SEXUAL BEHAVIOUR IN ALZHEIMER’S DISEASE
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Sexual behaviour can cause problems. There is no reason why a couple cannot continue any sexual relations that were occurring prior to the development of the condition as long as both parties are happy. As the sufferer becomes more disabled, sexual activity usually declines naturally and both can accept this (this occurs in many other conditions, though in some diseases it may only need to be a temporary cessation).
Difficulty may arise when the sufferer (usually a man) has a resurgence of sexual urges or a wish to continue previous relations but the wife is now unhappy about this and does not want it to happen. Usually the sufferer can be persuaded to stop the advances and often the urges wear off. However, it can be very tiring and embarrassing if it becomes a persistent problem.
In a few cases of advanced dementia both men and women may fondle, touch or actively rub their genitals/private parts. This can progress to full masturbation. As with the unwanted sexual advances towards a partner, this activity can be very distressing for carers and embarrassing for all observers. Keeping a person occupied and hence distracted may help (as well as checking that there is no local cause of irritation). Appropriate clothing can lessen the activity (trousers for women, trousers with no fly opening for men). If however the sexual activity is at a level unacceptable to the carer and the dignity of the sufferer is at stake then special help should be obtained, e.g. psychogeriatrician/ mental health for the elderly as specific medication can be tried.
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