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2016, Number 1

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Rev Cuba Endoc 2016; 27 (1)

Sexual desire in older men and its association with serum testosterone and other factors

Monteagudo PG, López RY, Ledón LL, Gómez AM, Ovies CG, Álvarez SE, Robles TE

Language: Spanish
References: 50
Page: 29-44
PDF size: 185.30 Kb.


ABSTRACT

Introduction: sexual desire decreases with aging but the real scope of these changes and the factors unleashing them are still a topic under debate.
Objective: to describe the characteristics of the sexual desire in older men from Plaza de la Revolution municipality and their association with serum testosterone and other variables.
Methods: population-based descriptive and cross-sectional study which involved 510 men aged 60 years and older, who did not present either physical/cognitive handicaps or conditions leading to hipogonadism. They had been selected from the residents of Plaza de la Revolucion municipality in Havana through a complex multistage stratified sampling. They answered a self-administered anonymous questionnaire; their questioning and physical exam data were then collected and the total serum testosterone was determined. Several sexual desire aspects together with the possible influential factors were evaluated; the summary statistics in addition to Chi-square, Kruskall-Wallis's and multiple logistic regression tests were all analyzed. Moreover, ethical aspects were respected.
Results: the age of the participants ranged 60 to 93 years (median of 70). In this group, 82.41 % pointed out that their sexual desire had changed in comparison with earlier ages and from this percentage, 79.16 % said their desire decreased, 11.66 % stated it had disappeared whereas in 9.18 % it had increased. The answers showed that the degree of sexual desire was medium in 55.02 % of participants, 44.53 % often felt it whereas 4.25 % never had it. In the study group, 71.22 % were satisfied or fairly satisfied with their degree of sexual desire. There was no association between the serum testosterone and the changes in the current degree and frequency of sexual desire (p › 0.05). The decrease in sexual desire showed significant positive association with the age older than 80 years, less sensation of wellbeing and lower consumption of drugs; however, it was negatively associated to the attitude towards sexuality (p ‹ 0.05). Schooling, occupation, religious beliefs, marital status, length of time of a couple relationship, chronic diseases, toxic habits, physical exercising, socialization, psychological condition, sexual education, importance attached to sexuality or to privacy were not significantly associated with decrease of sexual desire.
Conclusions: sexual desire changes with the age, particularly towards decrease, but the majority of older men are satisfied or fairly satisfied with it; they often feel it with medium degree. The decreased sexual desire in the studied subjects does not depend on the serum testosterone but it does on other biological, psychological and social factors.


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