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3525 Prytania St, Suite 614 - New Orleans, LA 70115 - 504-891-8454

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"You have turned my life around"

I am 87 years old, with a problem of the prostate gland. Before I met Dr. Baum, I went to the bathroom every 30-60 minutes. After Dr. Baum's treatment on my prostate, I go only 5 times per day and only 1 time at night! You turned my life around. I am so very grateful!

-Sidney Daigle

I want to thank you for your due diligence. You saved my life. I highly recommend you!

-Dwight Bastian

Thank you Dr. Baum! Because of you I'm back in the "rodeo"!

-Gerald Wallace


Just because a person is aged, confined to bed, or even has Alzheimer's Disease does not mean that they do not wish to be sexual. My elderly mother is in a nursing home and I have seen several men having a physical relationship with the women. This is often as minimal as handholding but the desire for intimacy is still ever-present. Supreme Court Justice Sandra Day O'Conner even gave permission for her husband with Alzheimer's disease to have a physical relationship with another woman in his nursing home. So what can people expect about sexuality in their advancing years?

As we grow older there are expected and normal changes that take place that causes some alternations in the ability to be sexually intimate. These changes take place in both men and women. There are some women who enjoy sex more as they get older. The fear of pregnancy or the anxiety of having youngsters enter the room during sexual intimacy is no longer an issue. Now they may feel freer to enjoy sex.

As women age there are normal changes in the woman's vagina especially after menopause. The vagina does not lubricate as easily and as quickly and the vagina may shorten making sexual intimacy painful. However, with the assistance of lubrication, most of these issues can be resolved.

With aging a man often notices that he has difficulty obtaining and maintaining an erection. An erection may require more genital stimulation and the erection is not as rigid as in former years. This can often be remedied by longer periods of foreplay. Men will also notice that the force and volume of the ejaculate decreases with age and the erection will subside in seconds after ejaculation occurs. Erection problems are more common in men with high blood pressure, heart disease, and diabetes.

There are large numbers of drugs that can decrease the libido or sex drive in both men and women. Drugs used to treat depression such as the Selective serotonin reuptake inhibitors (SSRIs) are an example of medications that may affect the libido in both sexes. Also medications used to treat high blood pressure, antihistamines, tranquilizers, appetite suppressants, diabetes drugs, and some ulcer drugs like ranitidine can diminish a man's erection. If you are taking one or several of these medications, check first with your doctor before you discontinue the medication as the doctor can often adjust the dosage or change to another class of medication that won't cause sexual problems.

Help is available

There are several things you can do on your own to keep an active sexual life. Remember that sex does not have to include intercourse. Make your partner a high priority. Pay attention to his or her needs and wants. Take time to understand the changes you both are facing. Try different positions and new times, like having sex in the morning when you both may have more energy. Don't hurry-you or your partner may need to spend more time touching to become fully aroused. Masturbation is a sexual activity that some older people, especially unmarried, widowed, or divorced people and those whose partners are ill or away, may find satisfying.

If you do seem to have a problem that affects your sex life, talk to your doctor. The most common problem that affects women is painful intercourse. For most women, lubrication can be provided with creams or jellies. If the problem is estrogen deficiency, this can be supplied with topical estrogen creams or oral estrogens if there are no contraindications such as estrogen receptor positive breast cancer.

If a man complains of a loss of libido, the problem may be related to testosterone deficiency that can be replaced with injections, topical jells or the insertion of testosterone pellets. If impotence is the problem, it can often be treated with oral medications such as Viagra, Levitra, or Cialis. If the medications are not successful then injections, vacuum devices, or surgical implants can be performed.

Bottom line: Just because a man or women enters their senior years does not mean that sexual intimacy has to cease. Older men and women can and do enjoy intimacy. For more information please go to my website, or contact me at (504) 891-8454