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Try out PMC Labs and tell us what you think. Learn More. Background: Gender differences in relation to sexual functioning among older adults have received very little research attention, although the ageing process is likely to be characterized by difficulties in sexual functioning among both women and men. Objectives: The purpose of this qualitative research is to examine and understand the perceptions of family physicians, and the differences in their attitudes regarding male and female patients. Method: Qualitative interviews with family physicians were conducted between August and December Sixteen family physicians participated in the study, aged 36—64; most were born in Israel and half of them were women.

Twelve physicians were Jewish, two were Christian and two were Muslim. Nine work in rural practices and seven work in urban practices. We used in-depth, semi-structured, face-to-face interviews. The interviews were recorded, transcribed and analysed by three researchers using content analysis. : The analysis of the interviews revealed two main themes: 1 Differences as perceived by family physicians: men are perceived as being interested in engaging in full sexual relations, including penetration, while among women, the main need is focused on the relationship and intimacy.

Family physicians reported that most of the patients who seek solutions regarding sexual dysfunction in old age are men with impotence problems. Family physicians perceived that women seek out solutions less frequently, some because they are afraid their relationship will suffer if they do not continue having sex with their partners.

Conclusion: Men and women were seen as having different motivations for Haifa women seeking men sex in sex and different needs from physicians. Family physicians perspective that men interested in engaging in full sexual relations, while women main need is focused on relationship and intimacy. Family physicians perspective that men's problems simple and easily solved, whilst the women's problems were more complex.

Sexual activity and sexual satisfaction continue to play an important role in the lives of older adults, both women and men [ 1—3 ]. Yet, the ageing process is likely to be accompanied by a difficulty to engage in sexual activity [ 4—6 ]. Among older adults with active sex lives, half of the men and women report at least one problem concerning sexual function [ 7 ]. Among older women, sexual function diagnoses are more complex and there is a certain vagueness about the diagnoses [ 4 ].

Moreover, higher levels of ageist attitudes were found to be directed towards older women compared to older men [ 12 ]. Older men and women are often afraid to involve physicians in their sexual problems and therefore choose to deal with these problems alone or to ignore them [ 13—18 ]. When family physicians raise sexual issues, it usually occurs with older men, rather than with older women [ 10 ], despite studies, which indicate a higher sexual dysfunction rate among older women [ 3 ].

Family physicians play a ificant role in treating sexual functioning among older adults. In light of the apparent differences in the literature about the attention given to older men in comparison with older women in diagnosing and treating sexual functioning difficulties [ 4719 ], the goal of the qualitative study was to examine the attitudes of family physicians and understand their perspective and the differences in their attitudes towards their male and female patients.

The study focuses on a sample of 16 family physicians in Israel. The study used a qualitative-phenomenological approach [ 20 ]. This approach attempts to obtain an in-depth understanding of the phenomenon by entering the world and experiences of the participants. The qualitative-phenomenological research approach was chosen to enable family physicians to tell their stories and give meaning to their experiences. The sample emphasizes a rich and diverse conceptualized representation for background variables and in the way it represents the Haifa women seeking men sex physician population in Israel.

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In the study, 16 family physicians participated, aged 36—64; most were born in Israel, eight women and eight men see Table 1. Twelve of the physicians were Jewish, two were Christian and two were Muslim. Nine work in rural practices and seven in urban practices. The Hospital Ethics Committee approved study No. The researchers identified the participants and requested their written consent to participate in the study.

A psychotherapist trained in conducting qualitative-phenomenological interviews conducted the individual in-depth, semi-structured interviews. An interview guide was developed, drawing on the literature.

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The interview was conducted based on an interview guide, which included ificant key areas, but was flexible enough to allow for the development of a dialogue between the interviewer and the interviewee and meaningful self-expression [ 21 ]. A personal was sent to 20 family physicians, to ensure that a variety of background characteristics would be included gender, age, religion, years in the profession, clinic type.

Sixteen family physicians agreed to participate in the study. The researchers selected the participants and requested their agreement to participate in the study. The participants received a comprehensive explanation about the study and they were interviewed in their homes or work clinic, according to their preference.

The interview lasted for one hour and it was conducted in Hebrew. Each interview was recorded and then transcribed. The interviews were analysed using content analysis, to identify and code central themes and patterns. In the first stage, all of the interviews were read and analysed line by line. In the next stage, the researchers looked for related themes and the sub- were grouped into secondary. Attitudinal differences are described: men are perceived as wanting to engage in full sexual relations including penetration, and difficulties in sexual function were perceived as influencing their self-confidence.

Family physicians said that most of the sexual function problems reported among the older population come from men experiencing impotence. Women seek out help less frequently and their direct complaints often relate to gynaecological symptoms rather than sexual function problems. Below is a detailed of the two themes supported by direct quotes from the interviews. Theme one. In this study, family physicians described how senior men strive to maintain an active sex life, including full penetration.

Therefore, a physiological decline is often observed in their ability to engage in sexual relations, despite their motivation to have sex, and their interest in maintaining high libido levels. Because of sexual difficulties, men reported reduced confidence levels and lower quality of life to their physicians. This decline in their feelings of manliness and self-confidence often le to disappointment and frustration:. Among men, I think their ability often diminishes, but the desire remains.

Yes, they still have urges and look at women. Sometimes, they look outside of their own relationship. Kim, When elderly male patients have to deal with a medical issue, such as medication or surgery, which may harm their sexual function, they hesitate or postpone the treatment, so as not to impede their ability to perform and engage in full sexual relations. Family physicians related that, in contrast with the needs of older men, older women show a need for intimacy, emotional connection, and sexual contact that does not necessarily lead to full penetration.

