and I was having babies, I was lucky if I even have sex twice a month that we were so busy working and taking care of kids. And the seniors in their 70s and 80s are having at least two times a month. So they definitely beat me when I was in my 30s. I don't know about you, but, but as you get older you have more time to really enjoy sex. So why not? So take care of yourself now while you're in your 20s, your 30s and your 40s, so that way you can have sexual activity when you get in your 60s, 70s and 80s. It's like taking care of your teeth. You should take care of your sexual organs the same way you take care of your teeth. Well, interestingly, as a national poll on healthy aging that was conducted by the aarp, the American association of Retired Person and the University of Michigan, they saw that 2/3 of individual aged 65 to 80 expressed a keen interest in sex with more than 50% of them consider it vital for their quality of life. A Swedish study even found out that text 10% of individuals in their 90s and older are sexually active. Now, sexual activity in the elderly is not limited to penetrative intercourse because of their comorbidity such as arthritis and hormonal changes and also blood pressure problem. They adapt their sexual activity due to ed, vaginal dryness, arthritis, mobility limitation and even side effects of medication. So it could also include solo sex, bonding, kissing and oral sex. Now, the most common sexual problem in older men is erectile dysfunction and low testosterone or hypogonadism. According to estimates 70% of men are over the age of 70 experience ED. Now, when you also get older, you also have high blood pressure, diabetes and heart disease, which compound the problem of erectile dysfunction. And then testosterone level also decreased too after the age of 30 because of lower testosterone. Elderly men have a lower sex drive, osteoporosis and also reduce muscle strength and also fat deposit as well. Now, in aging women or women that are in menopause, there are hormonal changes that happen which she has lower testosterone, estrogen and progesterone. Then that is manifested as decreased sex drive, vaginal dryness and atrophy of the vaginal muscle condition called vulvovaginal atrophy or genital urinary syndrome of menopause or gsm. And, and it is very common menopausal women menopause means the women are no longer menstruating or have a period when they get probably in their late 50s or mid-50s. So when this happened with vaginal dryness, decreased lubrication and then muscular changes in the vagina, it causes pain during sexual intercourse and it's very uncomfortable. And some women described it as a feeling of sandpaper during sexual activity. And so every woman that listen to this or men of you have a partner, let her know that she does not need to suffer with pain with sex it can be treated and it can be treated easily with a lubricant cream or estrogen local cream that is not systemic and it can actually reverse the pain in as little as a week or two. So women, you do not have to live with painful and uncomfortable intercourse. So the CDC statistics indicate that in 2010-2020, the incidence of gonorrhea among individual age 55 and older increased from 3.5 cases among 100,000 people to 17 cases among 100,000 people. And it's also a rising trend in syphilis and chlamydia. So this is indicative of seniors having unprotected sex influenced by casual sex and also increased use of dating app among seniors. So you're retired, you don't have to worry about getting pregnant and you're relaxed, you're enjoying life. Why not? So I thought that was an interesting fact there. Now there was a review published study in the Pan America Journal of Public Health that concluded that current research on the relationship between sexual health and subjective well being in older age groups suggests that living a fulfilling sex life is an essential part of their well being. And so according to a national survey, only 17% of old older adult actually talk to their doctor about their sexual health problem. So that's pretty sad. That means that 83% are suffering in silence. They're not discussing it with their doctor. And the doctor probably should be doing a better job of initiating conversation about sexual health. I believe that sexual health questions should be asked on every bit of visit, even in patient, especially over 50. Because if you ask, you will open more conversation because the nature of sexual activity is an uncomfortable subject. If you're listening to this, discuss this with your doctor. And if you're a doctor listening to this, initiate the conversation with your patient. I always do, because I feel that is also the fifth vital sign as well, because sexual health is also good general health. So having said that, for women, I stress again, do not suffer in silence. You do not have to suffer with painful sexual intercourse. There is help and it's something local, such as a lubricant cream or local estrogen cream that will make the pain go away in as little as a week to a few weeks. And for men, there are other treatment for for your erectile dysfunction and low testosterone, such as testosterone supplementation as injection of pellet or other alternative besides just taking Viagra and Cialis. Again, I stress the four pillars of health, which is diet, exercise, sleep and stress reduction. And I know those sometimes are hard to do. But in my last episode I talked about the five food that you should avoid and the five food you should eat again. A Mediterranean diet, a diet full of vegetables and lean meat and nuts is a diet I recommend that will be good for sexual health. And also know that if you just institute just one of the pillars, sexual health, you're going to see a big difference and you may even see some weight loss as well. And there are other alternative treatment to erectile dysfunction other than medications such as platelet rich plasma, shockwave therapy, Botox injection to the penis, which is what I do in the office along with the lifestyle modifications that I talk about. So having said that, I will link again the good morning wood smoothie and show note description and the Mediterranean diet. And just know that you do not have to figure out how to get your sexual health on your own. I am there to help you and to coach you and to answer any question that you have in the Modern man club. So go check out the Modern Man Club. It's a space where I coach you to get back to your sexual function with natural solution and you actually get to ask me questions live twice a month. And you also get access to my online supplement at a discounted rate as well too. So check it out@noedman.com and I'll put that in the show note as well. So having said that, Modern Man. Let's start our sexual revolution. Let's regain our independence and our sexuality and I will see you in the next episode. Are you struggling and frustrated in finding a solution for ed? Well, I have just the thing for you. It's called the Modern Man Club led by yours truly, Dr. Ann. Together we're redefining male sexuality and embracing a holistic approach to overcoming ed. Without medication or surgery. I will provide a protective environment for a community and proven strategy to overcoming ed. It is a safe place. Expert coaching by me and my team. We provide holistic approach to overcoming ED and an empowering community of men with ED supporting one another and lots and lots of educational resources. Visit mensexualityclub.com at the link here on my right and connect with us and reclaim control over your sexual help. I'll see you there.
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