Promoting a discussion on later life sexuality: Lessons from sexologist physicians

Abstract

This study examined factors at the structural and individual levels that can facilitate discussion of sexual matters between physicians and older patients. Fifteen physicians from differing medical specialties, who are also certified sexologists or qualified in human sexuality, were interviewed for the study. Open-coding analysis was employed, consisting of comparisons within and across interviews. Three major themes emerged: (1) increase the visibility and importance of older adults’ sexuality, as the first step in facilitating discussion on sexual matters in later life by raising awareness of sexuality in older adults in a non-stigmatized way, (2) increase knowledge of medical students and physicians and provide accurate, up-to-date knowledge to older adults, and (3) display more openness to discussing elderly sexuality in clinical encounters, by creating an accepting atmosphere in which older patients feel comfortable discussing their sexual needs. The findings highlight that the communication between physicians and older patients needs to extend beyond practical guidance, and that ageist beliefs that assume older adults are not interested in sex should be challenged. After acknowledging older people as sexual beings, increasing the knowledge of later-life sexuality is essential, and practical guidelines for open discussions can be developed.