Women show more tolerance towards their declining libido; some even perceive sexual relations as a task they must fulfil to satisfy their husbands or so as not to disappoint him or make him angry:. Theme two. All of the family physicians said that older men dealing with sexual function difficulties ask for help more than older women. Most of the visits to family physicians were made by men with ED, caused by illness, medication, emotional difficulties, physiological decline or a combination of these factors:. I have a patient who is around 70 years old, a man with many background diseases, high BMI, with a history of prostate cancer…some of his sexual dysfunction is also a result of surgery he underwent to treat a prostate infection.

He came to me and quite freely expressed that regarding sexual function, after the operation, he was no longer the same man. He asked for help; he is taking pills. Sofia, Some of the patients who sought advice from their family physician had experienced sexual function problems in the past but had not sought help. Family Haifa women seeking men sex described how women seek help much less frequently than men do, concerning sexual dysfunction.

Women who do seek help Haifa women seeking men sex do so only once, even if the problem is ongoing and, as a result, they suffer over time. When they do seek help, the majority of the time, they do not look for a direct solution to the problem, but rather relate to gynaecological problems:. Women sometimes come with all kinds of issues, such as abdominal pains, recurring urinary tract infections…the urovaginal and the urogenital areas, in general…which always makes me ask questions.

Are you in a relationship with someone now? Women are much more open to the idea that the family may fall apart because of tensions, arguments…women more often initiate couples therapy and everything related to it. James, This finding supports research, which found that men report more sexual activity and thoughts about having sex compared to women [ 22 ].

Men aged 65—74 reported that they had sex 2. The study shows that some of the women were described as perceiving sex as a duty or task, something they felt obliged to do to satisfy their husbands, rather than out of personal desire. It was also was found that physicians who treat women with gynaecological symptoms identify a difficulty in sexual function, but very few physicians discuss this matter with the women [ 27 ].

These findings emphasize that also among women, there are medical reasons for sexual function difficulties, but these problems receive less attention and treatment [ 10 ]. Some of the women seek help because they are afraid they will have problems in their relationship if they do not have sexual intercourse with their partner.

Although few women are interested in discussing sexual function with their family physicians, one-third of the women said they would like their family physician to initiate such a conversation and show interest in their situation. Hence, it is important that physicians also acknowledge sexual issues with women. While most men find various medical solutions, the variety of solutions offered to women is narrower, which is possibly why physicians ignore them, and their emotional concerns receive more emphasis. Sexual problems are frequent among older adults, but these problems are infrequently discussed with physicians.

It is important that medical schools and medical programs specializing in family medicine will include a training program Haifa women seeking men sex sexuality in old age. This specialization program can assist family physicians and deepen their understanding of their attitudes when dealing with older men and women, and the difficulties and dilemmas they experience. The study is qualitative, to allow an in-depth understanding of the experience and attitudes of family physicians, but its generalizability is limited and the of participants was small.

Furthermore, the physicians were asked retrospectively about their work with older patients, rather than in real time. The physicians described a heterosexual patient population; thus, a more diverse population regarding sexual identification was not represented.

Finally, it is also recommended to conduct a longitudinal study that will examine the perceptions of both patients and family physicians for old age. Men were perceived as wanting to engage in full sexual intercourse while among women; there was more of a need for intimacy and a relationship. It was found that most complaints about sexual function in old age come from men experiencing ED. Women seek help less frequently and their direct complaints often relate to gynaecological symptoms, rather than sexual function problems.

The authors report no conflicts of interest. The authors alone are responsible for the content and the writing of the paper. National Center for Biotechnology InformationU. Eur J Gen Pract. Published online Mar 8. Author information Article notes Copyright and information Disclaimer. Abstract Background: Gender differences in relation to sexual functioning among older adults have received very little research attention, although the ageing process is likely to be characterized by difficulties in sexual functioning among both women and men. Keywords: Aging, older adults, primary care, sexual dysfunction, sexuality.

Introduction Sexual activity and sexual satisfaction continue to play an important role in the lives of older adults, both women and men [ 1—3 ].

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Table 1. Background data of family physicians participating in the qualitative study. Open in a separate window. Research tools and instruments A psychotherapist trained in conducting qualitative-phenomenological interviews conducted the individual in-depth, semi-structured interviews. Data analysis The interviews were analysed using content analysis, to identify and code central themes and patterns.

This decline in their feelings of manliness and self-confidence often le to disappointment and frustration: Among men, I think their ability often diminishes, but the desire remains.

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Kim, 38 When elderly male patients have to deal with a medical issue, such as medication or surgery, which may harm their sexual function, they hesitate or postpone the treatment, so as not to impede their ability to perform and engage in full sexual relations. Most of the visits to family physicians were made by men with ED, caused by illness, medication, emotional difficulties, physiological decline or a combination of these factors: I have a patient who is around 70 years old, a man with many background diseases, high BMI, with a history of prostate cancer…some of his sexual dysfunction is also a result of surgery he underwent to treat a prostate infection.

Sofia, 42 Some of the patients who sought advice from their family physician had experienced sexual function problems in the past but had not sought help. When they do seek help, the majority of the time, they do not look for a direct solution to the problem, but rather relate to gynaecological problems: Women sometimes come with all kinds of issues, such as abdominal pains, recurring urinary tract infections…the urovaginal and the urogenital areas, in general…which always makes me ask questions.

Interpretation This finding supports research, which found that men report more sexual activity and thoughts about having sex compared to women [ 22 ].

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